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Updated: Oct 29, 2025

Investigating the Effects of Probiotics on Pneumococcal Colonization Using an In Vitro Adherence Assay
Published on: April 28, 2014
Infectious complications of probiotic use: A matched case-control study
Florissa S Tom1, Kendall J Tucker2, Caitlin M McCracken2
1Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon.
Probiotic use was strongly associated with invasive infections from probiotic bacteria. This rare but serious risk highlights the need for further investigation into potential complications.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Research
Background:
- Probiotics are live microorganisms intended to provide health benefits.
- Invasive infections from probiotic organisms are a rare but serious concern.
- Understanding the association between probiotic consumption and infection is crucial for patient safety.
Purpose of the Study:
- To determine the association between probiotic use and invasive infections caused by typical probiotic organisms.
- To quantify the risk of infection in relation to probiotic consumption.
Main Methods:
- Matched case-control study design.
- Comparison of probiotic use history between patients with invasive infections and controls.
- Statistical analysis to determine odds ratios and confidence intervals.
Main Results:
- Cases with invasive infections had significantly higher odds of prior probiotic use compared to controls.
- The odds of probiotic use in cases were 127 times higher than in controls (95% CI, 6.21-2600).
Conclusions:
- A strong association exists between probiotic use and invasive infections caused by the administered probiotic organisms.
- These findings underscore the need for further research into the rare but severe complications associated with probiotics.
- Clinical vigilance is warranted when considering probiotic interventions, especially in vulnerable populations.
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