Lacticaseibacillus rhamnosus GG DSM 33156 effects on pathogen defence in the upper respiratory tract: a randomised,

A Damholt1, M K Keller1, K Baranowski2

  • 1Chr. Hansen A/S, Kogle allé 6, Hørsholm 2970, Denmark.

Beneficial Microbes
|December 13, 2021
PubMed

Insights

Lacticaseibacillus rhamnosus GG DSM 33156 did not significantly reduce upper respiratory tract infections (URTIs) in children. However, the probiotic may alleviate URTI symptom severity in children, suggesting a potential benefit for symptom management.

Area of Science:

  • Pediatric Health
  • Microbiology
  • Immunology

Background:

  • Acute upper respiratory tract infections (URTIs) are common in children, leading to significant morbidity and healthcare utilization.
  • Lacticaseibacillus rhamnosus GG DSM 33156 has demonstrated immune and gastrointestinal benefits in prior studies.
  • Previous research suggests L. rhamnosus GG DSM 33156 may reduce URTI incidence and symptoms in children.

Purpose of the Study:

  • To evaluate the efficacy of Lacticaseibacillus rhamnosus GG DSM 33156 in reducing the incidence of URTIs in children.
  • To assess the impact of L. rhamnosus GG DSM 33156 on URTI symptom severity and quality of life in pediatric participants.

Main Methods:

  • A randomized, double-blind, placebo-controlled trial involving 619 children aged 2-6 years over a 16-week period.
  • Daily health status and URTI episodes were reported by parents/guardians and confirmed by general practitioners.
  • Ward's hierarchical clustering was used to analyze quality of life endpoints and identify symptom patterns.

Main Results:

  • The trial did not meet its primary endpoint of significantly reducing the incidence of URTIs diagnosed by a general practitioner.
  • No secondary efficacy endpoints were met, indicating no statistically significant difference in overall URTI occurrence.
  • Cluster analysis revealed that children consuming L. rhamnosus GG DSM 33156 experienced alleviated URTI symptoms, particularly in clusters with less severe URTI characteristics.

Conclusions:

  • Lacticaseibacillus rhamnosus GG DSM 33156 did not significantly prevent upper respiratory tract infections in the studied pediatric population.
  • The probiotic may offer a benefit in alleviating the severity of symptoms experienced by children during URTIs.
  • Further research could explore the specific mechanisms and patient subgroups that benefit most from L. rhamnosus GG DSM 33156 for symptom management.

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