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Published on: October 31, 2019
Multi-Strain Probiotic and Common Infections in Early Childhood Education Settings: A Randomised Controlled Trial
Hafiz Haris Ahmad1,2, Blake Peck1, Daniel Terry1,3,4
1Institute of Health and Wellbeing, Federation University, Ballarat, Australia.
Insights
A multi-strain probiotic significantly reduced gastrointestinal infections in young children attending early childhood education settings. While effective for gut health, it did not impact respiratory infections, suggesting targeted benefits.
Area of Science:
- Pediatric Health
- Microbiome Research
- Infectious Disease Prevention
Background:
- Common infections pose a significant burden in early childhood education (ECE) settings.
- Probiotics are explored for their potential to modulate the gut microbiome and enhance immune responses.
- Limited research exists on multi-strain probiotics for infection prevention in ECE populations.
Purpose of the Study:
- To evaluate the efficacy of a multi-strain probiotic in reducing the incidence of common infections among children in ECE.
- To assess the impact of probiotic supplementation on gastrointestinal tract infections (GITIs) and respiratory tract infections (RTIs).
- To determine the cost-effectiveness of probiotic use for infection prevention in this age group.
Main Methods:
- A 24-week, prospective, randomized, double-blind, placebo-controlled trial.
- Involved 118 children in ECE settings, randomly assigned to receive a 5-strain probiotic (10 billion CFU/day) or placebo.
- Weekly questionnaires tracked infection incidence; intention-to-treat analysis was performed.
Main Results:
- A 62% reduction in GITIs was observed in the probiotic group compared to placebo (IRR: 1.62, p=0.055) after 16 weeks.
- A significant protective effect of probiotics on GITIs emerged after 8 weeks of supplementation.
- No significant impact on RTIs was found; probiotic use yielded an estimated AU$4748 cost saving related to reduced GITIs.
Conclusions:
- Multi-strain probiotic supplementation shows potential for reducing GITIs in children attending ECE.
- Probiotics did not demonstrate a significant effect on RTIs, despite a high number of infections recorded.
- Further large-scale, multi-arm trials are recommended to confirm these findings and explore broader applications.
Objective:
This randomised controlled trial aimed to evaluate the effect of a multi-strain probiotic on the incidence of common infections among children in early childhood education (ECE) settings.
Methods:
Prospective, randomised, double-blind, placebo-controlled trial was conducted using a multi-strain (mixture of 5 strains) probiotic at a daily dose of 10 billion active fluorescent units. Participating children were randomly assigned to either the intervention or control group. The supplementation period lasted 24 weeks, during which weekly questionnaires were administered to track the incidence of infections.
Results:
A total of 118 children were enrolled in the trial. An intention-to-treat analysis revealed a 62% reduction in the incidence of gastrointestinal tract infections (GITIs) (incidence rate ratio: 1.62, p = 0.055) between the placebo and probiotic groups in the last 16 weeks of the study. Notably, it took up to 8 weeks for probiotics to exhibit a significant protective effect. However, probiotic supplementation had no impact on respiratory tract infections (RTIs). Additionally, probiotic use led to an estimated cost saving of AU$4748 in relation to reducing GITIs for 16 weeks after the protective effect was achieved.
Conclusion:
Multi-strain probiotic has the potential to reduce the risk of GITIs among children in ECE settings, though no beneficial effect was observed on RTIs despite recording over 450 infections. Larger, multi-arm trials are recommended to further investigate this area.
Trial Registration:
ClinicalTrials.gov identifier: ACTRN12622000153718.
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