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.
Abstract

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