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Efficiency of application of sorbed probiotics in complex therapy of pneumonia caused by SARS-CoV-2

Meskina et al., Therapeutic Archive, doi:10.26442/00403660.2021.04.200835
Jun 2021  
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Probiotics for COVID-19
18th treatment shown to reduce risk in March 2021, now with p = 0.0000011 from 28 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
RCT 100 pneumonia patients in Russia, showing faster symptom resolution with probiotic treatment (B. bifidum 1).
Probiotic efficacy depends on the specific strains used. Specific microbes may decrease or increase COVID-19 risk1.
Meskina et al., 1 Jun 2021, Randomized Controlled Trial, Russia, peer-reviewed, 5 authors.
This PaperProbioticsAll
Efficiency of application of sorbed probiotics in complex therapy of pneumonia caused by SARS-CoV-2. Part 1. Heating clinical displays period
Elena R Meskina, Elena E Tselipanova, Marima K Khadisova, Lidiya A Galkina, Tatyana V Stashko
Terapevticheskii arkhiv, doi:10.26442/00403660.2021.04.200835
Аннотация Цель. Определить клиническую эффективность и безопасность сорбированных пробиотиков Bifidobacterium bifidum 1 (5×10 8 КОЕ) и B. bifidum 1 (5×10 7 КОЕ) в сочетании с Lactobacillus plantarum 8P-А3 (5×10 7 КОЕ) для лечения пневмонии, вызванной SARS-CoV-2, увзрослыхпациентов,неимеющихтяжелыхфакторовриска. Материалы и методы.Воткрытоерандомизированноепроспективноеисследованиевключены100пациентовстарше18летсплощадью поражениялегкихнакомпьютернойтомограмменеболее75%.РНКSARS-CoV-2вмазкахизносаиротоглоткиобнаружена(методомполимеразнойцепнойреакцииобратнойтранскрипции)у72%участников.ДиагностикаCOVID-19,стандартноеобследованиеилечение проведенысогласноВременнымметодическимрекомендациямМинздраваРоссии,версия8от03.09.2020.Впубликациипредставлены результатыпримененияB. bifidum1по3капсулы2разавденьвтечение10дней.
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Воз, Лекарственная терапия при COVID-19
Федерации, Временные методические рекомендации: профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19
{ 'indexed': {'date-parts': [[2024, 4, 1]], 'date-time': '2024-04-01T15:10:58Z', 'timestamp': 1711984258648}, 'reference-count': 27, 'publisher': 'Consilium Medicum', 'issue': '4', 'license': [ { 'start': { 'date-parts': [[2021, 4, 15]], 'date-time': '2021-04-15T00:00:00Z', 'timestamp': 1618444800000}, 'content-version': 'unspecified', 'delay-in-days': 0, 'URL': 'https://creativecommons.org/licenses/by-nc-sa/4.0'}], 'content-domain': {'domain': [], 'crossmark-restriction': False}, 'abstract': '<jats:p>Aim. To determine the clinical efficacy and safety of the sorbed probiotics ' 'Bifidobacterium bifidum 1 (5108 KОЕ) and B. bifidum 1 (5107 KОЕ) in combination with ' 'Lactobacillus plantarum 8P-А3 in the complex therapy of pneumonia caused by SARS-CoV-2 in ' 'adult patients without severe risk factors.&#x0D;\n' 'Materials and methods. An open, randomized prospective study included 100 patients (45 men, ' '55 women), aged 18 to 60 years without risk factors for severe COVID-19 with pneumonia ' 'confirmed by computed tomography, and an area of lung lesion no more than 75% (moderate ' 'forms). SARS-CoV-2 RNA in nasal and oropharyngeal swabs (RT-PCR) was detected in 72% of the ' 'participants, in the rest it was highly probable in terms of the aggregate parameters. ' 'Diagnostics of COVID-19 and its severity, the appointment of a standard examination and ' 'treatment were carried out in accordance with the Temporary Methodological Recommendations of ' 'the Ministry of Health of Russia, version 8 of 09.03.2020. This publication presents the ' 'results of using B. bifidum 1 (3 capsules twice a day for 10 days) during the peak of ' 'clinical manifestations (in a hospital).&#x0D;\n' 'Results. In those who received sorbed B. bifidum 1, by the 10th day of treatment, the ' 'frequency of weakness was 32% lower (RR 0.55 [95% CI 0.240.73], OR 0.25 [0.110.59]); ' 'hypoosmia/dysgeusia by 22% (RR 0.42 [0.050.65], OR 0.40 [0.170.90]) and cough by 24% (RR ' '0.39 [0.070.60], OR 0.38 [0.170.84]). B. bifidum 1 reduced the average duration of weakness ' 'by 3 days [1.14.9], hypoosmia/dysgeusia by 3.2 days [1.35.1], cough by 1.9 days [0.43,4], ' 'dyspnea by 1.8 days [0.72.7], diarrhea by 1.7 days [0.13.5]; reduced the risk of ' 'antibiotic-associated diarrhea by 20% (RR 0.77 [0.240.93], OR 0.18 [0.050.68]). Due to the ' 'deterioration of the condition and the increase in the symptoms of respiratory failure, ' 'additional treatment was required less often by 24% (p=0.005). After the end of the ' 'intervention, the frequency of virologic debridement, levels of CRP, leukocytes, lymphocytes, ' 'platelets and the degree of lung damage on computed tomography did not statistically differ ' 'in the compared groups. No side effects of B. bifidum 1 (5108 KОЕ) have been ' 'identified.&#x0D;\n' 'Conclusion. The use of sorbed B. bifidum 1 (5108 KОЕ) improved the well-being of patients ' 'without risk factors with moderate viral (SARS-CoV-2) pneumonia and reduced the duration of ' 'diarrheal syndrome in a short time. The safety profile of their use was high. More research ' 'is needed to clarify the anti-inflammatory effects of the sorbed probiotic.</jats:p>', 'DOI': '10.26442/00403660.2021.04.200835', 'type': 'journal-article', 'created': {'date-parts': [[2021, 6, 23]], 'date-time': '2021-06-23T14:24:03Z', 'timestamp': 1624458243000}, 'page': '456-464', 'source': 'Crossref', 'is-referenced-by-count': 8, 'title': 'Efficiency of application of sorbed probiotics in complex therapy of pneumonia caused by ' 'SARS-CoV-2. Part 1. Heating clinical displays period', 'prefix': '10.26442', 'volume': '93', 'author': [ { 'ORCID': 'http://orcid.org/0000-0002-1960-6868', 'authenticated-orcid': False, 'given': 'Elena R.', 'family': 'Meskina', 'sequence': 'first', 'affiliation': []}, { 'ORCID': 'http://orcid.org/0000-0002-0586-8402', 'authenticated-orcid': False, 'given': 'Elena E.', 'family': 'Tselipanova', 'sequence': 'additional', 'affiliation': []}, { 'ORCID': 'http://orcid.org/0000-0001-8293-6643', 'authenticated-orcid': False, 'given': 'Marima K.', 'family': 'Khadisova', 'sequence': 'additional', 'affiliation': []}, { 'ORCID': 'http://orcid.org/0000-0002-0052-2867', 'authenticated-orcid': False, 'given': 'Lidiya A.', 'family': 'Galkina', 'sequence': 'additional', 'affiliation': []}, { 'ORCID': 'http://orcid.org/0000-0001-9654-9863', 'authenticated-orcid': False, 'given': 'Tatyana V.', 'family': 'Stashko', 'sequence': 'additional', 'affiliation': []}], 'member': '18344', 'published-online': {'date-parts': [[2021, 4, 15]]}, 'reference': [ { 'key': 'ref1', 'unstructured': 'Министерство здравоохранения Российской Федерации. Временные ' 'методические рекомендации: профилактика, диагностика и лечение новой ' 'коронавирусной инфекции (COVID-19). Версия 10 (08.02.2021). Режим ' 'доступа: ' 'https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/054/588/original/%D0%92%D1%80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D1%8B%D0%B5_%D0%9C%D0%A0_COVID-19_%28v.10%29-08.02.2021_%281%29.pdf. ' 'Ссылка активна на: 16.03.2021 [Ministry of Health of the Russian ' 'Federation. Interim Guidelines: Prevention, Diagnosis and Treatment of ' 'Novel Coronavirus Infection (COVID-19). Version 10 (02/08/2021). ' 'Available at: ' 'https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/054/588/original/%D0%92%D1%80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D1%8B%D0%B5_%D0%9C%D0%A0_COVID-19_%28v.10%29-08.02.2021_%281%29.pdf. ' 'Accessed: 16.03.2021 (In Russ.)].'}, {'key': 'ref2', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.ejphar.2020.173644'}, {'key': 'ref3', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.drup.2020.100721'}, {'key': 'ref4', 'doi-asserted-by': 'publisher', 'DOI': '10.1136/bmj.m2980'}, { 'key': 'ref5', 'unstructured': 'ВОЗ. Лекарственная терапия при COVID-19. Вариативные рекомендации 20 ' 'ноября 2020 года. Режим доступа: ' 'https://apps.who.int/iris/bitstream/handle/10665/336729/WHO-2019-nCov-remdesivir-2020.1-rus.pdf?sequence=7&isAllowed=y. ' 'Ссылка активна на: 23.01.2020 [WHO. Drug therapy for COVID-19. Variable ' 'Recommendations November 20, 2020. Available at: ' 'https://apps.who.int/iris/bitstream/handle/10665/336729/WHO-2019-nCov-remdesivir-2020.1-rus.pdf?sequence=7&isAllowed=y. 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Late treatment
is less effective
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