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All Studies   Meta Analysis    Recent:   

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 = 0.0000013 from 26 studies.
No treatment is 100% effective. Protocols combine treatments. * >10% efficacy, ≥3 studies.
4,500+ studies for 81 treatments. c19early.org
RCT 100 pneumonia patients in Russia, showing faster symptom resolution with probiotic treatment (B. bifidum 1).
The immune effects of probiotics are strain-specific.
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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