The use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.

BACKGROUND and AIMS: This review investigated whether the administration of enteral pre-, pro- and synbiotics compared with controls in adult intensive care unit (ICU) patients reduced the incidence of nosocomial infections, length of ICU stay, hospital mortality and specifically pneumonia. METHODS...

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Main Authors: Watkinson, P, Barber, V, Dark, P, Young, J
Format: Journal article
Language:English
Published: 2007
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author Watkinson, P
Barber, V
Dark, P
Young, J
author_facet Watkinson, P
Barber, V
Dark, P
Young, J
author_sort Watkinson, P
collection OXFORD
description BACKGROUND and AIMS: This review investigated whether the administration of enteral pre-, pro- and synbiotics compared with controls in adult intensive care unit (ICU) patients reduced the incidence of nosocomial infections, length of ICU stay, hospital mortality and specifically pneumonia. METHODS: Systematic review of randomised controlled trials comparing enteral feeding and pre-, pro- or synbiotics, versus standard enteral feed alone, in patients admitted to adult ICUs. RESULTS: Eight randomised studies with a total of 999 critically ill adult patients met the inclusion criteria. Pre- pro- or synbiotics were not associated with any significant change in the outcomes studied-length of ICU stay, hospital mortality and the incidence of nosocomial infection and more specifically pneumonia incidence. Few data were available for other outcomes. CONCLUSIONS: The use of pre- pro- or synbiotics in adult critically ill patients confers no statistically significant benefit in the outcome criteria studied. There is currently a lack of evidence to support the use of pre- pro- or synbiotics in patients admitted to adult ICUs, and a large well-designed trial is needed in this area.
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spelling oxford-uuid:7d85aa38-acf8-4e91-8d1b-562b02b6dd402022-03-26T21:04:11ZThe use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7d85aa38-acf8-4e91-8d1b-562b02b6dd40EnglishSymplectic Elements at Oxford2007Watkinson, PBarber, VDark, PYoung, J BACKGROUND and AIMS: This review investigated whether the administration of enteral pre-, pro- and synbiotics compared with controls in adult intensive care unit (ICU) patients reduced the incidence of nosocomial infections, length of ICU stay, hospital mortality and specifically pneumonia. METHODS: Systematic review of randomised controlled trials comparing enteral feeding and pre-, pro- or synbiotics, versus standard enteral feed alone, in patients admitted to adult ICUs. RESULTS: Eight randomised studies with a total of 999 critically ill adult patients met the inclusion criteria. Pre- pro- or synbiotics were not associated with any significant change in the outcomes studied-length of ICU stay, hospital mortality and the incidence of nosocomial infection and more specifically pneumonia incidence. Few data were available for other outcomes. CONCLUSIONS: The use of pre- pro- or synbiotics in adult critically ill patients confers no statistically significant benefit in the outcome criteria studied. There is currently a lack of evidence to support the use of pre- pro- or synbiotics in patients admitted to adult ICUs, and a large well-designed trial is needed in this area.
spellingShingle Watkinson, P
Barber, V
Dark, P
Young, J
The use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.
title The use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.
title_full The use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.
title_fullStr The use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.
title_full_unstemmed The use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.
title_short The use of pre- pro- and synbiotics in adult intensive care unit patients: systematic review.
title_sort use of pre pro and synbiotics in adult intensive care unit patients systematic review
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