Review Article

Probiotics Used for Postoperative Infections in Patients Undergoing Colorectal Cancer Surgery

Table 1

Baseline characteristics of these studies.

StudyTypeJadad scale (randomization + concealment of allocation+double blinding + withdrawals and dropouts)Time (published)CountryParticipantTotal number (probiotics vs. placebo)Age (probiotics vs. placebo)ProbioticsDuration

Kotzampassi et al.RCT1 + 1 + 2 + 1 = 52015GreeceOne center164; 84/80Total: ≥18 years; 65.9 ± 11.5 vs. 66.4 ± 11.9One capsule (Lactobacillus acidophilus LA 5, Lactobacillus plantarum, Bifidobacterium lactis BB 12 Saccharomyces boulardii) twice a dayThe day of operation and for the next 14 days
Liu et al.RCT2 + 1 + 2 + 1 = 62012China (Taiwan)One RCC150; 75/75Total: 25–75 years; 66.06 ± 11.02 vs. 62.28 ± 12.41Encapsulated bacteria (Lactobacillus plantarum; Lactobacillus acidophilus11; Bifidobacterium longum 88) patients in probiotics group received 2 g/d, at a total daily dose of 2.6 × 1014 CFU6 days preoperatively and 10 days postoperatively
Liu et al.RCT2 + 2 + 2 + 1 = 72015ChinaOne ICU134; 66/68Total: 25–75 years; 66.62 ± 18.18 vs. 60.16 ± 16.20Encapsulated probiotics (Lactobacillus plantarum; Lactobacillus acidophilus11; Bifidobacterium longum 88); patients in probiotics group received 2 g/d, at a total daily dose of 2.6 × 1014 CFUIntervention period lasted 16 days, 6 days preoperatively and 10 days postoperatively; Detailed records were recorded for up to 30 days after surgery
Sadahiro et al.RCT1 + 1 + 0 + 1 = 32013JapanOne ICU195; 100/95Total: 20-80 years; 67 ± 9 vs. 66 ± 12Three Bifidobacteria tablets orally after each meal three times dailyFor 7 days before the operation and from postoperative day 5 for 10 days
Zhang et al.RCT1 + 1 + 2 + 1 = 52011ChinaOne center60; 30/30Total: None 61.5 (46–82) vs. 67.5 (45–87)3 oral bifid triple viable capsules (Enterococcus faecalis; Lactobacillus acidophilus; Bifidobacterium longum), 3 times a dayFor 3 days (days −5 to −3) before surgery
Liu et al.RCT2 + 2 + 2 + 1 = 72010ChinaOne center100; 50/50Total: 25–75 years; 65.3 ± 11 vs. 65.7 ± 9.9Encapsulated bacteria (contain: Lactobacillus plantarum; Lactobacillus acidophilus; Bifidobacterium longum); patients in placebo group received probiotics 2 g/d, total daily dose of 2.6 × 1014 CFU6 days preoperatively and 10 days postoperatively

RCT: randomized controlled trial; ICU: intensive care unit; RCC: respiratory care center.