Table 3.
Clinical Trials Showing Significant Therapeutic Effects of Probiotics in Prevention of Antibiotic-associated Diarrhea (from Marteau et al.1)
| Study | Antibiotic | Probiotic | Study Size | Blind Study | Probiotic Group vs. Control Group |
|---|---|---|---|---|---|
| Gotz, 1979 | Ampicillin | Lactobacillus acidophilus + Lactobacillus bulgaricus | 98 | Yes | 8.3% vs. 21% |
| Clements, 1983 | Neomycin | L. acidophilus + L. bulgaricus | 39 | No | 20% vs. 42% |
| Witsell, 1995 | Amoxicillin-clavulanate | L. acidophilus + L. bulgaricus | 27 | No | Positive* |
| Borgia, 1982 | Antituberculous | Enterococcus faecium SF68 | 200 | No | 5% vs. 18% |
| Wunderlich, 1989 | Miscellaneous | E. faecium SF68 | 45 | Yes | 8.7% vs. 27.2% |
| Colombel, 1987 | Erythromycin | Bifidobacterium longum | 10 | Yes | Positive* |
| Siitonen, 1990 | Erythromycin | Lactobacillus rhamnosus GG | 16 | No | Positive* |
| Young, 1997 | Miscellaneous | L. rhamnosus GG | 188 | No | 17% vs. 48% |
| Orrhage, 1994 | Clindamycin | B. longum + Lactobacillus | 10 | Yes | Positive* |
| Adam, 1977 | β-lactamins or tetracyclins | Saccharomyces boulardii | 388 | Yes | 4.5% vs. 17.5% |
| Surawicz, 1989 | Miscellaneous | S. boulardii | 180 | Yes | 9.5% vs. 21.8% |
| McFarland, 1995 | β-lactamins | S. boulardii | 193 | Yes | 7.2% vs. 14.6% |
The authors reported a positive effect of the probiotic but did not provide the percentage of subjects with antibiotic-associated adverse effects in the two groups.