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. 2010 Nov 10;2010(11):CD003048. doi: 10.1002/14651858.CD003048.pub3

Wunderlich 1989.

Methods Randomized controlled trial; 10 centres
Duration: not stated
Participants Inclusion criteria: adults with acute diarrhoea (characteristics and duration not stated).
Exclusion criteria: not stated.
3 participants from each group withdrawn on day 4 or later (causes for dropouts stated to be unrelated to medication); 4 participants assigned to the probiotic group and 5 assigned to the placebo group did not complete the study (reasons not stated). Number completing study (for persisting diarrhoea outcomes): 40/47 (85.1%) in the probiotic group and 38/46 (82.6%) in the placebo group.
Interventions
  1. Live Enterococcus SF 68 (Bioflorin; 225 x 106 bacteria/day for 7 days)

  2. Placebo


Not stated when interventions started.
Outcomes
  1. Number of cases cured by day of treatment (definition of cure not stated).


No adverse events attributed to probiotic.
Notes Study location: Switzerland and Lichtenstein (very low child and adult mortality).
Cause of diarrhoea: no data presented.
Nutritional status: no data presented.
Hydration status: no data presented.
Source of funding: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Not described
Allocation concealment? Unclear risk Not described
Blinding? 
 All outcomes Low risk identical placebo
Incomplete outcome data addressed? 
 All outcomes High risk Follow up <90% in both groups

CFU: colony‐forming units
 IV: intravenous
 NCHS: National Centre for Health Statistics
 ORF: oral rehydration fluid
 RCT: randomized controlled trial
 SD: standard deviation