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. 2021 Apr 9;10(4):408. doi: 10.3390/antibiotics10040408

Table 1.

Potential probiotic candidates for the prevention or treatment of antibiotic-associated complications seen in COVID-19 patients.

Probiotic Number of Randomized Controlled Trials 1 Strength of Evidence 2 References
Prevention of AAD
S. boulardii I-745 “Florastor” 18+/9− Strong Szajewska [56]
Sniffen [22]
L. acidophilus CL1285 + L. casei LBC80R + L. rhamnosus CLR2 “Bio-K+” 3+/1− Strong Sniffen [22]
L. casei DN114001 “Actimel” 2+/0− Strong Sniffen [22]
L. acidophilus La5 + B. lactis Bb12 3+/3− Moderate Sniffen [22]
L. rhamnosus GG “Culturelle” 3+/8− Weak Szajewska [55]
Prevention of CDI
S. boulardii I-745 “Florastor” 1+/11− Weak Sniffen [22]
L. rhamnosus GG “Culturelle” 1+/4− Weak Sniffen [22]
L. acidophilus CL1285 + L. casei LBC80R + L. rhamnosus CLR2 “Bio-K+” 2+/2− Moderate Sniffen [22]
Prevention of VAP
“Synbiotic 2000” 3 2+/2− Moderate Su [57]
Treatment of COVID-19 Diarrhea
“Sivomaxx” 4 1+/0− Weak D’ettorre [58]

1 Number of trials with significant effect (+)/number with non-significant effect (−), 2 Strength of evidence: strong, at least two more significant trials compared to number of non-significant trials; moderate, similar number of significant and non-significant trials; weak, more non-significant trials, 3 Synbiotic 2000: Leuconostoc mesenteroides 32-77:1, L. paracasei 19, L. plantarum 2362, Pediococcus pentoseceus 5-33:3 and inulin, 4 Sivomaxx: Lactobacillus brevis DSM27961, L. acidophilus DSM32241, L. helveticus DSM32242, L. paracasei DSM32243, L. plantarum DSM32244, Strept. thermophilus DSM32245, Bifidobacterium lactis DSM32246 and Bifidobacterium lactis DSM32247.