Effect of probiotic supplementation on wound healing in postoperative patients

Cut Thalya Alissya Rahma, Yohanessa Wulandari
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Abstract

Background: Delayed wound healing, particularly in chronic wounds, is a significant global public health issue. The World Health Organization (WHO) reports that over 6 million people in the United States experience delayed wound healing annually, resulting in a healthcare cost of $25 billion USD. Probiotics, known for their anti-inflammatory properties, have potential in influencing skin immunity by facilitating the transfer of cytokines and immune cells from Peyer's patches to the skin. Nevertheless, the precise impact of probiotics on postoperative wound healing remains an area with limited research. Objective: Determine the effectiveness of probiotic supplements in wound healing in patients with surgical wounds Method: Literature search is done by advanced searching on Pubmed, Cochrane, Scopus, and EBSCOhost with eligibility criteria determined by the author. Results: There were three articles relevant to clinical questions and eligibility criteria that had been established, consisting of one systematic review article from the randomized controlled trial (RCT) study and two RCT articles. The SR/MA article includes good-quality RCT studies. The SR/MA article showed insignificant results on the effect of probiotic administration on healing. The RCT article showed significant results on the effect of probiotics on surgical wound healing, but the confidence level was low in one of the articles. Conclusion: Probiotic supplementation on wound healing in postoperative patients is not conclusive. This can be affected by the type of probiotic strain, dosage, duration of administration, and location of the surgical wound.
补充益生菌对术后患者伤口愈合的影响
背景:伤口愈合延迟,特别是慢性伤口愈合延迟,是一个重大的全球公共卫生问题。世界卫生组织(WHO)报告称,美国每年有超过600万人经历伤口愈合延迟,导致医疗保健费用达到250亿美元。益生菌以其抗炎特性而闻名,通过促进细胞因子和免疫细胞从Peyer's补丁向皮肤的转移,有可能影响皮肤免疫。然而,益生菌对术后伤口愈合的确切影响仍然是一个研究有限的领域。目的:确定益生菌补充剂对外科创伤患者伤口愈合的效果。方法:采用Pubmed、Cochrane、Scopus、EBSCOhost等高级检索方法进行文献检索,入选标准由作者确定。结果:建立了3篇与临床问题和入选标准相关的文章,其中1篇来自随机对照试验(RCT)研究的系统评价文章和2篇RCT文章。SR/MA文章包括高质量的RCT研究。SR/MA文章显示益生菌给药对愈合的影响不显著。这篇RCT文章显示了益生菌对外科伤口愈合的显著影响,但其中一篇文章的置信水平较低。结论:补充益生菌对术后患者创面愈合的促进作用尚无定论。这可能受到益生菌菌株类型、剂量、给药时间和手术伤口位置的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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