The Effect of Lactobacillus Acidophilus (La5) on the Incidence of Urinary Tract Infection in the Puerperium: A Randomized Placebo-Controlled Trial.

IF 4.4 2区 生物学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Fatemeh Borhani, Fatemeh Abbasalizadeh, Sakineh Mohammad-Alizadeh-Charandabi, Aziz Homayouni-Rad, Mojgan Mirghafourvand
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引用次数: 0

Abstract

This study aimed to evaluate the effect of the probiotic on the incidence of urinary tract infections (UTIs) during the postpartum period (primary outcome) and quality of life, breastfeeding performance, infant growth, and adverse effects (secondary outcomes). This double-blind, randomized, controlled trial was conducted in Tabriz-Iran. A total of 234 eligible women were randomly assigned to either the probiotic group or the placebo group using block randomization. The intervention group received a 500-mg capsule containing 2 × 109 CFU of Lactobacillus acidophilus once daily for 8 weeks, while the control group received a 500-mg capsule containing regular corn starch with the same dosing schedule. A urine culture test was performed 8 weeks after the start of the intervention to assess the incidence of UTI. Quality of life was evaluated before and after the intervention. Other outcomes, including breastfeeding performance and infant growth, were assessed at the end of the intervention. The incidence of UTIs in the probiotic group was significantly lower than in the placebo group at the 2-month follow-up after the intervention (adjusted odds ratio, 0.41; 95%confidence interval, 0.17 to 0.93; p = 0.033). A statistically significant difference between groups was noted in the overall quality of life score (p = 0.003) and the mental health domain (p = 0.004). There was no statistically significant difference between groups regarding the mean breastfeeding performance score (p = 0.335) and infant growth (p = 0.493). Our results supported the hypothesis that probiotics can effectively reduce the incidence of UTIs. Further studies are recommended to reach definitive conclusions.Trial registration: Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N81. Date of registration: 1 March 2024; URL: https://irct.behdasht.gov.ir/user/trial/73821/view ; Date of first registration: 1 March 2024.

嗜酸乳杆菌(La5)对产褥期尿路感染发生率的影响:一项随机安慰剂对照试验
本研究旨在评估益生菌对产后尿路感染(uti)发生率(主要结局)和生活质量、母乳喂养表现、婴儿生长和不良反应(次要结局)的影响。这项双盲、随机、对照试验在伊朗大不里士进行。采用分组随机法,共有234名符合条件的妇女被随机分配到益生菌组或安慰剂组。干预组给予含2 × 109 CFU嗜酸乳杆菌500 mg胶囊,每日1次,连用8周;对照组给予含普通玉米淀粉500 mg胶囊,给药方案相同。干预开始后8周进行尿培养试验以评估尿路感染的发生率。在干预前后评估生活质量。其他结果,包括母乳喂养表现和婴儿生长,在干预结束时进行评估。干预后2个月随访时,益生菌组尿路感染发生率显著低于安慰剂组(校正优势比0.41;95%可信区间0.17 ~ 0.93;p = 0.033)。总体生活质量评分(p = 0.003)和心理健康领域评分(p = 0.004)组间差异有统计学意义。各组间母乳喂养表现得分(p = 0.335)和婴儿生长(p = 0.493)差异无统计学意义。我们的研究结果支持益生菌可以有效降低尿路感染发生率的假设。建议进一步研究以得出明确的结论。试验注册:伊朗临床试验注册中心(IRCT): IRCT20120718010324N81。注册日期:2024年3月1日;网址:https://irct.behdasht.gov.ir/user/trial/73821/view;首次注册日期:2024年3月1日。
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来源期刊
Probiotics and Antimicrobial Proteins
Probiotics and Antimicrobial Proteins BIOTECHNOLOGY & APPLIED MICROBIOLOGYMICROB-MICROBIOLOGY
CiteScore
11.30
自引率
6.10%
发文量
140
期刊介绍: Probiotics and Antimicrobial Proteins publishes reviews, original articles, letters and short notes and technical/methodological communications aimed at advancing fundamental knowledge and exploration of the applications of probiotics, natural antimicrobial proteins and their derivatives in biomedical, agricultural, veterinary, food, and cosmetic products. The Journal welcomes fundamental research articles and reports on applications of these microorganisms and substances, and encourages structural studies and studies that correlate the structure and functional properties of antimicrobial proteins.
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