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Table 1 Characteristics of Included Studies

From: Probiotics in Treatment of Allergic Rhinitis

Study/Year

Participants

Intervention

Outcomes

Notes

Jadad Score

Peng 2005[7]

1) 90 subjects (probiotics = 60, placebo = 30) in 3 groups

2) Age (yrs) 16.07 ± 2.11 (live), 14.50 ± 1.78 (heat-killed), 16.60 ± 2.02 (placebo)

3) Allergic rhinitis symptoms for > 1 year and sensitization to house dust mites

1) Lactobacillus paracasei (5 × 109 cfu/capsule)

2) 2 capsules/d of live, heat killed, and placebo capsules in 3 groups

3) Total duration = 30 days

Primary: change in symptom scores on the modified PRQLQ from baseline following treatment

No drop-out from study

3

Wang 2004[8]

1) 80 children (probiotics = 60, placebo = 20)

2) Age (yrs) 15.87 ± 1.53 (intervention) and 14.00 ± 1.90 (placebo)

3) Allergic rhinitis symptoms for > 1 year and sensitization to house dust mites

1) Lactobacillus paracasei-33 (2 × 109 cfu/200 ml)

2) 200-400 mL/d

3) Total duration = 30 days

Primary: the change in symptom scores of the modified PRQLQ

No drop-out from study

3

Giovannini 2007[9]

1) 187 children (probiotics = 92, placebo = 95)

2) Age 2-5 years

3) Global Initiative for Asthma (GINA) and Allergic Rhinitis and its guidelines used

1) Lactobacillus bulgaricus, 107cfu/ml, Streptococcus thermophilus, 108 cfu/ml and L. casei 108 cfu/ml

2) 100 mL/d

3) Total duration = 12 months

Number of days free from episodes of asthma and/or rhinitis, and cumulative number and duration of episodes, change in immunologic profile

Participants were using standard asthma and allergic medication, 29 patients LFU

5

Tamura 2007[10]

1) 120 subjects (probiotics = 60, placebo = 60)

2) Age range (yr); intervention (39.3 ± 8.0) and placebo (39.5 ± 10.9)

3) Having specific IgE for JCP and symptomatology defined by the Japanese society of Allergology

1) Lactobacillus casei shirota (4 × 1010 cfu/80 mL)

2) 80 mL/d

3) Total duration = 8 weeks

Change in SMS, immunological profile and any side-effect noted

Standard allergy medications used by subjects, 11 patients LFU

4

Xiao 2006a[11]

1) 40 adult subjects (probiotics = 20, placebo = 20)

2) Age range; 23-61 years (intervention) and 24-55 years (placebo)

3) More than 2-year clinical history of JCPsis and presence of anti-JCP-IgE

1) Bifidobacterium longum536 (BB536); 3.5 ± 2.4 × 108 cfu/100 g

2) 200 g/d

3) Total duration = 14 weeks

Effect on subjective symptoms score, any effect on blood parameters

Standard care for allergic symptoms

4

Xiao 2006b[12]

1) 44 adult subjects (probiotics = 22, (probiotics = 22, placebo = 22)

2) Age range; 22 to 48 years (placebo) and 26 to 57 years (intervention)

3) 2-year clinical history of JCPsis and the presence of anti-JCP-IgE

1) BB536 powder 5 × 1010 cfu/2 g

2) Twice daily

3) Total duration = 13 weeks

Effect on subjective symptom scores and blood parameters

Standard care for allergic symptoms. 11 patients LFU

4

Ishida 2005[13]

1) 49 adult subjects (probiotics = 25, plaebo = 24)

2) Age range was 34.0 ± 3.4 years (intervention) and 36.9 ± 3.0 yrs (placebo)

3) Allergic rhinitis (defined by the Japanese Society of Allergology) and high IgE antibody against house dust or house dust mite

1) Lactobacillus Acidophilus L-92 (3 × 1010 cfu/100 mL)

2) 100 mL/d

3) Total duration = 8 weeks

Change in SMS (both nasal and ocular) value. Any change in nasal cavity findings and blood parameters

Standard allergy medications used, 3 patients LFU

3

  1. RCT, Randomized double-blind placebo controlled trials; FU, follow-up, cfu, colony forming unit; SMS, symptom-medication score; JCP, Japanese cedar pollinosis; PRQLQ, Pediatric Rhinoconjunctivitis Quality of Life Questionnaire; LFU, lost to follow up.