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Table 1 Basic characteristic of included studies

From: A systematic review and meta-analysis: the therapeutic and preventive effect of Lactobacillus reuteri DSM 17,938 addition in children with diarrhea

Study

Country

Research design

Objective

Sample(Exp VS. Con)

Age(Year)

Gender(Male/Female)

Intervention

Outcome

Maragkoudaki 2018 [13]

Greece

RCT,double-blind

Treatment

28

1.7 ± 0.7 years

21/7

10(8)CFU + ORS,5 days

No diarrhea(13/28, day 1), (18/28, day 2), (20/28, day 3), (19/28, day 4), (26/28, day 5); Watery stool(1.6, 1.2–2.0)days; Soft stool(4.0, 3.2–4.8)days

23

1.8 ± 0.7 years

16/7

Placebo(ORS)

No diarrhea (12/23,day 1), (13/23,day 2), (13/23,day 3), (17/28,day 4), (16/23,day 5); Watery stool(2.1,1.4–2.7)days; Soft stool(4.5, 3.5–5.5)days

Shornikova 1997 [6, 14]

Finland

RCT,double-blind

Treatment

19

16.8 ± 8.1momths

NA

10(10)-10(11)CFU daily,5 days

Diarrhea(16, day 1), (5, day 2), (2, day 3), (3, day 4), (2, day 5), (2, day 6);

Watery stool(1.7 ± 1.6)days

21

16.3 ± 9.5 months

NA

Placebo (nonfat dry milk powder)

Diarrhea(21, day 1), (17, day 2), (11, day 3), (6, day 4), (3, day 5), (3, day 6);

Watery stool(2.9 ± 2.3)days

Dinleyici 2015 [15]

Turkey

RCT,single-blind

Treatment

29

27.9 ± 18.2 months

20/9

10(8)CFU + ORS,5 days

Diarrhea: (OR = 0.86,0.74–1.01, day 1), (OR = 0.51,0.34–0.79, day 2), (OR = 1.34,0.40–4.50, day 3);

duration of diarrhea (60.4 ± 24.5 h)

31

22.6 ± 14.4 months

22/9

Placebo(ORS)

Duration of diarrhea (74.3 ± 15.3 h)

Francavilla 2012 [16]

Italy

RCT,double-blind

Treatment

35

26.1 ± 4.1 months

23/14

4 × 10(8)CFU daily;7 days

Diarrhea(31, day 1), (19, day 2), (16, day 3), (14, day 4), (9, day 5), (2, day 6), (0, day 7);

Watery stool (2.1 ± 1.7 days); Recurrence rate: 15%

34

25.4 ± 2.1 months

22/15

Placebo (mixture of sunflower oil and medium-chain triglyceride oil)

Diarrhea(34, day 1), (28, day 2), (25, day 3), (17, day 4), (11, day 5), (3, day 6), (1, day 7);

Watery stool (3.3 ± 2.1 days); Recurrence rate: 42%

Pernica 2017 [17]

Botswana

RCT,triple-blind

Treatment

18

0.98 ± 0.71 years

13/5

1 × 10(8)CFU daily;60 days

Recurrence rate(OR = 0.07, 0.01–0.61)

17

1.11 ± 0.76 years

8/9

Placebo

Botswana

RCT,triple-blind

Treatment

16

1.07 ± 0.49 years

7/9

1 × 10(8)CFU daily;60 days

20

1.21 ± 0.89 years

11/9

Placebo

Dinleyici 2014 [18, 22]

Turkey

RCT,single-blind

Treatment

64

3-60 months

NA

10(8)CFU daily,5 days

No diarrhea(50%, day 2), (69%, day 3)

63

3-60 months

NA

Placebo

No diarrhea(5%, day 2), (11%, day 3)

Wanke 2012 [19]

Poland

RCT,double-blind

Prevention

54

1-48 months

NA

10(8)CFU once daily

Nosocomial diarrhea (RR = 1.06, 0.7–1.5); rotavirus diarrhea (RR = 1.04, 0.6–1.6);

diarrhea (RR = 1.26, 0.75–2.14)

52

1-48 months

NA

Placebo

Urbańska 2016 [20]

Poland

RCT,double-blind

Prevention

91

1-48 months

NA

10(9)CFU daily

Nosocomial diarrhea(7 vs 6); rotavirus diarrhea (RR = 3.07, 0.13–74.28); diarrhea (RR = 1.12, 0.50–2.52)

93

1-48 months

NA

Placebo (maltodextrin)

Kolodziej 2019 [21]

Poland

RCT,triple-blind

Prevention

125

25.7 ± 35.2 months

72/53

2 × 10(8)CFU twice daily;2 weeks

Rotavirus diarrhea (RR = 2.02, 0.71–5.73); diarrhea (RR = 1.58, 0.89–2.80); antibiotic-associated diarrhea (RR = 1.76, 0.77–4.05)

125

25.8 ± 33.8 months

71/54

Placebo(mixture medium-chain triglycerides, sunflower oil and silicon dioxide)

  1. RCT Randomized controlled trial, NA Not available, ORS Oral rehydration salts