Efficacy of prophylactic probiotics in combination with antibiotics versus antibiotics alone for colorectal surgery: A meta-analysis of randomized controlled trials

J Surg Oncol. 2018 Jun;117(7):1394-1404. doi: 10.1002/jso.25038. Epub 2018 Mar 24.

Abstract

This meta-analysis aimed to determine whether prophylactic probiotics in combination with antibiotics are superior to antibiotics alone in the prevention of surgical site infection (SSI) after colorectal surgery. Fourteen trials involving 1524 participants were included. Compared with antibiotics alone, prophylactic probiotics in combination with antibiotics reduced the risk of SSI as well as other complications, shortened the cumulative duration of antibiotic therapy. Current evidence suggested that probiotics in combination with antibiotics could be recommended.

Keywords: antibiotics; antimicrobial resistance; colorectal surgery; probiotics; surgical site infection.

Publication types

  • Meta-Analysis

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Antibiotic Prophylaxis / statistics & numerical data*
  • Colorectal Surgery / adverse effects*
  • Humans
  • Randomized Controlled Trials as Topic*
  • Surgical Wound Infection / microbiology
  • Surgical Wound Infection / prevention & control*

Substances

  • Anti-Bacterial Agents