Sepsis & infection

Probiotic-Associated Central Venous Catheter Bloodstream Infections Lead to Increased Mortality in the ICU*

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

Probiotic administration is associated with a substantial rate of probiotic-associated bloodstream infection in ICU patients with central venous catheters in place. Probiotic-associated bloodstream infections result in significantly increased mortality. Powder formulations cause bloodstream infections more frequently than nonpowder formulations.

Study context

Population
Adults with central venous catheters in the ICU, HCA Healthcare data warehouse
Exposure
Probiotics vs no probiotics
  • Probioticsn = 23,015
Outcome
Probiotic-associated central venous catheter bloodstream infections
Methodological detailsobservational
  • Observational

Main finding

As reported in the abstract

GroupValueNNH
Probiotics0.37%270
No probiotics0 events

Value

Probiotics0.37%
No probiotics0 events

NNH

Probiotics270
No probiotics— not stated in the abstract

Observational data: associations, not effects.

Further findings

Mortality, probiotic infection vs none

OR (CI)P value
Probiotic infection2.23 (1.30–3.71)P < 0.01
OutcomePowderNonpowderOR (CI)P value
Infection rate, powder vs nonpowder formulations (subgroup)0.76%0.33%2.03 (1.05–3.95)P = 0.04

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Probiotic-Associated Central Venous Catheter Bloodstream Infections Lead to Increased Mortality in the ICU*. Crit Care Med. Published 1 June 2023. doi:10.1097/ccm.0000000000005953

Composed by AI from the published abstract and checked against it. How Briefs are made →

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