Effects of Probiotics on Prevalence of Ventilator-Associated Pneumonia in Multitrauma Patients Hospitalized in Neurosurgical Intensive Care Unit: A Randomized Clinical Trial

Nazari, Behrooz; Amani, Leila; Ghaderi, Loghman; Khanbabayi Gol, Mehdi

doi:10.30491/tm.2021.250469.1176

Effects of Probiotics on Prevalence of Ventilator-Associated Pneumonia in Multitrauma Patients Hospitalized in Neurosurgical Intensive Care Unit: A Randomized Clinical Trial

Document Type : Original Article

Authors

Behrooz Nazari ¹

Leila Amani ²

Loghman Ghaderi ³

Mehdi Khanbabayi gol ⁴

¹ Department of Orthopedics, Shohada Medical Research & Training Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

² MSc Of in Community Health Nursing, Nursing and Midwifery Faculty, Urmia University of Medical Sciences, Urmia, Iran

³ Department of Surgery, Medicine Faculty, Kordestan University of Medical Sciences, Kordestan, Iran

⁴ MSc in Nursing Education, Nursing and Midwifery Faculty, Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

10.30491/tm.2021.250469.1176

Abstract

Background: Probiotics may have a role in preventing ventilator-associated pneumonia (VAP) by inhibiting the natural flora from transforming into pathogenic flora.
Objective: Therefore, this study aimed to investigate the effects of probiotics on the prevalence of VAP in multitrauma patients hospitalized in a neurosurgical intensive care unit (ICU).
Methods: This randomized clinical trial was performed between 2018 and 2019 with the participation of 150 patients hospitalized in theNeurosurgical ICU. After randomizing the participants (using the permutable blocking method) into the intervention (probiotic) and control (placebo) groups, the interventions were implemented. The participants received one capsule every 12 hours by gavage and their VAP symptoms were evaluated and recorded. Data were inputted into SPSS22 and then compared using the chi-square, independent t-test, Fisher's exact tests, and repeated measures ANOVA.
Results: The prevalence of VAP was significantly lower in the intervention group than the control group (p=0.001). A significant difference was observed between the two groups in pH (p=0.029) and WBC (p=0.042). The between-group difference was not significant in other variables.
Conclusion: Probiotics are effective in reducing the prevalence of VAP in trauma patients hospitalized in ICU.

Keywords

Ventilator-associated pneumonia

Trauma

Probiotic

Lactocare