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Lactobacillus GG in prevention of gastrointestinal and respiratory tract infections in hospitalised children: Randomised, double-blind, placebo controlled study
ISRCTN ISRCTN18761855
ClinicalTrials.gov identifier
Public title Lactobacillus GG in prevention of gastrointestinal and respiratory tract infections in hospitalised children: Randomised, double-blind, placebo controlled study
Scientific title
Acronym N/A
Serial number at source N/A
Study hypothesis Probiotics are defined as live microorganisms which confer a beneficial health effect on a human host. The most commonly used probiotics are bacteria of genera Lactobacillus or Bifidobacterium. A probiotic preparation must contain a certain minimum number of Colony-Forming Units (CFU) per dose. Doses used in therapeutic and preventive trials vary (106 to 109 CFUs). There is an increasing number of studies on beneficial effects of probiotics in treatment of acute infectious diarrhoea and prevention of antibiotic associated diarrhoea. However, the role of probiotics in prevention of nosocomial diarrhoea is still controversial.

Probiotics can also be used as preventive measure in gastrointestinal and respiratory tract infection, and although currently randomised controlled trials show a modest effect, future large, prospective studies are necessary.

Hypothesis:
Use of probiotics can effectively reduce the risk of nosocomial gastrointestinal and respiratory infections in acutely ill children.
Ethics approval Children's Hospital Ethics Committee Zagreb, Klaiceva 16, 10000 Zagreb, Croatia. Date of approval: 22/02/2007 (ref: 01-57/3-1-07)
Study design Randomised, double-blind, placebo controlled study.
Countries of recruitment Croatia
Disease/condition/study domain Gastrointestinal and respiratory tract infections in children
Participants - inclusion criteria 1. All paediatric patients hospitalised during the period of 6 months at the Department of Paediatrics, Children's Hospital Zagreb
2. Age from 12 months to 18 years
Participants - exclusion criteria 1. Immunodeficiency
2. Infants from neonatal period until 9th month of age
3. Cow's milk allergy (probiotics will be given in fermented cow's milk product)
4. Re-hospitalisation
5. Receiving infant formula containing probiotics and/or prebiotics at the time of enrolment
6. Receiving probiotic and/or prebiotic products prior to enrolment (7 days prior to hospitalisation)
7. Children admitted due to acute gastrointestinal or respiratory infections
8. Neoplasms
9. Chronic disorders
Anticipated start date 20/11/2007
Anticipated end date 20/05/2008
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 800
Interventions All hospitalised children at the Paediatrics Department whose parents have signed an inform consent will be randomly assigned into one of the two following groups:
Group A: Children will receive Lactobacillus GG at a dose 10^10 CFU per day in fermented milk product during hospitalization
Group B: Children will receive placebo (Post-pasteurized fermented product with similar taste to the active product) daily during hospitalization
Primary outcome measure(s) The following will be monitored during hospitalization and reassessed 7 days after discharge from hospital:
1. Rate of gastrointestinal tract infections including diarrhea (defined as 3 or more loose or watery stools in 24 hours), vomiting
2. Rate of upper respiratory tract infections including rhinitis, pharyngitis, otitis and common cold
3. Rate of lower respiratory tract infections including pneumonia, bronchitis and bronciolitis (diagnosis by physician)
4. Duration of gastrointestinal and respiratory infections
5. Total duration of hospitalisation at the Paediatric Department
Secondary outcome measure(s) The following will be monitored during hospitalization and reassessed 7 days after discharge from hospital:
1. In patients with gastrointestinal tract infections:
1.1. Duration of symptoms
1.2. Number of stools or vomiting episodes
1.3. Number of infections with determined infective cause: nature of infective etiology
1.4. Duration of hospitalisation at the Paediatric Department

2. In patients with respiratory tract infections:
2.1. Duration of symptoms (cough, fever)
2.2. Severity of infection (mild, moderate, severe)
2.3. Need for antibiotics
2.4. Number of infections with determined infective cause: nature of infective etiology
2.5. Duration of hospitalisation at the Paediatric Department
Sources of funding Children's Hospital Zagreb (Croatia)
Trial website
Publications
Contact name Dr  Iva  Hojsak
  Address Children's Hospital Zagreb
Klaiceva 16
  City/town Zagreb
  Zip/Postcode 10000
  Country Croatia
  Email ivahojsak@gmail.com
Sponsor Dukat (Croatia)
  Address Marijana Cavica 9
  City/town Zagreb
  Zip/Postcode 10000
  Country Croatia
  Sponsor website: http://www.dukat.hr/
Date applied 29/01/2008
Last edited 11/04/2008
Date ISRCTN assigned 11/04/2008
News
28 Sept 2007: 2007 Update of NHS Trusts Clinical Trials Register now available online
Aug 2007: Searches on ISRCTN register can now be bookmarked
Jul 2007: Patient information material field added to the ISRCTN Register
May 2007: WHO launches the International Clinical Trials Registry Search Portal
3 Apr 2007: Q&As regarding trial registration in the UK
4 Dec 2006: Trials taking place in the UK collated in 'Gateway'

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