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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

Probiotics: make little or no difference in patient rated symptoms for eczema

Vanessa Jordan
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1 New Zealand Cochrane Fellow, University of Auckland, Auckland, New Zealand

Correspondence to: Vanessa Jordan. Email: v.jordan@auckland.ac.nz

Journal of Primary Health Care 10(4) 352-353 https://doi.org/10.1071/HC15938
Published: 19 December 2018

Journal Compilation © Royal New Zealand College of General Practitioners 2018.
This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Cochrane review: Makrgeorgou A, Leonardi-Bee J, Bath-Hextall FJ, Murrell DF, Tang MLK, Roberts A, Boyle RJ. Probiotics for treating eczema. Cochrane Database of Systematic Reviews 2018; 11: CD006135. doi:10.1002/14651858.CD006135.pub3

Background: Eczema is a common skin disease affecting up to 25% of children and 2–3% of adults.1 There is currently no known cure for eczema but there are a wide range of treatments available to relive symptoms. Probiotics have been suggested as a potential treatment for eczema. Low microbial diversity in the neonatal period is associated with the development of eczema in the first year of life.2 Probiotics are proposed to influence the gut microbiome and potentially may improve the symptoms and signs of eczema.3

Clinical Bottom Line: This Cochrane review showed that using probiotics probably makes little or no difference to eczema symptoms as reported by parents or sufferers of eczema. Probiotics also may make no difference to quality of life of sufferers or their families. However, there is currently no evidence to suggest probiotics cause any adverse effects either. Authors of this review also did a trial sequential analysis to determine the influence of future studies and showed that these results are unlikely to change with future research.4



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References

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[2]  Ismail IH, Oppedisano F, Joseph SJ, et al. Reduced gut microbial diversity in early life is associated with later development of eczema but not atopy in high-risk infants. Pediatr Allergy Immunol. 2012; 23 674–81.
Reduced gut microbial diversity in early life is associated with later development of eczema but not atopy in high-risk infants.Crossref | GoogleScholarGoogle Scholar |

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[4]  Makrgeorgou A, Leonardi-Bee J, Bath-Hextall FJ, et al. Probiotics for treating eczema. Cochrane Database Syst Rev. 2018; 11 CD006135