4.5 Article

Probiotics and the immunological response to infant vaccinations: a prospective, placebo controlled pilot study

Journal

ARCHIVES OF DISEASE IN CHILDHOOD
Volume 96, Issue 4, Pages 345-349

Publisher

B M J PUBLISHING GROUP
DOI: 10.1136/adc.2010.197459

Keywords

-

Categories

Funding

  1. Materna infant nutrition research institute

Ask authors/readers for more resources

Background Probiotics have been shown to be immunomodulatory and can affect antibody responses following vaccination. Several immunisations are associated with suboptimal seroconversion rates leaving a substantial part of the population exposed to infection. Objectives To evaluate the influence of probiotic supplementation on the immune response of infants following mumps, measles, rubella and varicella vaccination. Methods A randomised, placebo-controlled, double blinded prospective trial was performed in a cohort of healthy infants. Study subjects were randomly assigned to receive probiotics or placebo for a total of 5 months, starting 2 months prior to vaccination. Antibody levels against vaccine components were measured 3 months after immunisation. Treatment-related and vaccine-related adverse events were recorded. Findings 47 infants completed the study, 25 in the probiotic group and 22 in the placebo group. There was no statistically significant difference in the number of infants failing to reach protective antibody titres against the different vaccine components (three infants in the placebo group against one in the treatment group for rubella, two each for mumps, four children vs two for measles). When combining all results in both groups, a larger percentage of failures to seroconvert occurred in the placebo group (17% vs 8%, p=0.052), a result of borderline significance. The number of infants needed to treat in order to prevent one failed vaccine component was 12. There was no difference in the rate of treatment related adverse effects between the two groups. There was a significant trend toward fewer vaccine related adverse effects in the treatment group. Conclusions Oral probiotics given to infants during the period of immunisation do not interfere with the immune response to mumps, measles, rubella and varicella vaccine, and may improve seroconversion rates.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Cardiac & Cardiovascular Systems

The effect of green Mediterranean diet on cardiometabolic risk; a randomised controlled trial

Gal Tsaban, Anat Yaskolka Meir, Ehud Rinott, Hila Zelicha, Alon Kaplan, Aryeh Shalev, Amos Katz, Assaf Rudich, Amir Tirosh, Ilan Shelef, Ilan Youngster, Sharon Lebovitz, Noa Israeli, May Shabat, Dov Brikner, Efrat Pupkin, Michael Stumvoll, Joachim Thiery, Uta Ceglarek, John T. Heiker, Antje Koerner, Kathrin Landgraf, Martin von Bergen, Matthias Blueher, Meir J. Stampfer, Iris Shai

Summary: The study suggests that the green Mediterranean diet has a positive impact on cardiometabolic risk, resulting in reduced waist circumference, cholesterol levels, blood pressure, and improved insulin resistance. Compared to the traditional Mediterranean diet, the green Mediterranean diet shows more significant effects.

HEART (2021)

Article Health Care Sciences & Services

The prevalence and underreporting of needlestick injuries among hospital workers: a cross-sectional study

Hilla Bahat, Adi Hasidov-Gafni, Ilan Youngster, Michael Goldman, Osnat Levtzion-Korach

Summary: This study found that needlestick and sharps injuries (NSIs) and underreporting are common among hospital workers, including those who do not use needles. Higher prevalence of NSIs were noted among physicians and workers in emergency and surgical departments. Underreporting was significantly more common among physicians, seniors, workers without training about NSIs, older age groups, and males. Recommendations include improving preventive measures, encouraging reporting, reducing bedside procedures, and assigning two workers to high-risk procedures to increase reporting rates.

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE (2021)

Article Multidisciplinary Sciences

Fecal microbiota transplant promotes response in immunotherapy-refractory melanoma patients

Erez N. Baruch, Ilan Youngster, Guy Ben-Betzalel, Rona Ortenberg, Adi Lahat, Lior Katz, Katerina Adler, Daniela Dick-Necula, Stephen Raskin, Naamah Bloch, Daniil Rotin, Liat Anafi, Camila Avivi, Jenny Melnichenko, Yael Steinberg-Silman, Ronac Mamtani, Hagit Harati, Nethanel Asher, Ronnie Shapira-Frommer, Tal Brosh-Nissimov, Yael Eshet, Shira Ben-Simon, Oren Ziv, Md Abdul Wadud Khan, Moran Amit, Nadim J. Ajami, Iris Barshack, Jacob Schachter, Jennifer A. Wargo, Omry Koren, Gal Markel, Ben Boursi

Summary: This study conducted a phase 1 clinical trial and found that FMT treatment in patients with anti-PD-1-refractory metastatic melanoma, along with reinduction of anti-PD-1 immunotherapy, resulted in clinical responses in some patients. This suggests that modulating the gut microbiota could be a promising approach in cancer treatment.

SCIENCE (2021)

Article Public, Environmental & Occupational Health

Presence of SARS-CoV-2 RNA on playground surfaces and water fountains

Eran Kozer, Ehud Rinott, Guy Kozer, Adina Bar-Haim, Patricia Benveniste-Levkovitz, Hodaya Klainer, Sivan Perl, Ilan Youngster

Summary: This study aimed to assess the presence of SARS-CoV-2 in environmental samples collected at public playgrounds and water fountains in a country with high disease prevalence. The results showed that a small percentage of samples tested positive for the virus, highlighting the importance of maintaining environmental and personal hygiene in urban settings.

EPIDEMIOLOGY AND INFECTION (2021)

Article Medicine, General & Internal

Autologous fecal microbiota transplantation can retain the metabolic achievements of dietary interventions

Ehud Rinott, Ilan Youngster, Anat Yaskolka Meir, Gal Tsaban, Alon Kaplan, Hila Zelicha, Elad Rubin, Omry Koren, Iris Shai

Summary: The study found that during autologous fecal microbiota transplantation treatment, patients were able to maintain metabolic benefits achieved during the weight loss phase, including stability in weight, blood sugar, and blood lipids.

EUROPEAN JOURNAL OF INTERNAL MEDICINE (2021)

Article Pharmacology & Pharmacy

Is severity of Daboia (Vipera) palaestinae snakebites influenced by season of exposure?

Netanel Agajany, Eran Kozer, Netta Agajany, Daniel Trotzky, Ibrahim Abu Kishk, Ilan Youngster

Summary: The clinical presentation of snakebites from D. palaestinae can vary depending on the season, with victims in the spring and early summer showing more severe symptoms. It is important for hospitals to be prepared to treat critically ill patients during these seasons.

TOXICON (2022)

Article Genetics & Heredity

The effects of the Green-Mediterranean diet on cardiometabolic health are linked to gut microbiome modifications: a randomized controlled trial

Ehud Rinott, Anat Yaskolka Meir, Gal Tsaban, Hila Zelicha, Alon Kaplan, Dan Knights, Kieran Tuohy, Matthias Uwe Scholz, Omry Koren, Meir J. Stampfer, Dong D. Wang, Iris Shai, Ilan Youngster

Summary: The study found that the Mediterranean diet has significant effects on gut microbiota and cardiometabolic health, particularly the Green-MED diet. The Green-MED diet induces beneficial changes in gut microbiota composition and enzymatic functions, which are associated with improvements in body weight and cardiometabolic biomarkers.

GENOME MEDICINE (2022)

Correction Pediatrics

Early exposures and inherent factors in premature newborns are associated with type 1 diabetes (Apr, 10.1038/s41390-022-02069-w, 2022)

Iren Zargari, Adi Adar, Iris Morag, Orit Pinhas-Hamiel, Ori Eyal, Rimona Keidar, Neta Loewenthal, Milana Levy, Orna Dally-Gottfried, Zohar Landau, Floris Levy-Khademi, Smadar Eventov-Friedman, David Zangen, Ilan Youngster, Marianna Rachmiel

PEDIATRIC RESEARCH (2023)

Editorial Material Medicine, General & Internal

Self-sampling for SARS-CoV-2 Detection in Children

Ilan Youngster

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2022)

Article Pediatrics

Effectiveness of BNT162b2 Vaccination During Pregnancy in Preventing Hospitalization for Severe Acute Respiratory Syndrome Coronavirus 2 in Infants

Dana Danino, Liat Ashkenazi-Hoffnung, Alejandro Diaz, Amir Dov Erps, Noa Eliakim-Raz, Yonat Shemer Avni, David Greenberg, Noga Givon-Lavi, Ilan Youngster

Summary: This retrospective study assessed the clinical effectiveness of the BNT162b2 vaccine during pregnancy in preventing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) hospitalizations in infants under 6 months of age. The results showed that the effectiveness of fully vaccinated mothers was 61.6%, while the effectiveness of partially vaccinated mothers was not significant.

JOURNAL OF PEDIATRICS (2023)

Article Pediatrics

Electronically Monitored Adherence to Short-Term Antibiotic Therapy in Children

Ilan Youngster, Renana Gelernter, Hodaya Klainer, Hadas Paz, Eran Kozer, Michael Goldman

Summary: This study aimed to evaluate adherence to short-term antibiotic treatment in children. The results showed that overall adherence was 62%, and timing adherence was 21%. The study also found that being a single parent was significantly associated with nonadherence.

PEDIATRICS (2022)

Article Medicine, General & Internal

Medical Masks Versus N95 Respirators for Preventing COVID-19 Among Health Care Workers: A Randomized Trial

Mark Loeb, Amy Bartholomew, Madiha Hashmi, Wadea Tarhuni, Mohamed Hassany, Ilan Youngster, Ranjani Somayaji, Oscar Larios, Joseph Kim, Bayan Missaghi, Joseph V. Vayalumkal, Dominik Mertz, Zain Chagla, Maureen Cividino, Karim Ali, Sarah Mansour, Lana A. Castellucci, Charles Frenette, Leighanne Parkes, Mark Downing, Matthew Muller, Verne Glavin, Jennifer Newton, Ravi Hookoom, Jerome A. Leis, James Kinross, Stephanie Smith, Sayem Borhan, Pardeep Singh, Eleanor Pullenayegum, John Conly

Summary: This study aimed to determine the noninferiority of medical masks compared to N95 respirators in preventing COVID-19 among healthcare workers. The results showed that there was little difference in the occurrence of RT-PCR-confirmed COVID-19 between the medical mask group and the N95 respirator group. The subgroup analysis by country yielded varied results.

ANNALS OF INTERNAL MEDICINE (2022)

Article Pediatrics

The influence of the type of face mask used by healthcare providers during the SARS-CoV-2 pandemic on the report of pain: a cross-sectional study in a pediatric emergency department

Roni Cohen Shavit, Najib Nasrallah, Oshra Levi, Ilan Youngster, Itai Shavit

Summary: A study found that the type of face mask worn by nurses in a pediatric emergency department during the pandemic influenced children's reports of pain. Wearing a surgical face mask was associated with a lower likelihood of reporting pain compared to wearing a clear face mask. This study provides preliminary evidence that the type of face mask used by healthcare providers might have a negative impact on the child's report of pain.

TRANSLATIONAL PEDIATRICS (2023)

Article Infectious Diseases

Poor Uptake of MMR Vaccine 1-year Post-Measles Outbreak: New York City and Israel

Michal Paret, Rebecca Trillo, Jennifer Lighter, Ilan Youngster, Adam J. Ratner, Rebecca Pellett Madan

Summary: Large outbreaks of measles occurred in Israel and New York City during 2018-2019, mainly due to travel of unimmunized children between the two communities. The majority of measles cases occurred in eligible but unvaccinated children. Moreover, over 25% of children in both measles-positive and -negative groups remained unimmunized for measles, mumps, and rubella (MMR) vaccine one year after the outbreak.

JOURNAL OF THE PEDIATRIC INFECTIOUS DISEASES SOCIETY (2022)

Article Hematology

Origins of bloodstream infections following fecal microbiota transplantation: a strain-level analysis

Adi Eshel, Itai Sharon, Arnon Nagler, David Bomze, Ivetta Danylesko, Joshua A. Fein, Mika Geva, Israel Henig, Avichai Shimoni, Tsila Zuckerman, Ilan Youngster, Omry Koren, Roni Shouval

Summary: In this study, high rates of bloodstream infections were observed following fecal microbiota transplantation (FMT) for graft-versus-host-disease. Through metagenomic screening, the origin of these infections was determined to not be from the FMT donations. The findings support the safety of FMT in immunocompromised patients but do not rule out the possibility of bacterial translocation caused by FMT.

BLOOD ADVANCES (2022)

No Data Available