Review Article

Probiotics Reduce Postoperative Infections in Patients Undergoing Colorectal Surgery: A Systematic Review and Meta-Analysis

Table 2

Summary estimates and 95%CIs for total effects of the probiotics.

OutcomesNumber of studiesCaseOR (95%CIs)Z-test ( value)χ2HG value
ProbioticsPlacebo

Total infections53974170.59 [0.43, 0.83]0.0027.110.13
Surgical site infection (SSI)8058500.67 [0.49, 0.93]0.028.530.67
 Incision infection74724910.61 [0.41, 0.91]0.024.590.60
 Organ/space SSI43333590.82 [0.47, 1.42]0.483.150.53
Nonsurgical site infection (NSSI)5925870.36 [0.23, 0.57]0.000016.260.79
 Urinary tract infection31741730.39 [0.16, 0.96]0.042.060.36
 Pneumonia42092070.25 [0.11, 0.60]0.0020.470.92
 Bacteremia42092070.44 [0.23, 0.85]0.012.590.46
Bacterial translocation295970.13 [0.01, 1.48]0.106.280.01
Anastomotic leakage43823990.80 [0.28, 2.48]0.707.080.07

HG: heterogeneity, χ2 test with a indicated significant heterogeneity across studies; †,‡there was obvious statistical heterogeneity, but no observed clinical heterogeneity, and a random effects model was adopted.