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Table 1 Overview of the used definitions of VAP

From: Manipulation of the microbiome in critical illness—probiotics as a preventive measure against ventilator-associated pneumonia

Author, year

Study design

N (intervention vs. control)

Analyzed N (intervention vs. control)

Details of intervention

Primary outcome

Barraud et al., 2010 [26]

Blinded RCT

87 vs. 80

87 vs. 80

Bifidobacterium bifidum, Lactobacillus acidophilus, Lactobacillus casei, and Lactobacillus rhamnosus GG, 1/day 2 × 1010 CFU in the stomach

28-day mortality

Forestier et al., 2008 [27]

Blinded RCT

118 vs. 118

102 vs. 106

Lactobacillus casei rhamnosus, 1/day 1 × 109 CFU in the mouth and stomach

Time of first Pseudomonas aeruginosa acquisition

Klarin et al., 2008 [28]

Open-label RCT

25 vs. 25

23 vs. 21

Lactobacillus plantarum 299, 2/day 1 × 1010 CFU in the mouth

Subsequent samples

Knight et al., 2009 [33]

Blinded RCT

150 vs. 150

130 vs. 129

Lactobacillus paracasei, Lactobacillus plantarum, Leuconostoc mesenteroides, and Pediococcus pentosaceus, 2/day 1 × 1010 CFU in the stomach

VAP

Morrow et al., 2010 [29]

Blinded RCT

73 vs. 73

68 vs. 70

Lactobacillus rhamnosus GG,,2/day 1 × 109 CFU in the oropharynx and stomach

VAP incidence

Rongrungruang et al., 2015 [32]

Open-label RCT

75 vs. 75

75 vs. 75

Lactobacillus casei Shirota, 1/day 8 × 109 CFU in the mouth and stomach

VAP

Shinotsuka et al., 2008 [30]

Open-label RCT

16 vs. 12

12 vs. 16

Lactobacillus johnsonii La1, 2/day 1 × 109 CFU in the stomach

Colonization of gastrointestinal tract and trachea

Zeng et al., 2016 [31]

Open-label RCT

125 vs. 125

118 vs. 117

Bacillus subtilis and Enterococcus faecalis, 3/day 9 × 109 in the stomach

VAP