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Table 3 Severity index, number of patients and use of topical treatments of the studies included in the systematic review

From: The effect of probiotics on the clinical status of adult patients with atopic dermatitis: a systematic review

Author, country and year

Number of patients

Baseline SCORAD

SCORAD after treatment

Type of the control group (healthy controls or patients with AD without probiotics)

Topical treatment allowed?

Number of patients that completed the study

Roessler et al., Alemanha 2007 [31]

  15 healthy subjects

  19 patients with AD

24.0 [95% confidence interval (CI), 20.6–26.7]

  21.9 (95% CI, 19.3–24.4) (8 weeks)

Healthy controls

Yes. The topical glucocorticoid Advantans (Scheming, Berlin, Germany) (1 mg/g) was administrated in the case of need

14 patients with AD (4 dropped out) and 15 healthy controls

Kaur et al., Estonia 2008 [33]

16 patients

  Probiotic group: 4.8 ± 3.9

•  Placebo group:

4.8 ± 2.8

  Probiotic group: 1.9 ± 1.8 (12 weeks)

  Placebo group: 2.3 ± 0.9 (12 weeks)

Patients with AD without probiotics (placebo group)

Yes. The patients were allowed to use different emollient creams for everyday use (Eucerin®, Baierstorf, Hamburg; Decubal®, Dumex-Alpharma; Linola® fett N and Wolff Basis crème, Dr. August Wolff GmbH & Co, Arzneimittel, Germany; Aqualan® Orion Pharma)

16 patients

Drago et al., Itália 2011 [32]

38 adult patients

  Probiotic group: 27.57 ± 3.4

   Placebo group: 24.28 ± 2.15

  Probiotic group: 13.14 ± 0.27 (16 weeks)

  Placebo group: 20.14 ± 0.27 (16 weeks)

Patients with AD without probiotics (placebo group)

Yes. The patients were allowed to use different emollient creams

38 patients

Moroi et al., Japão 2011 [28]

34 patients

Did not use SCORAD, but Japanese dermatological association score

  Probiotic group: 3.71 ± 1.76

  Placebo group: 4.47 ± 2.00

  Probiotic group: 1.00 ± 1.21 (12 weeks)

  Placebo group: d)0.71 ± 1.99 (12 weeks)

Patients with AD without probiotics (placebo group)

Yes. The patients were allowed to use topical corticosteroid and tacrolimus

34 patients

Roessler et al., Alemanha 2012 [29]

34 patients

SCORAD was only evaluated as an inclusion criterion for patients in their study

Patients had a SCORAD score of 5–30

Not evaluated

Healthy controls

Did not mention

30 patients

Matsumoto et al., Japão 2014 [30]

44 patients

  Probiotic group: 7.5(0.9)

  Placebo group: 7.6(0.9)

Not evaluated

Patients with AD without probiotics (placebo group)

Yes. The patients were allowed to use their medications as usual

44 patients

Fang et al., China 2020 [41]

120 patients

  Placebo group: 19.62 (10.24)

  Oligose group: 17.31 (11.93)

  Bifdobacterium bifidum CCFM16 group: 21.64 (16.13)

  Lactobacillus plantarum CCFM8610 group: 18.79 (16.06)

The CCFM 8610 group significantly decreased the SCORAD index (8 weeks)

Patients with AD without probiotics (placebo group)

Did not mention

109 patients