Table 2 Estimated risk of antibiotic-associated diarrhea, proportion of patients tested for diarrhea associated with Clostridium difficile and adjusted risk of C. difficile-associated diarrhea in the probiotic and placebo groups*
Author, yearRisk of AAD, no. of patients/ total no. of patients (%)CDAD testing, no. of patients/total no. (%) with AADRisk of CDAD among those tested† (%)Adjusted risk of CDAD, %‡
ProbioticPlaceboProbioticPlaceboProbioticPlaceboProbioticPlacebo
Ouwehand et al.,24 201433/168 (19.6)
21/168 (12.5)
41/167 (24.6)33/33 (100)
21/21 (100)
41/41 (100)3/33 (9.1)
3/21 (14.3)
8/41 (19.5)1.84.8
Allen et al.,10 2013159/1493 (10.6)153/1488 (10.3)93/159 (58.5)88/153 (57.5)12/93 (12.9)17/88 (19.3)1.42.0
Selinger et al.,25 20135/117 (4.3)10/112 (8.9)5/5 (100)4/10 (40.0)0/5 (0)0/4 (0)00
Gao et al.,20 201013/86 (15.1)
24/85 (28.2)
37/84 (44.0)13/13 (100)
24/24 (100)
37/37 (100)1/13 (7.7)
8/24 (33.3)
20/37 (54.1)5.323.8
Sampalis et al.,26 201047/216 (21.8)65/221 (29.4)16/47 (34.0)30/65 (46.2)1/16 (6.2)4/30 (13.3)1.43.9
Safdar et al.,27 20084/23 (17.4)6/17 (35.3)3/4 (75.0)4/6 (66.7)0/3 (0)1/4 (25.0)08.8
Beausoleil et al.,28 20077/44 (15.9)16/45 (35.6)2/7 (28.6)13/16 (81.2)1/2 (50.0)7/13 (53.8)8.019.1
Hickson et al.,29 20077/69 (10.1)19/66 (28.8)7/7 (100)19/19 (100)0/56 (0)9/53 (17.0)013.6
Plummer et al.,30 200415/69 (21.7)15/69 (21.7)15/15 (100)15/15 (100)2/15 (13.3)5/15 (33.3)2.97.2
Heimburger et al.,31 19945/16 (31.2)2/18 (11.1)5/5 (100)2/2 (100)0/5 (0)0/2 (0)00

Note: AAD = antibiotic-associated diarrhea, CDAD = Clostridium-difficile-associated diarrhea.

*Some studies had 2 probiotic groups.

†The denominator is the number of patients with AAD who were tested for CDAD. Values are before adjustment for missing data.

‡Obtained by multiplying the risk of AAD by the risk of CDAD among those tested, under the assumption that the missing test results were missing at random.