PROBIOTICS FOR ACUTE GASTROENTERITIS – PHYSICIAN’S THINKING AND DECISION

Authors

  • Zorica Živković
  • Ivana Filipović
  • Đorđe Filipović

Keywords:

probiotic, acute gastroenteritis, prevention

Abstract

Introduction: In the last two decades, a large number of studies on probiotics for gastrointestinal disorders has been published. Probiotics are bacterial microorganisms that can have a benefit on human health if properly used. So far, the most commonly used strains of probiotics are Lactobacillus rhamnosus (LGG), and Bifidobacterium brevis. The aim of the article was to discusss the effectiveness of LGG probiotic culture in the prevention and treatment of acute gastroenteritis. Material and methods: The survey was conducted with an anonymous closed-type questionnaire, which involved 382 pediatric specialists. Results: The survey results showed that paediatricians considered Bebicol forte as very effective in treatment and prevention of acute gastroenteritis.

Conclusion:Modern approach in treatment of children with acute gastroenteritis should have been consisted of probiotic strains like LGG alongside with fluid and electrolytes.

References

Floch M. et al. Recommendations for Probiotic Use—2015 Update. Proceedings and Consensus Opinion. J Clin Gastroenterol 2015;49:S69–S73. doi: 10.1097/MCG. 0000000000000420.

World Gastroenterology Organisation Global Guidelines Probiotics and prebiotics February 2017

Skokovic-Sunjic G. Clinical Guide to probiotic products available in USA/Canada: 2017

Szajewska H, Guarino A, Hojsak I, Indrio F, Kolacek S, Shamir R, et al. Use of probiotics for management of acute gastroenteritis: a position paper by the ESPGHAN Working Group for Probiotics and Prebiotics. J Pediatr Gastroenterol Nutr. 2014 Apr;58(4):531–9.doi: 10.1097/MPG. 0000000000000320.

Hempel S, Newberry SJ, Maher AR, Wang Z, Miles JNV, Shanman R, et al. Probiotics for the prevention and treatment of antibiotic-associated diarrhea: a systematic review and meta-analysis. JAMA. 2012 May 9;307(18):1959–69.

Szajewska H, Kołodziej M. Systematic review with meta-analysis: Saccharomyces boulardii in the prevention of antibiotic-associated diarrhoea. Aliment Pharmacol Ther. 2015 Oct;42(7):793–801. doi: 10.1111/apt.13344.

Szajewska H, Canani RB, Guarino A, Hojsak I, Indrio F, Kolacek S, et al. Probiotics for the Prevention of Antibiotic-Associated Diarrhea in Children. J Pediatr Gastroenterol Nutr. 2016 Mar;62(3):495–506. doi: 10.1097/MPG. 0000000000001081.

Ahmadi E, Alizadeh-Navaei R, Rezai M.S. Efficacy of probiotic use in acute rotavirus diarrhea in children: A systematic review and meta-analysis. Caspian J Intern Med 2015; 6(4):1

Hojsak I, Fabiano V, Pop TL, Goulet O, Zuccotti GV, Çokuğraş FC, Pettoello-Mantovani M Kolaček S, Guidance on the use of probiotics in clinical practice in children with selected clinical conditions and in specific vulnerable groups, Acta Paediatr.2018 Jun;107(6):927-937. doi: 10.1111/apa.14270. Epub 2018 Apr 16.

Szajewska H, Guarino A, Hojsak I, Indrio F, Kolacek S, Shamir R, Vandenplas Y, Weizman Z; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Use of probiotics for management of acute gastroenteritis: a position paper by the ESPGHAN Working Group for Probiotics and Prebiotics. J Pediatr Gastroenterol Nutr. 2014; 58(4):531-9. doi: 10.1097/MPG.0000000000000320.

Szajewska H, Canani RB, Guarino A, Hojsak I, Indrio F, Kolacek S, et al. Probiotics for the Prevention of Antibiotic-Associated Diarrhea in Children. J Pediatr Gastroenterol Nutr. 2016 Mar;62(3):495–506. doi: 10.1097/MPG. 0000000000001081.

Ahmadi E, Alizadeh-Navaei R, Rezai M.S. Efficacy of probiotic use in acute rotavirus diarrhea in children: A systematic review and meta-analysis. Caspian J Intern Med 2015; 6(4):1

Hojsak I, Fabiano V, Pop TL, Goulet O, Zuccotti GV, Çokuğraş FC, Pettoello-Mantovani MKolaček S, Guidance on the use of probiotics in clinical practice in children with selected clinical conditions and in specific vulnerable groups, Acta Paediatr.2018 Jun;107(6):927-937. doi: 10.1111/apa.14270. Epub 2018 Apr 16.

Szajewska H, Guarino A, Hojsak I, Indrio F, Kolacek S, Shamir R, Vandenplas Y, Weizman Z; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Use of probiotics for management of acute gastroenteritis: a position paper by the ESPGHAN Working Group for Probiotics and Prebiotics. J Pediatr Gastroenterol Nutr. 2014; 58(4):531-9. doi: 10.1097/MPG.0000000000000320.

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Published

06/30/2020

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Editorial