PRIMENA PROBIOTIKA KOD AKUTNOG GASTROENTERITISA- MIŠLJENJE LEKARA I ODLUKA
Ključne reči:
probiotici, akutni gastroenteritis, prevencijaApstrakt
Uvod: U poslednje dve decenije, objavljen je veliki broj studija o upotrebi probiotika za gastrointestinalne poremećaje. Probiotici su bakterijski mikroorganizmi koji se koriste I za lečenje I za prevenciju digestivnih poremećaja. Do sada su najčešće korišćeni sojevi probiotika Lactobacillus rhamnosus (LGG) i Bifidobacterium brevis. Cilj ovog traktata je razmišljanje o efikasnosti probiotičke kulture LGG u prevenciji i lečenju akuntih digerstivnih problema. Materijal i metode: Istraživanje je provedeno anonimnim upitnikom zatvorenog tipa, u kojem je učestvovalo 382 pedijatra. Rezultati: Rezultati ankete pokazali su da pedijatri probiotsku kulturu LGG smatraju visoko efikasnom u lečenju akutnog gastroenteritisa.
Zaključak: Moderan pristup u lečenju dece sa akutnim gastroenteritisom, podrazumeva primenu efikasnih sojeva probiotika poput LGG-a, uz rehidrataciju i korekciju gubitaka tečnosti i elektrolita.
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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.
