Probiotics have clinical, microbiologic, and immunologic efficacy in acute infectious diarrhea

Chien Chang Chen, Man Shan Kong, Ming Wei Lai, Hsun Chin Chao, Kuei Wen Chang, Shih Yen Chen, Yhu Chering Huang, Cheng Hsun Chiu, Wen Chen Li, Pen Yi Lin, Chih Jung Chen, Tzou Yien Lin

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79 引文 斯高帕斯(Scopus)

摘要

Background: Acute infectious diarrhea is a major cause of childhood morbidity and economic burden for families. We evaluate the clinical, microbiologic, and immunologic effects of probiotics in acute infectious diarrhea. Methods: Children (n = 304) aged 3 months to 6 years hospitalized for acute diarrhea were randomized to receive Bio-three (a mixture of Bacillus mesentericus, Enterococcus faecalis, and Clostridium butyricum) or placebo orally 3 times daily for 7 days. Fecal samples were homogenized for bacterial culture and blood cells were isolated for cell culture and cytokine analysis. This study is registered (NCT00463190). Results: The mean duration of diarrhea after start of therapy was 60.1 hours in the probiotics group versus 86.3 hours in the placebo group (P = 0.003). Hospital stay was shorter in the probiotics group than in the placebo group (P = 0.009). Counts of Bifidobacteria and Lactobacillus species were elevated in stool culture of the probiotics (Bio-three) group. IL-10 was increased in the serum and supernatants of cell culture in the probiotics group, and tumor necrosis factor-α values were down-regulated. Interferon-γ and IL-12 were mildly elevated in the probiotics group, compared with the placebo group. Conclusions: This probiotics mixture reduced the severity of diarrhea and length of hospital stay in children with acute diarrhea. In addition to restoring beneficial intestinal flora, probiotics may enhance host protective immunity such as down-regulation of pro-inflammatory cytokines and up-regulation of anti-inflammatory cytokines.
原文英語
頁(從 - 到)135-138
頁數4
期刊Pediatric Infectious Disease Journal
29
發行號2
DOIs
出版狀態已發佈 - 2月 2010
對外發佈

ASJC Scopus subject areas

  • 兒科、圍產兒和兒童健康
  • 微生物學(醫學)
  • 傳染性疾病

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