[Effectiveness of acipole in prevention of enteric dysbacteriosis due to antibacterial therapy]

E V Oleĭnichenko1, S D Mitrokhin, V E Nonikov

  • 1Central Clinical Hospital, Moscow.

Insights

Acipole, a probiotic containing Lactobacillus acidophilus and Kefir grains, effectively managed antibiotic-induced dysbacteriosis in patients with pneumonia or bronchitis. This treatment reduced the incidence and severity of dysbiosis, preventing clinical signs when used with antibiotics.

Area of Science:

  • Microbiology
  • Pharmacology
  • Clinical Medicine

Background:

  • Antibiotic therapy can lead to adverse effects like dysbacteriosis.
  • Dysbacteriosis, an imbalance in gut microbiota, is a common complication of antibacterial treatment.
  • Managing dysbiosis is crucial for patient recovery and well-being during antibiotic treatment.

Purpose of the Study:

  • To evaluate the efficacy of Acipole in managing antibiotic-induced dysbacteriosis.
  • To assess the impact of Acipole on the frequency and severity of dysbiosis in patients receiving antibiotics.
  • To determine if Acipole can prevent the clinical manifestations of dysbacteriosis.

Main Methods:

  • A study involving 120 patients with acute pneumonia or chronic bronchitis exacerbations treated with antibiotics.
  • Patients were divided into two groups: one receiving routine antibiotic therapy, the other receiving antibiotics plus Acipole.
  • Fecal samples were analyzed using routine bacteriological examination to assess dysbiosis.

Main Results:

  • A high incidence of bacteriologically confirmed dysbiosis was observed in patients receiving antibiotics alone.
  • The group treated with antibiotics and Acipole showed a lower frequency and severity of dysbiosis.
  • Simultaneous administration of Acipole with antibiotics prevented the development of clinical signs of dysbiosis.

Conclusions:

  • Acipole is an effective eubiotic for managing antibiotic-associated dysbacteriosis.
  • Combining Acipole with standard antibiotic therapy offers a protective effect against dysbiosis development.
  • This approach holds practical importance for improving patient outcomes during antibacterial treatment.

Related Concept Videos

Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents01:20

Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents

Diarrhea is characterized by the occurrence of frequent, watery bowel movements. Various factors can trigger diarrhea, including viral or bacterial infections, foodborne illnesses, side effects from certain medications, and underlying digestive disorders. If not adequately managed, diarrhea can lead to complications such as dehydration, electrolyte imbalances, and nutrient deficiencies. Severe diarrhea can lead to significant weight loss, malnutrition, and weakened immune function.
Adsorbents...
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents01:18

Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents

Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
Microbiota Modulation by Antibiotics01:21

Microbiota Modulation by Antibiotics

Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...
Dysbiosis of the Gut Microbiota01:18

Dysbiosis of the Gut Microbiota

The human gut microbiome includes a diverse array of microbial species, including beneficial commensals and opportunistic pathogens, which interact to support host health. These microbes contribute to essential functions such as nutrient metabolism, immune system modulation, and maintenance of intestinal barrier integrity. However, disruptions to this equilibrium—referred to as dysbiosis—can have widespread physiological consequences.Dysbiosis is often characterized by reduced microbial...
Bioavailability Enhancement: Drug Stability Enhancement and GI Retention01:05

Bioavailability Enhancement: Drug Stability Enhancement and GI Retention

Improving a drug's stability in the gastrointestinal (GI) tract is paramount for enhancing its bioavailability and therapeutic effectiveness. Various strategies are employed to protect the drug from the harsh gastric milieu and to ensure its release and absorption at the desired site within the GI tract.Polymer coatings are one such method used to shield drugs from the stomach's acidic environment. By preventing premature drug release, these coatings improve the bioavailability of unstable...