Related Experiment Video
Updated: Jul 13, 2026

Probiotic Studies in Neonatal Mice Using Gavage
Published on: January 27, 2019
Effect of Lactobacillus rhamnosus GG in persistent diarrhea in Indian children: a randomized controlled trial
Sriparna Basu1, Mridula Chatterjee, Sutapa Ganguly
1Department of Pediatrics, North Bengal Medical College and Hospital, Sushrutnagar, Darjeeling, India. drsriparnabasu@rediffmail.com
Insights
Lactobacillus rhamnosus GG (LGG) probiotic significantly reduced persistent diarrhea duration and hospital stay in children. This study highlights LGG
Area of Science:
- Pediatric Gastroenterology
- Microbiology
- Clinical Nutrition
Background:
- Persistent diarrhea (PD) poses a significant health challenge in pediatric populations.
- Understanding the efficacy of probiotics in managing PD is crucial for improving patient outcomes.
Purpose of the Study:
- To evaluate the therapeutic role of Lactobacillus rhamnosus GG (LGG) as a probiotic intervention for persistent diarrhea in children.
- To assess the impact of LGG supplementation on diarrhea duration, frequency, and hospital stay.
Main Methods:
- A randomized, double-blind, controlled trial was conducted with 235 pediatric patients diagnosed with persistent diarrhea.
- Patients received either oral rehydration solution (ORS) alone or ORS plus Lactobacillus rhamnosus GG (60 million cells twice daily) for a minimum of 7 days.
- Data on diarrhea duration, vomiting, and hospital stay were collected and analyzed using statistical methods.
Main Results:
- The mean duration of diarrhea was significantly lower in the LGG group (5.3 days) compared to the control group (9.2 days).
- Patients receiving LGG experienced a significantly shorter average hospital stay.
- No adverse complications were reported with the administered dose of LGG.
Conclusions:
- Lactobacillus rhamnosus GG supplementation (60 million cells) effectively reduces the duration and frequency of persistent diarrhea and vomiting in children.
- LGG probiotic therapy can lead to a decreased hospital stay for pediatric patients suffering from persistent diarrhea.
Aim:
To evaluate the role of Lactobacillus rhamnosus GG (LGG) as probiotic in persistent diarrhea (PD) in children of North Bengal, India.
Setting:
Hospital-based study.
Design:
Randomized, double-blind controlled trial.
Patients And Methods:
All patients of PD admitted over a period of 2 years were included in the study as per predefined inclusion criteria. They were randomized to receive oral rehydration solution (ORS) alone, or ORS plus LGG powder containing 60 million cells, twice daily for a minimum period of 7 days or till diarrhea has stopped along with correction of dehydration with ORS and/or intravenous fluids as per WHO protocol and antibiotics in culture positive patients. The duration and frequency of purge and vomiting were studied. Data were analyzed by SPSS-10 software. Statistical significance was calculated by Student t test and chi2 test.
Results:
The study comprised of 235 patients randomized into 2 groups, cases (117) and controls (118). Both the groups were similar with respect to age, number of breastfed infants, presentation with dehydration, degree of protein energy malnutrition, and distribution of infections. Stool culture was positive in 90 (38.3%) patients, Escherichia coli being the commonest organism followed by Shigella spp. and Clostridium difficile. The mean duration of diarrhea was significantly lower in the cases than in controls (5.3 vs. 9.2 d). The average duration of hospital stay was also significantly lesser in cases. No complication was observed from the dose of LGG used.
Conclusions:
LGG (dose of 60 million cells) could decrease the frequency and duration of diarrhea and vomiting and reduced hospital stay in patients of PD.
Related Concept Videos
Bacterial Gastroenteritis
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents
Drugs for Treatment of Diarrhea-Predominant IBS
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: Adsorbents as Antidiarrheal Agents
Adsorbents...
Probiotics