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Related Concept Videos

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...
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Probiotics

Probiotics are live, non-pathogenic microorganisms that confer health benefits by modulating the gut microbiota. The human gastrointestinal tract harbors a complex microbial ecosystem, and the balance of this microbiota is crucial for digestive and systemic health. Among the most extensively studied and utilized probiotics are species formerly classified within the genera Lactobacillus and Bifidobacterium. These organisms not only naturally colonize the human gut but are also consumed through...
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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.
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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...
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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...
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Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...

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Probiotics for treating acute infectious diarrhoea.

Stephen J Allen1, Elizabeth G Martinez, Germana V Gregorio

  • 1School of Medicine, Swansea University, Room 314, The Grove Building, Singleton Park, Swansea, West Glamorgan, UK, SA2 8PP.

The Cochrane Database of Systematic Reviews
|November 12, 2010
PubMed
Summary

Probiotics significantly shorten the duration of acute infectious diarrhea and reduce stool frequency. These beneficial effects are observed when probiotics are used alongside rehydration therapy, with no reported adverse events.

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Published on: January 27, 2019

Area of Science:

  • Microbiology and Infectious Diseases
  • Gastroenterology
  • Clinical Trials and Evidence-Based Medicine

Background:

  • Acute infectious diarrhea is a common illness, and probiotics are being explored as a potential intervention.
  • Probiotics may offer a safe method to reduce the duration and severity of acute infectious diarrhea.

Purpose of the Study:

  • To systematically evaluate the efficacy of probiotics in treating acute infectious diarrhea.
  • To assess the impact of probiotics on diarrhea duration, stool frequency, and overall illness severity.

Main Methods:

  • Conducted a comprehensive literature search across multiple databases (Cochrane, MEDLINE, EMBASE) and contacted relevant organizations.
  • Included randomized and quasi-randomized controlled trials comparing probiotics with placebo or no probiotic in patients with acute infectious diarrhea.
  • Independently assessed trial quality and extracted data on primary outcomes including diarrhea duration and stool frequency.

Main Results:

  • Sixty-three studies involving 8014 participants were included, with most trials focusing on infants and young children.
  • Probiotics demonstrated a significant reduction in the mean duration of diarrhea (24.76 hours) and the incidence of diarrhea lasting four or more days (RR 0.41).
  • A significant decrease in stool frequency on day 2 post-intervention was also observed (MD 0.80), with no adverse events attributed to probiotic use.

Conclusions:

  • Probiotics, when used with rehydration therapy, are safe and effective in shortening the duration and reducing stool frequency in acute infectious diarrhea.
  • Further research is warranted to determine optimal probiotic regimens for specific patient populations and types of infectious diarrhea.