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Published on: September 10, 2016
Probiotics for treating persistent diarrhoea in children
Guillermo Bernaola Aponte1, Carlos Alfonso Bada Mancilla, Nilton Yhuri Carreazo Pariasca
1Suárez Angamos Hospital, Angamos Este Avenue 261, Miraflores, Lima, Peru, 18.
Probiotics may effectively reduce the duration of persistent diarrhea in children. This systematic review found limited evidence, but no adverse events were reported in the analyzed trials.
Area of Science:
- Pediatrics
- Gastroenterology
- Microbiology
Background:
- Persistent diarrhea causes a significant proportion of diarrhea-related deaths in developing countries.
- Probiotics are being explored as a potential treatment for persistent diarrhea.
Purpose of the Study:
- To evaluate the efficacy of probiotics in treating persistent diarrhea in children.
Main Methods:
- A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted.
- Searches included major databases (Cochrane, MEDLINE, EMBASE, LILACS) and trialist contact.
- Two reviewers assessed eligibility, risk of bias, and extracted data; fixed-effect model was used for analysis.
Main Results:
- Four RCTs with 464 participants were included; one had a low risk of bias.
- Meta-analysis indicated probiotics reduced persistent diarrhea duration by an average of 4.02 days (95% CI: 3.43 to 4.61).
- Probiotics also reduced stool frequency and potentially hospital stay, with no reported adverse events.
Conclusions:
- Limited evidence suggests probiotics may be effective for treating persistent diarrhea in children.
- Further high-quality research is warranted to confirm these findings.
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