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Published on: May 16, 2025
Probiotics and Helicobacter pylori infection in children
E Lionetti1, R Francavilla, A M Castellazzi
1Department of Pediatrics, University of Catania, 95125-Catania, Italy. elenalionetti@inwind.it
Insights
Probiotics show promise in managing Helicobacter pylori (H. pylori) infection complications and side effects in children. However, current evidence does not support their use for increasing H. pylori eradication rates.
Area of Science:
- Microbiology
- Gastroenterology
- Pharmacology
Background:
- Helicobacter pylori (H. pylori) infection affects 50% of the global population, with high prevalence in developing nations.
- Current triple therapy for H. pylori eradication has a failure rate exceeding 30%.
- Rising antibiotic resistance fuels interest in alternative treatments like probiotics.
Purpose of the Study:
- To evaluate the efficacy of probiotics in managing H. pylori infection.
- To assess the role of probiotics in preventing H. pylori-associated complications and antibiotic side effects.
- To determine if probiotics can improve H. pylori eradication rates.
Main Methods:
- Review of available data on probiotic use in H. pylori-infected children.
- Analysis of studies examining probiotic effects on H. pylori density, gastritis, and epithelial cell adhesion.
- Assessment of evidence regarding probiotic impact on antibiotic-associated side effects.
Main Results:
- Probiotics appear effective in preventing antibiotic-associated side effects in children.
- Probiotics may help reduce H. pylori density, decrease gastritis, and inhibit bacterial adhesion.
- No clear evidence indicates probiotics increase H. pylori eradication rates.
Conclusions:
- Probiotics show potential for managing H. pylori infection complications and preventing side effects in children.
- Further research is needed to clarify the role of probiotics in H. pylori eradication therapy.
Abstract:
Approximately 50 percent of the world population is infected with Helicobacter pylori (H. pylori), with the highest prevalence rates in developing countries. The current guidelines suggest the use of triple therapy as first choice treatment of Helicobacter pylori infection, although the eradication failure rate is more than 30 percent. Current interest in probiotics as therapeutic agents against Helicobacter pylori is stimulated by the increasing resistance of pathogenic bacteria to antibiotics, thus the interest for alternative therapies is a real actual topic. Available data in children indicate that probiotics seem to be efficacious for the prevention of antibiotic associated side-effects, and might be of help for the prevention of Helicobacter pylori complications by decreasing Helicobacter pylori density and gastritis, and for the prevention of Helicobacter pylori colonization or re-infection by inhibiting adhesion to gastric epithelial cells. There is no clear evidence that probiotics may increase the Helicobacter pylori eradication rate.
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Damaging agents such as Helicobacter pylori, gastric acid, pepsin, and nonsteroidal anti-inflammatory drugs (NSAIDs) can weaken the mucosal defense, allowing hydrogen ions to infiltrate back and harm epithelial cells.
Probiotics
