Probiotics in childhood: allergic illness and respiratory infections

Michele Miraglia del Giudice1, Salvatore Leonardi, Giorgio Ciprandi

  • 1Department of Pediatrics, F.Fede, Second University of Naples, Naples, Italy. michele.miraglia@unina2.it

Insights

Probiotics show promise for managing allergic diseases like atopic eczema and food allergy symptoms. While research on allergic rhinitis and asthma is ongoing, probiotics may offer protection against respiratory infections.

Area of Science:

  • Immunology
  • Microbiology
  • Gastroenterology

Background:

  • Growing interest in probiotics for allergic diseases over the past decade.
  • Emerging evidence suggests benefits for atopic eczema and food allergy symptom management.
  • Limited research exists on probiotics for allergic rhinitis and asthma.

Purpose of the Study:

  • To review the current evidence on the efficacy of probiotics in managing various allergic diseases.
  • To explore the potential role of probiotics in preventing and treating allergic conditions.
  • To summarize findings regarding probiotics' impact on atopic eczema, food allergy, allergic rhinitis, and asthma.

Main Methods:

  • Systematic review of existing literature on probiotic use in allergic diseases.
  • Analysis of studies investigating probiotic administration during pregnancy, postnatally, and in different age groups.
  • Evaluation of clinical outcomes related to symptom severity, sensitization, and medication use.

Main Results:

  • Probiotics significantly improve atopic eczema when administered during pregnancy and postnatally.
  • Probiotics aid in managing food allergy symptoms but do not prevent sensitization.
  • Evidence suggests probiotics may reduce symptom severity and medication needs in allergic rhinitis.
  • Probiotic effects on asthma are inconclusive, but they may protect against common cold and respiratory infections in children.

Conclusions:

  • Probiotics demonstrate therapeutic potential for specific allergic conditions, particularly atopic eczema.
  • Further research is needed to clarify the role of probiotics in asthma and the prevention of allergic sensitization.
  • Probiotics may offer adjunctive benefits in managing allergic rhinitis and preventing respiratory infections.

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