Preventive effects of Lactobacillus mixture on experimental E. coli urinary tract infection in infant rats

Jung Won Lee1, Jee Hyun Lee, Sun Hee Sung

  • 1Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea.

Yonsei Medical Journal
|February 1, 2013
PubMed

Insights

Intravesical instillation of a lactobacillus mixture (LM) prevented pyelonephritis in infant rats. Oral administration of LM to mothers did not prevent infantile urinary tract infections (UTIs).

Area of Science:

  • Microbiology
  • Pediatrics
  • Urology

Background:

  • Urinary tract infections (UTIs) are common in infants.
  • Lactobacilli are known to play a role in preventing UTIs.
  • The efficacy of lactobacillus mixtures (LM) in preventing infantile UTIs requires further investigation.

Purpose of the Study:

  • To investigate the preventive effect of LM on experimental infantile UTIs.
  • To compare the efficacy of intravesical versus oral administration of LM.

Main Methods:

  • A lactobacillus mixture (LM) of L. gasseri, L. rhamnosus, and L. reuteri was used.
  • Mother rats received oral LM or placebo during pregnancy and lactation.
  • Infant rats received intravesical LM or placebo before experimental UTI induction with E. coli.

Main Results:

  • Intravesical LM significantly reduced the incidence of pyelonephritis (16.7%) compared to controls (75.0%).
  • Oral LM administration to mothers did not significantly alter lactobacilli colonies or UTI incidence in offspring.
  • No significant difference in cystitis incidence was observed among groups.

Conclusions:

  • Intravesical administration of LM is effective in preventing experimental pyelonephritis in infant rats.
  • Oral administration of LM to mothers is not an effective strategy for preventing infantile UTIs.
Abstract