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Probiotics for treating persistent diarrhoea in children
Guillermo Bernaola Aponte1, Carlos Alfonso Bada Mancilla, Nilton Yhuri Carreazo
1Suárez Angamos Hospital, Angamos Este Avenue 261, Miraflores, Lima, Peru, 18.
Probiotics may effectively treat persistent diarrhea in children, reducing its duration by over four days. This intervention shows promise for improving outcomes in pediatric cases of prolonged diarrhea.
Area of Science:
- Pediatrics
- Gastroenterology
- Microbiology
Background:
- Persistent diarrhea is a significant cause of mortality in developing nations, accounting for a substantial proportion of diarrhea-related deaths.
- Probiotics are being investigated as a potential therapeutic intervention for managing persistent diarrhea.
Purpose of the Study:
- To systematically evaluate the efficacy of probiotic agents in treating persistent diarrhea among children.
- To synthesize evidence from randomized controlled trials (RCTs) on the use of probiotics for persistent diarrhea.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (Cochrane, MEDLINE, EMBASE, LILACS) up to December 2012.
- Eligibility criteria included RCTs comparing probiotics with placebo or no probiotic in children diagnosed with persistent diarrhea.
- Data extraction, risk of bias assessment, and meta-analysis were performed using a fixed-effect model.
Main Results:
- Four RCTs involving 464 participants were included in the meta-analysis.
- Probiotics significantly reduced the duration of persistent diarrhea by an average of 4.02 days (95% CI: 3.43 to 4.61).
- A reduction in stool frequency and a shorter hospital stay were observed in some trials, with no reported adverse events.
Conclusions:
- Limited evidence suggests that probiotics may be effective in treating persistent diarrhea in children.
- Further high-quality research is warranted to confirm these findings and establish optimal probiotic regimens.
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