Probiotics for management of infantile colic: a systematic review of randomized controlled trials

Radoslaw Dryl1, Hanna Szajewska1

  • 1Department of Paediatrics, Medical University of Warsaw, Warsaw, Poland.

Insights

Probiotics, particularly Lactobacillus reuteri DSM 17938, may help manage infantile colic by reducing crying times, especially in breastfed infants. Further research is needed for other probiotic strains.

Area of Science:

  • Pediatric Gastroenterology
  • Microbiome Research

Background:

  • Infantile colic is a prevalent pediatric condition with unknown etiology and limited treatment options.
  • Probiotics are being investigated for their potential benefits in managing infantile colic.

Purpose of the Study:

  • To systematically evaluate the effectiveness of probiotic supplementation in infantile colic management.
  • To assess treatment success and crying duration as outcome measures.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) was conducted.
  • Searched MEDLINE and Cochrane Library up to April 2016 for relevant studies.
  • Included RCTs comparing probiotics to placebo for infantile colic.

Main Results:

  • Seven RCTs involving 471 participants were analyzed.
  • Lactobacillus reuteri DSM 17938 significantly improved treatment success and reduced crying duration in exclusively breastfed infants.
  • Other probiotic strains showed limited evidence due to single-trial studies.

Conclusions:

  • Lactobacillus reuteri DSM 17938 is a potential probiotic option for infantile colic management.
  • Evidence for other probiotics in infantile colic is currently limited.
Abstract

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