The Use of Probiotic with ORS and ORS Only in Children with Acute Diarrhea
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1Department of Paediatrics, Bahria Medical University, Karachi, Pakistan.
Insights
Combination therapy with probiotics and oral rehydration solution (ORS) significantly reduced stool frequency in children with acute diarrhea compared to ORS alone. This probiotic intervention offers a more effective treatment for reducing diarrhea symptoms in pediatric patients.
Area of Science:
- Pediatric Medicine
- Gastroenterology
- Microbiology
Background:
- Acute diarrhea is a common pediatric illness, leading to significant morbidity.
- Oral rehydration solution (ORS) is a standard treatment, but reducing stool frequency remains a challenge.
Purpose of the Study:
- To compare the efficacy of probiotic (Lactobacillus rhamnosus) combined with ORS versus ORS alone in reducing stool frequency in children with acute diarrhea.
Main Methods:
- A randomized controlled trial involving 80 children with acute watery diarrhea.
- Children were divided into two groups: one receiving probiotic with ORS, the other receiving ORS only.
- Monitoring included stool frequency, age, gender, weight, and dehydration status over 5 days.
Main Results:
- The mean number of stools per day was significantly lower in the group treated with probiotic (Lactobacillus rhamnosus) plus ORS compared to the ORS-only group (3.25 ±1.13 vs. 4.13 ±0.79; p<0.001).
- The study included children with an average age of 24.3 ±18.65 months, with 58.8% males and 41.3% females.
Conclusions:
- Combination therapy with Lactobacillus rhamnosus and ORS is significantly more effective than ORS alone in reducing stool frequency in acute diarrhea.
- Probiotics demonstrate a beneficial role in managing pediatric acute diarrhea by decreasing stool output.
Objective:
To compare the mean number of stools per day in children treated with combination of probiotic (lactobacillus rhamnosus) with ORS and ORS only in acute diarrhea.
Study Design:
Randomised control trial.
Place And Duration Of Study:
Department of Pediatric Medicine, PNS Shifa Hospital, from February to July, 2017.
Methodology:
A total of 80 children with acute watery diarrhea were randomly divided into two groups. Forty patients in first group were given probiotic with ORS and 40 patients in second group (control) were given ORS only. All children were monitored from 0 day (inclusion day) to next 5 days. Demographic data was collected regarding age, gender, weight and frequency of loose stools. Dehydration status was also assessed at the time of admission by the attending physician. Data was collected through a structured proforma.
Results:
The average age of the children was 24.3 ±18.65 months. There were 47 (58.8%) males and 33 (41.3%) females. Mean number of stools was significantly low in those patients who were treated with combination of probiotic (lactobacillus rhamnosus) with ORS than those who were treated with ORS only in acute diarrhea (3.25 ±1.13 vs. 4.13 ±0.79; p<0.001).
Conclusion:
Probiotics are found to be significantly more effective in reducing the stool frequency in acute diarrhea.
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