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Published on: January 27, 2019
Approach to probiotics in pediatrics: the role of Lactobacillus rhamnosus GG
Christian Boggio Marzet1, Fernando Burgos2, Mónica Del Compare3
1Grupo de Trabajo en Gastroenterología y Nutrición Pediátrica, Hospital General de Agudos Dr. Ignacio Pirovano, Ciudad Autónoma de Buenos Aires, Argentina.
Insights
Probiotics, particularly Lactobacillus rhamnosus GG, show promise in managing pediatric conditions like diarrhea and colic. Early use may also help prevent allergies and improve tolerance in infants.
Area of Science:
- Pediatric medicine
- Microbiology
- Immunology
Background:
- Noncommunicable diseases are rising, linked to factors like preterm birth, C-sections, antibiotic use, and limited breastfeeding.
- Probiotics are increasingly explored for their potential health benefits in infants and children.
Purpose of the Study:
- To conduct a descriptive review of probiotic applications in pediatrics.
- To specifically focus on the efficacy and use of Lactobacillus rhamnosus GG.
Main Methods:
- Descriptive review of existing literature on probiotic use in pediatrics.
- Focused analysis on studies involving Lactobacillus rhamnosus GG and other relevant probiotics.
Main Results:
- Probiotics, including Lactobacillus rhamnosus GG and Saccharomyces boulardii, are effective for acute and antibiotic-associated diarrhea.
- Lactobacillus reuteri DSM 17938 and Lactobacillus rhamnosus GG aid in managing infant colic.
- Lactobacillus rhamnosus GG in infant formula may enhance tolerance in cow's milk protein allergy.
- Prenatal administration of Lactobacillus rhamnosus GG can reduce the incidence of atopic dermatitis in infants.
Conclusions:
- Lactobacillus rhamnosus GG demonstrates significant potential across various pediatric applications.
- Probiotics can be considered as valuable adjuvants in contemporary pediatric clinical practice.
Abstract:
Preterm birth, C-sections, antibiotics, and limited breastfeeding contribute to the increase in noncommunicable diseases. Our objective was to perform a descriptive review of probiotic use in pediatrics, focused on Lactobacillus rhamnosus GG. Certain probiotics have demonstrated to be effective in acute diarrhea and antibiotic-associated diarrhea. L. rhamnosus GG and Saccharomyces boulardii may shorten their duration and symptoms. L. reuteri DSM 17938 and L. rhamnosus GG were effective to manage infant colic. The use of this strain in infant formulas for cow's milk protein allergy may promote an earlier tolerance acquisition. In relation to the prevention of atopic dermatitis, the administration of L. rhamnosus GG during pregnancy reduced its development in the infant. The use of probiotics as adjuvants is a possibility to consider in current pediatric practice.
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