Probiotic use in clinical practice: Results of a national survey of gastroenterologists and nutritionists.

Autor: Valdovinos-García LR; Departamento de Gastroenterología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, SSA, Ciudad de México, México., Abreu AT; Unidad de Medicina de Atención Ambulatoria Villa Coapa, Hospital General Regional N.° 2, Instituto Mexicano del Seguro Social, Ciudad de México, México., Valdovinos-Díaz MA; Departamento de Gastroenterología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, SSA, Ciudad de México, México. Electronic address: miguelvaldovinosd@gmail.com.
Jazyk: English; Spanish; Castilian
Zdroj: Revista de gastroenterologia de Mexico (English) [Rev Gastroenterol Mex (Engl Ed)] 2019 Jul - Sep; Vol. 84 (3), pp. 303-309. Date of Electronic Publication: 2018 Jun 28.
DOI: 10.1016/j.rgmx.2018.05.004
Abstrakt: Introduction and Aims: Probiotics are effective in gastrointestinal disease management. In Mexico, there are no studies on the use and prescription of probiotics by healthcare professionals. Our aim was to evaluate probiotic use and prescription on the part of gastroenterologists and nutritionists.
Materials and Methods: An online survey questionnaire was sent to members of the Asociación Mexicana de Gastroenterología (n = 1042), the Asociación Mexicana de Nutriología (n = 220), and healthcare professionals registered at the Fourth International Symposium: Intestinal Microbiota (n = 1328).
Results: Response was 34% (997 questionnaires answered) and 570 (64%) of the respondents were women. Mean participant age was 36.2 years (range 18-83). Thirty-six percent of the participants were gastroenterologists, 46% were nutritionists, and 18% were chemists and microbiologists. Seventy-one percent of the respondents knew the Food and Agriculture Organization (FAO) definition of probiotics and recommended them «always» (64.9%), «rarely» (31.7%), and «never» (3.6%). Gastroenterologists indicated probiotics for the treatment of disease (56.5%) and nutritionists for health maintenance (39%). Ninety-seven percent of the gastroenterologists and 98% of the nutritionists evaluated probiotics as effective in gastrointestinal symptom management and considered them safe. The majority of the respondents did not know which probiotic strain was contained in the commercial probiotic product.
Conclusions: The survey results showed that the participating gastroenterologists and nutritionists understood the concept of probiotics, recommended them frequently, and considered them safe. The gastroenterologists prescribed probiotics as therapeutic agents and the nutritionists to maintain health. There was a lack of knowledge about the microbial composition of the products containing probiotics available in Mexico.
(Copyright © 2018 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.)
Databáze: MEDLINE