Lactobacillus GG in the prevention of antibiotic-associated diarrhea in children

Autor: Terri L. Hanner, Dean L. Antonson, James V. Lupo, Rosemary J. Young, David B. Whitney, Jon A. Vanderhoof
Rok vydání: 1999
Předmět:
Zdroj: The Journal of Pediatrics. 135:564-568
ISSN: 0022-3476
DOI: 10.1016/s0022-3476(99)70053-3
Popis: Objective: The objective of this study was to determine the efficacy of Lactobacillus casei sps. rhamnosus (Lactobacillus GG) (LGG) in reducing the incidence of antibiotic-associated diarrhea when coadministered with an oral antibiotic in children with acute infectious disorders. Study design: Two hundred two children between 6 months and 10 years of age were enrolled; 188 completed all phases of the protocol. LGG, 1 × 1010 – 2 × 1010 colony forming units per day, or comparable placebo was administered in a double-blind randomized trial to children receiving oral antibiotic therapy in an outpatient setting. The primary caregiver was questioned every 3 days regarding the incidence of gastrointestinal symptoms, predominantly stool frequency and consistency, through telephone contact by blinded investigators. Results: Twenty-five placebo-treated but only 7 LGG-treated patients had diarrhea as defined by liquid stools numbering 2 or greater per day. Lactobacillus GG overall significantly reduced stool frequency and increased stool consistency during antibiotic therapy by the tenth day compared with the placebo group. Conclusion: Lactobacillus GG reduces the incidence of antibiotic-associated diarrhea in children treated with oral antibiotics for common childhood infections. (J Pediatr 1999;135:564-8)
Databáze: OpenAIRE