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Effectiveness of Trimethoprim‐Sulfamethoxazole and Metronidazole in the Treatment of Small Intestinal Bacterial Overgrowth in Children Living in a Slum

2013; Lippincott Williams & Wilkins; Volume: 57; Issue: 3 Linguagem: Inglês

10.1097/mpg.0b013e3182952e93

1536-4801

Soraia Tahan, Lígia Cristina Fonseca Lahoz Melli, Carolina Santos Mello, Mírian Silva C. Rodrigues, Humberto Bezerra de Araújo Filho, Mauro Batista de Morais,

Infant Health and Development

ABSTRACT Trimethoprim‐sulfamethoxazole and metronidazole were used for 14 days to treat 20 children with small intestine bacterial overgrowth (SIBO). SIBO was diagnosed using the lactulose hydrogen breath test. The breath test was repeated 1 month after treatment, and 19 (95.0%) of 20 children showed no evidence of SIBO ( P < 0.001). The area under the individual curves showed that children with SIBO exhibited greater hydrogen production before treatment in both the first hour and between 60 and 180 minutes after the breath test. The treatment did not decrease methane production. In conclusion, trimethoprim‐sulfamethoxazole and metronidazole was effective in treating children with SIBO.