Revisão Revisado por pares

Probiotics, antibiotic-associated diarrhoea and Clostridium difficile diarrhoea in humans

2003; Elsevier BV; Volume: 17; Issue: 5 Linguagem: Inglês

10.1016/s1521-6918(03)00054-4

ISSN

1532-1916

Autores

Christina M. Surawicz,

Tópico(s)

Gut microbiota and health

Resumo

Probiotics are living organisms which, when ingested, have a beneficial therapeutic effect. Examples are bacteria, especially Lactobacillus rhamnosus GG, and the yeast Saccharomyces boulardii. Controlled trials indicate a benefit of both of these in the prevention of antibiotic-associated diarrhoea. Other less effective probiotics are Lactinex, Enterococcus faecium and bifidobacteria. In the difficult clinical problem of recurrent Clostridium difficile disease, S. boulardii as an adjunct to antibiotics has shown benefit in controlled trials. There is, however, less convincing evidence for the efficacy of Lactobacillus GG in this disease. Additional controlled trials and safety studies are needed before there can be a widespread endorsement of probiotics for these two conditions.

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