Probiotics in the treatment of otitis media. The past, the present and the future.
Int J Pediatr Otorhinolaryngol
; 116: 135-140, 2019 Jan.
Article
in En
| MEDLINE
| ID: mdl-30554684
ABSTRACT
Otitis media (OM) is one of the most common infectious diseases in children and the leading cause for medical consultations and antibiotic prescription in this population. The burden of disease associated with OM is greater in developing nations and indigenous populations where the associated hearing loss contributes to poor education and employment outcomes. Current treatment and prevention is largely focused on vaccination and antibiotics. However, rates of OM, particularly in indigenous populations, remain high. With growing concerns regarding antibiotic resistance and antibiotic-associated complications, an alternative, more effective treatment is required. Administration of probiotics, both locally and systemically have been investigated for their ability to treat and prevent OM in children. This review explores the theoretical bases of probiotics, successful application of probiotics in medicine, and their use in the treatment and prevention of OM. We conclude that local administration of niche-specific probiotic bacteria that demonstrates the ability to inhibit the growth of otopathogens in vitro shows promise in the prevention and treatment of OM and warrants further investigation.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Otitis Media
/
Respiratory System
/
Probiotics
Limits:
Child
/
Child, preschool
/
Humans
/
Infant
Language:
En
Journal:
Int J Pediatr Otorhinolaryngol
Year:
2019
Document type:
Article