Probiotics use in childhood acute diarrhea: a web-based survey.
J Clin Gastroenterol
; 45(5): 426-8, 2011.
Article
en En
| MEDLINE
| ID: mdl-20838234
ABSTRACT
GOALS To evaluate practices and barriers for the use of probiotics in acute diarrhea among pediatric gastroenterologists. BACKGROUND:
Probiotics have shown significant therapeutic potential in acute infectious diarrhea. However, literature data regarding practice patterns in childhood are limited. STUDY A web-based 9-item survey among 1854 pediatric gastroenterologists worldwide.RESULTS:
Only 634 (34%) responded. Forty-one were excluded owing to incomplete data. Finally 593, USA (n=407) and non-USA (n=186) participants, showed limited use in acute diarrhea (28% and 32% prospectively), prescription of a 1 strain product only by 31% and 24%, respectively, and limited utilization in ambulatory settings (43% and 51%, respectively) and in prevention of diarrhea (2.6% and 3.4%, respectively). Most participants felt there is lack of useful clinical guidelines (91% and 84%, respectively), and found this therapy effective or very effective (54% and 62%, respectively). Dosing and duration were extremely variable, the youngest age treated ranged from 2 months to 2 years of age, and adverse effects were extremely rare. These characteristics were shared by USA and by non-USA participants, with no significant differences between groups (P>0.05).CONCLUSIONS:
Many pediatric gastroenterologists worldwide do not use probiotics for acute diarrhea owing to lack of appropriate guidelines and/or poorly designed products. Therefore, worldwide health authorities should provide pharmaceutical and clinical guidelines for the appropriate use of probiotics in acute diarrhea of childhood.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pediatría
/
Encuestas de Atención de la Salud
/
Probióticos
/
Internet
/
Diarrea
/
Gastroenterología
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Qualitative_research
Límite:
Child
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Child, preschool
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Humans
/
Infant
Idioma:
En
Revista:
J Clin Gastroenterol
Año:
2011
Tipo del documento:
Article
País de afiliación:
Israel