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Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts
This paper proposes recommendations for probiotics in pediatric gastrointestinal diseases in the Asia-Pacific region. Evidence-based recommendations and randomized controlled trials in the region are included. Cultural aspects, health management issues and economic factors were also considered. Fina...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7583175/ https://www.ncbi.nlm.nih.gov/pubmed/33110611 http://dx.doi.org/10.1186/s40794-020-00120-4 |
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author | De Castro, Jo-Anne Kesavelu, Dhanasekhar Lahiri, Keya Rani Chaijitraruch, Nataruks Chongsrisawat, Voranush Jog, Pramod Prabhakar Liaw, Yun Haw Nguyen, Gia Khanh Nguyen, Thi Viet Ha Pai, Uday Ananth Phan, Huu Nguyet Diem Quak, Seng Hock Tanpowpong, Pornthep Guno, Mary Jean |
author_facet | De Castro, Jo-Anne Kesavelu, Dhanasekhar Lahiri, Keya Rani Chaijitraruch, Nataruks Chongsrisawat, Voranush Jog, Pramod Prabhakar Liaw, Yun Haw Nguyen, Gia Khanh Nguyen, Thi Viet Ha Pai, Uday Ananth Phan, Huu Nguyet Diem Quak, Seng Hock Tanpowpong, Pornthep Guno, Mary Jean |
author_sort | De Castro, Jo-Anne |
collection | PubMed |
description | This paper proposes recommendations for probiotics in pediatric gastrointestinal diseases in the Asia-Pacific region. Evidence-based recommendations and randomized controlled trials in the region are included. Cultural aspects, health management issues and economic factors were also considered. Final recommendations were approved by utilizing a modified Delphi process and applying the Likert scale in an electronic voting process. Bacillus clausii was recommended as an adjunct treatment with oral rehydration solution for acute viral diarrhea. B. clausii may also be considered for prevention of antibiotic-associated diarrhea, Clostridium difficile-induced diarrhea, and as adjunct treatment of Helicobacter pylori. There is insufficient evidence for recommendations in other conditions. Despite a diversity of epidemiological, socioeconomical and health system conditions, similar recommendations currently apply to most Asia-Pacific countries. Ideally, these need to be validated with local randomized-controlled trials. |
format | Online Article Text |
id | pubmed-7583175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75831752020-10-26 Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts De Castro, Jo-Anne Kesavelu, Dhanasekhar Lahiri, Keya Rani Chaijitraruch, Nataruks Chongsrisawat, Voranush Jog, Pramod Prabhakar Liaw, Yun Haw Nguyen, Gia Khanh Nguyen, Thi Viet Ha Pai, Uday Ananth Phan, Huu Nguyet Diem Quak, Seng Hock Tanpowpong, Pornthep Guno, Mary Jean Trop Dis Travel Med Vaccines Review This paper proposes recommendations for probiotics in pediatric gastrointestinal diseases in the Asia-Pacific region. Evidence-based recommendations and randomized controlled trials in the region are included. Cultural aspects, health management issues and economic factors were also considered. Final recommendations were approved by utilizing a modified Delphi process and applying the Likert scale in an electronic voting process. Bacillus clausii was recommended as an adjunct treatment with oral rehydration solution for acute viral diarrhea. B. clausii may also be considered for prevention of antibiotic-associated diarrhea, Clostridium difficile-induced diarrhea, and as adjunct treatment of Helicobacter pylori. There is insufficient evidence for recommendations in other conditions. Despite a diversity of epidemiological, socioeconomical and health system conditions, similar recommendations currently apply to most Asia-Pacific countries. Ideally, these need to be validated with local randomized-controlled trials. BioMed Central 2020-10-23 /pmc/articles/PMC7583175/ /pubmed/33110611 http://dx.doi.org/10.1186/s40794-020-00120-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Review De Castro, Jo-Anne Kesavelu, Dhanasekhar Lahiri, Keya Rani Chaijitraruch, Nataruks Chongsrisawat, Voranush Jog, Pramod Prabhakar Liaw, Yun Haw Nguyen, Gia Khanh Nguyen, Thi Viet Ha Pai, Uday Ananth Phan, Huu Nguyet Diem Quak, Seng Hock Tanpowpong, Pornthep Guno, Mary Jean Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts |
title | Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts |
title_full | Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts |
title_fullStr | Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts |
title_full_unstemmed | Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts |
title_short | Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN, N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from Asian experts |
title_sort | recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic bacillus clausii (o/c, sin, n/r, t) in acute, chronic, and antibiotic-associated diarrhea in children: consensus from asian experts |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7583175/ https://www.ncbi.nlm.nih.gov/pubmed/33110611 http://dx.doi.org/10.1186/s40794-020-00120-4 |
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