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This large, well-conducted review pooled the results of studies from across the globe to investigate the use of specific probiotic bacterial cultures in the treatment of acute diarrhoea (lasting less than 14 days) believed to be due to an infectious cause. However, the studies included highly variable populations, used different definitions of diarrhoea and recovery, and used a range of probiotic types, strains and doses. Rehydration remains the most important consideration in diarrhoea, and medical attention should be sought if diarrhoea persists or there are any concerns over the severity of the person’s illness.
Usually, people recover without treatment, although antibiotics may be needed for some types of infection. Recently, there’s been a lot of interest in probiotics, which are the types of bacteria found naturally in a healthy digestive system. Now, researchers have brought together all the research so far, to find out how well probiotics work. If you or your child has an attack of diarrhoea, the most important thing is to stay hydrated, by drinking enough water or rehydration drinks.
If you wish to try supplements of probiotics, either as capsules or drinks, this review of studies suggests they may help you recover faster. This is a well-designed, randomised controlled trial, but the results are less significant than the headlines might imply. The study was carried out by researchers from Georgetown University Medical Center, Washington, Pennsylvania State University, and the centre for Dairy & Food Culture Technologies. The study was published in the peer-reviewed medical journal European Journal of Clinical Nutrition. This double-blind, randomised controlled trial investigated whether a probiotic yoghurt drink reduced the frequency of common infections in children aged from three to six years old who attend day care or nursery school centres. A randomised controlled trial is the best way of investigating whether the drink has any effect on health outcomes because it should balance out other potential confounders between the groups. Follow-up data was collected through daily diaries and regular phone calls to the children’s parents.
The illnesses were categorised into upper respiratory tract infections, lower respiratory tract infections and gastrointestinal tract infections, based on the health-related symptoms that parents reported each week. The researchers also examined absences from day care or school because of illness, or parents missing work due to the child being ill. The groups showed no difference in changes in the children’s activity as a result of illness. When the researchers analysed the different types of illnesses, they found that the effect was significant for gastrointestinal tract infections and for upper respiratory tract infections.
Some secondary outcomes, including days of medication use and use of antibiotics, were different between yoghurt and placebo group, with the probiotic yoghurt group generally using less.
The researchers conclude that “daily intake of a fermented dairy drink… showed some promise in reducing overall incidence of illness, but was primarily driven by gastrointestinal infections and there were no differences in change of behaviour”.
Importantly, the significant results from the study are only of borderline statistical significance.
Another point to keep in mind is that the illnesses are categorised by the researchers according to parental report, not according to an objective assessment of the child’s illness (eg examination by doctors, patient records etc).
Overall, the study indicates that in this age group, this particular type of yoghurt drink has a small beneficial effect on the rates of some common infectious diseases as reported by parents. One way to battle diarrhea-causing gut bugs is to introduce even more gut bugs, two major reviews found. A second review looked at similar treatment regimens only among children with persistent diarrhea lasting 14 or more days.
Still, overall, the two teams found that probiotic treatment for acute and persistent diarrhea was safe and effective with very few, if any, adverse events, they reported in the Cochrane Database of Systematic Reviews. The primary data were a measure of duration of diarrhea, diarrhea lasting four or more days, and stool frequency on day two of treatment.
Where available, researchers compiled a subanalysis of cause and duration of the diarrhea, type of probiotic and whether a single or combination of organisms had been used, and patient nutrition and HIV status.
The review by Allen and colleagues analyzed data from 63 studies from of a pool of 120 potential studies; of these, 56 trials recruited infants and young children.
The data showed that patients suffering from acute infectious diarrhea, when treated with probiotics and a rehydration therapy, had reduced duration and severity of diarrhea. There was only a single instance of an associated adverse event — one patient in one study had a mild hypersensitive reaction that may have been related to probiotic treatment, according to Allen and colleagues.
Researchers noted a large variability between the studies, especially in describing the probiotic dosage, which made it hard for Allen and colleagues to establish a conclusive regimen or treatment guidelines for probiotics. Despite the large variability, the researchers concluded, the data showed the safety and efficacy of probiotics as part of a treatment for acute infectious diarrhea. Primary endpoints for the review were duration of diarrhea, with secondary endpoints of stool frequency and volume, weight-for-age Z score, hospital stay length, and death from any cause. Of the 198 potentially relevant studies looked at by Aponte and colleagues, only four met inclusion criteria, including one study that labeled a case of persistent diarrhea as chronic diarrhea.
The studies did not report a difference in stool volume, the weight-for-age Z value, or a death from any cause.
Aponte and colleagues reported that only one of the four studies adequately concealed its randomization, provided good follow-up, and blinded outcome assessment as controls for bias -- while the remainder either did not make bias clear or had a high risk of bias.
Therefore, the researchers concluded the data showed promise but they couldn't make any significant conclusions.
Aponte and his co-investigators added that future research on persistent diarrhea in children should be better designed and be more strongly powered for results, as well as establish a standard definition of the condition and its resolution. Although the concept is still novel here, French doctors and pharmacists have routinely advised patients on antibiotics, which zap good bacteria alongside the bad ones, to take probiotics too. I choose a supplement with pro- and prebiotics (see below), which doesn’t contain added sugar. Increasing the number of these friendly microbes in our gut has a huge range of possible health benefits. One study, which followed babies up to the age of four, shows that this helped to protect them against atopic (family) eczema.
Recent research published in the British Medical Journal online suggested that probiotics help protect elderly patients against diarrhoea associated with antibiotics and also caused by Clostridium difficile, the infection behind the deaths of a significant number of elderly hospital patients. The study included more than100 hospital patients with an average age of 74; half were given a twice daily probiotic drink (Actimel by Danone) while the control group received a sterile milkshake. The researchers concluded that drinking Actimel could reduce these health problems and even prevent deaths if used routinely in patients over the age of 50. I usually try to eat yogurt at least twice a week to get the good bacteria,  but recently I have discovered Kefir.
Think of probiotics as your army of soldiers defending against attackers that want to make your body sick. The bad bacteria like to feed on the sugar, alcohol, and processed foods that our common American diet is loaded with. Each day try to replace one processed or high sugar food or drink with a prebiotic food (such as almonds, banana, kiwifruit) or a probiotic food (such as yogurt or kefir).
This entry was posted in Digestive Health, Healing Nutrients and tagged high fructose corn syrup, immune system, prebiotic foods, probiotic foods, sugar by Karen Marschel RDN LD CDE. Disclaimer: Information and advice provided by Karen Marschel, RD LD CDE CLT and KM Nutrition Consulting, Inc.
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The news is based on the findings of a comprehensive review by the Cochrane Collaboration, which looked at 63 studies featuring a total of 8,000 people. Overall, it found that probiotics reduced the duration of diarrhoea by about 25 hours compared with no treatment. As such, the review authors highlight the need for further high-quality studies, particularly ones that determine which population groups probiotics may be useful for. This can be through drinking or eating contaminated food, or picking up a virus from someone else that gets onto your hands and into your mouth. The most important thing is to keep hydrated, because people with diarrhoea lose a lot of water. It’s thought that taking supplements of probiotics can help protect against the types of bacteria and viruses that cause diarrhoea.
We don’t know which types of probiotics are best, however, because so many different types were used in the studies. It said that children who start the day with a probiotic drink are 20% less likely than their classmates to suffer from ear and sinus infections. However, the results are only of borderline significance, and symptoms of illness were reported by the children’s parents, then interpreted by the researchers. Some of the researchers were employees of the company, although it is noted that the non-industry authors developed the initial protocol and gathered and analysed the data.
The researchers were also interested in whether a reduction in illness had a knock-on effect on the children’s behaviour as assessed by their parents. However, the short duration of the study means that longer-term effects on health cannot be assumed. The children were randomised (by household) to receive either a strawberry-flavoured probiotic drink (commercially available) or placebo. The main outcomes of interest were whether the probiotic yoghurt drinks had an effect on behaviours that might be due to illness (eg absence from school, missed birthday parties or football games) and the rates of illness each week.
Upper respiratory tract infections included ear infections, sinusitis, streptococcal pharyngitis, non-strep pharyngitis, nasal discharge and laryngitis. The children who drank yoghurt had fewer common infections compared to the placebo group (with the yoghurt group having 19% less infections). However, the researchers say that the absolute numbers of children in these analyses were small and that they are not clinically significant. The active and control groups were mostly similar, which indicates that the randomisation had been successful. In some areas of their discussion, the researchers seem cautious about their interpretation, saying that their study shows that the dairy drink “holds promise, but has limitations in promoting the health of children aged three to six years”.
Allen, PhD, of the Swansea University School of Medicine, and colleagues, encompassed 63 studies with more than 8,000 participants (including young children and infants), and found that use of probiotic organisms along with rehydration therapy was safe and effective for reducing the duration and stool frequency in patients with acute, infectious diarrhea. Although these data also showed probiotics to be safe and effective for reducing symptoms, the limited number of studies, particularly those without bias, largely made the results statistically insignificant, reported Guillermo B.
Secondary endpoints were diarrhea lasting three or more days and stool frequency on day three of treatment.
Among the 8,014 participants in studies that met inclusion criteria, 6,489 were younger than 18, 352 were age 18 or older, and 1,173 were unclassified. After years of gut problems linked in part to antibiotics, I take probiotics every day, which effectively deals with the uncomfortable symptoms. Prebiotics, by the way, are nutrients that support and strengthen probiotics; main food sources include fibre-rich fruit, vegetables and whole grains.
Dermatologist Dr Nina Wines suggests that pregnant women with a family tendency to eczema take Lactobacillus GG during pregnancy and for the first six months of breast-feeding.
Only seven of the 57 probiotic group developed diarrhoea linked to antibiotic use compared with 19 in the control group of 56.
It’s like a yogurt smoothie that taste’s a little sweet but still tart and has twice the live active cultures as my favorite yogurt! Probiotics are fermented foods that resupply the good bacteria in your digestive tract.  Prebiotics are the foods that feed the good bacteria. The army has to have a supply of energy to stay strong and keep defending, right?  That fuel comes from the prebiotic foods. If we eat that way for too long we end up with more bad bacteria than good bacteria and we leave ourselves easy target for colds, flu and other illness and infection. The general guideline is to eat less sugar and processed foods and more whole grains, fruits and vegetables. Look at the ingredients and notice how many foods have sugar, corn syrup, high fructose corn syrup, or artificial sweeteners. Besides all the obvious benefits to weight and diabetes regular physical activity also helps your immune system. This is why we have partnered with the nonprofit organization National Women's Health Resource Center (NWHRC). Both Prebiotics and Probiotics have been proven to impact the gastro-intestinal microbial microflora.

As such, they say that no recommendations can be given for using probiotics during infectious diarrhoea in adults or children. Drinking plain water or rehydration solutions can help, but it doesn’t cut short an episode of diarrhoea. But, until recently, there’s not been much research looking at whether probiotics can actually treat diarrhoea. The children were either given Actimel or an identical, inactive yoghurt drink every day for about three months. Although the relative difference in rates of disease between the groups sounds high (19%), the absolute effects are quite small. The probiotic drink contained Lactobacillus casei, Streptococcus thermophilus and Lactobacillus bulgaricus cultures. Lower respiratory tract infections included pneumonia, influenza, coughs and breathing problems. There was a significant difference between the groups in compliance to the drink they had been given, with the control group not being as compliant. They also note that the study used a specific type of probiotic strain, dose and age group, and that the findings cannot be extrapolated to other strains or outcomes. None of the probiotic group had diarrhoea caused by C difficile, compared to nine controls. I know that doesn’t sound so pleasant but just go back to the picture in your mind of an army of good soldiers protecting you! The challenging part, as with all supplements, is to find a good quality probiotic, which often is kept refrigerated in the pharmacy. It contains nutrients to support your childa€™s physical and mental development, that include Prebiotic and Probiotics, DHA, AA, Vitamin D, Calcium, Zinc and Selenium. There was no change in the behaviour due to illness (as assessed by parents), but children in the probiotic group had slightly fewer common infections. If one child took the yoghurt every day for 100 days, they would have two fewer incidences of common infectious disease compared to those who were taking the placebo. The placebo was identical in appearance, taste, nutritional composition and packaging (200g bottles), but without the active probiotic components.
Gastrointestinal tract infections (GITI) included gastroenteritis, diarrhoea, nausea and vomiting.
However, the researchers say this is unlikely to have been because the participants knew which group they had been assigned to. Just remember that antibiotic medications kill the good guys too so after a round of antibiotics  you need to resupply with good probiotic foods or supplements.
Milk is an important complementary food to supply crucial nutrients, which may be lacking from his daily diet.
The children were given the drink for 90 consecutive days during the colder period of the year (when instances of respiratory illness are higher). In addition, loss of the epithelium may affect the regulation of water and ion outtake into the body (Mykles 1977, Neufeld and Cameron 1994).Prevention and control of diseases had led to increase the use of antibiotics developing drug resistant bacteria, which are difficult to control and eradicate.
An alternative to antibiotic treatment is the use of probiotics or beneficial bacteria that control pathogens. Generally, probiotic strains have been isolated from indigenous and exogenous microbiota of aquatic animals (Vine et al., 2004).
Probiotics may protect their host from pathogens by producing metabolites that inhibit the colonization or growth of other microorganisms or by competing with them for resources such as nutrients or space (Vine et al.
The criteria of probiotic selection to be used in aquaculture systems has been discussed by some authors. Development of suitable probiotics is not a simple task and requires full-scale trials, as well as development of appropriate monitoring tools and controlled production (Decamp et al., 2008). In vitro and in vivo studies are needed to demonstrate antagonisms to pathogens and their effect on survival and growth of the host. The main purpose of using probiotics is to maintain or reestablish a favorable relationship between friendly and pathogenic microorganisms that constitute the flora of intestinal or skin mucus of aquatic animals. Since, successful probiotic is expected to have a few specific properties in order to certify a beneficial effect (Ali, 2000).Bacteria present in the aquatic environment influence the composition of the gut microbiota and vice versa.
The genus present in the intestinal tract generally seems to be those from the environment or the diet that can survive and multiply in the intestinal tract (Cahill, 1990). Therefore, probiotic strains have been isolated from indigenous and exogenous microbiota of aquatic animals. Gram-negative facultative anaerobic bacteria such as Vibrio and Pseudomonas constitute the predominant indigenous microbiota of a variety of species of marine animals (Onarheim et al., 1994).
On the other hand, the indigenous microbiota of freshwater animals tends to be dominated by members of the genera Aeromonas, Plesiomonas, representatives of the family Enterobacteriaceae, and obligate anaerobic bacteria of the genera Bacteroides, Fusubacterium, and Eubacterium (Sakata 1990). Lactic acid producing bacteria, which are prevalent in the mammal or bird gut, are generally sub-dominant in fishes and are represented essentially by the genus Carnobacterium (Ringo & Vadstein 1998). Ideally, microbial probiotics should have a beneficial effect and not cause any harm to the host. Sometimes, this type of publicity about the potential of those products really affects the perspective of real probiotic designed for aquaculture industry.
On the other hand, a criterion to discard potential harmful bacteria is the ability to produce toxins that induce lysis of host cells (Zamora-Rodriguez, 2003)Various mechanisms have been proposed to explain their beneficial effects, including competition for adhesion sites, competition for nutrients, enzymatic contribution to digestion, improved water quality, and stimulation of the host immune response (Kumar Sahu et al., 2008). Selection of probiotics in aquaculture enterprises is usually based on results of tests showing antagonism toward the pathogens, an ability to survive and colonize the intestine, and a capacity to increase an immune response in the host.
Adhesion of probiotic microorganisms to the intestinal mucus is considered important for many of the observed probiotic health effects (Ouwehand et al., 2000). The intestinal microbiota of aquatic organisms in culture is an important factor in maintaining the healthy, either by preventing pathogen colonization, degradation of food, production of antimicrobial compounds, producing nutrients and maintaining normal mucosal immune (Escobar-Briones et al., 2006). The interest in investigating the intestinal microbiota is based on the need for a better understanding of how probiotics can influence the bacterial composition. Another important function was to emerge in recent years suggesting that the effect of the commensal microbiota influence processes such as lipid metabolism and development of the host immune response. The inter-relationship between the microbiota and the host are clearly important in relation to health and the imbalance between these systems results in disease development. Several studies listed the benefits or these probiotics to culture organisms, however, few works that the type of modulation is performed to the intestinal microbiota and its effects on health of the host organism. The interest to investigated the intestinal microbiota is based on the need for a better understanding of how probiotics can influence the bacterial composition. For that to know the impact that probiotics in the modulation of intestinal microbita should be studied. We investigated the effect of Bacillus probiotics was showed trait inhibitory to Vibrio and ability to adhere and grow, on intestinal mucus on the survival and rate of development of whiteleg shrimp L.
Antagonism testAntagonism in the world of bacteria is a highly prevalent phenomenon: one bacterium species suppresses the development or inhibits the growth of other microorganisms (Egorov, 2004). The antagonism of Bacillus is due mainly to the production of antimicrobial proteins and antibiotics as well as chemical compounds synthesized by secondary metabolism pathways (Hu et al., 2010), competition for essential nutrients and adhesion sites. We scrutinized their ability to inhibit the growth of Vibrio species utilized the two-layer method described by Dopazo et al.
Figure 1.A) Schematic from Antagonism test utilized the two-layer method described by Dopazo et al.

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