The Use Of Probiotics In The Management Of Diarrhea In Infants And Children

The Use Of Probiotics in the Management of Diarrhea in Infants and Children Ana Abad-Jorge, MS, RD, CNSC Brandis Roman, RD, CNSD Pediatric Nutrition Support Specialists University of Virginia Health System Charlottesville, VA February 3, 2009

Financial Disclosures ,[object Object]

Learning Objectives ,[object Object],[object Object],[object Object],[object Object]

Introduction to Probiotics (4-7) ,[object Object],[object Object],[object Object],[object Object]

Forms of Probiotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Diarrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impact of Acute Diarrhea ,[object Object],[object Object],[object Object]

Can probiotics shorten the duration of acute diarrheal episodes to improve quality of life and reduce necessary hospitalizations?

General Limitations in the Current Literature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rotavirus-related acute diarrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Non-rotavirus-related acute diarrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Diarrhea of Mixed/Unknown Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Diarrhea of Mixed/Unknown Etiology, cont’d ,[object Object],[object Object],[object Object],[object Object]

Acute Diarrhea of Mixed/Unknown Etiology, cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Persistent Diarrhea of Mixed/Unknown Etiology ,[object Object],[object Object],[object Object],[object Object]

Can probiotics, when given prophylactically, reduce the incidence of diarrhea?

Diarrhea of Mixed/Unknown Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diarrhea of Mixed/Unknown Etiology, cont’d ,[object Object],[object Object],[object Object],[object Object]

Commercial Availability of Probiotic Preparations That Have Been Studied in Infants and Children

Cost Comparison of Common Products Product cost information obtained from: a = www.costlessvitamin.com b = www.vsl3.com c = www.culturelle.com Product Name Probiotic Type Amount of Probiotic per Dose Cost per Dose Manufacturer Recommended Pediatric Dose Florastor ® for Kids S. Boulardii 250 mg per sachet $0.95 a 1 sachet daily VSL #3 ® Proprietary blend 450 billion live bacteria $2.65 b Dosage depending on weight/age Culturelle ® Lacto-bacillus GG 10 billion live bacteria $0.67 c 1 capsule daily

References ,[object Object],[object Object]

Learning Assessment Question #1 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Learning Assessment Question #2 ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Use Of Probiotics In The Management Of Diarrhea In Infants And Children

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The Use Of Probiotics In The Management Of Diarrhea In Infants And Children