Save

Saccharomyces boulardii CNCM I-745 reduces the duration of diarrhoea, length of emergency care and hospital stay in children with acute diarrhoea

In: Beneficial Microbes
Authors:
E.C. Dinleyici Eskisehir Osmangazi University Faculty of Medicine, Department of Pediatrics, Pediatric Intensive Care and Infectious Disease Unit, 26480 Eskisehir, Turkey

Search for other papers by E.C. Dinleyici in
Current site
Google Scholar
PubMed
Close
,
A. Kara Hacettepe University Faculty of Medicine, Pediatric Infectious Disease Unit, 06100 Sıhhiye, Ankara, Turkey

Search for other papers by A. Kara in
Current site
Google Scholar
PubMed
Close
,
N. Dalgic Sisli Etfal Training and Research Hospital, Division of Pediatric Infectious Diseases, Halaskargazi St., 34371 Sisli, Istanbul, Turkey

Search for other papers by N. Dalgic in
Current site
Google Scholar
PubMed
Close
,
Z. Kurugol Ege University Faculty of Medicine, Department of Pediatrics, Bornova, 35100 Izmir, Turkey

Search for other papers by Z. Kurugol in
Current site
Google Scholar
PubMed
Close
,
V. Arica Okmeydani Education and Research Hospital, Department of Pediatrics, Darulaceze St. 27, 34384 Istanbul, Turkey

Search for other papers by V. Arica in
Current site
Google Scholar
PubMed
Close
,
O. Metin Dr. Sami Ulus Research and Training Hospital of Women’s and Children’s Health and Diseases, Pediatric Infectious Disease Unit, Altindag, 06090 Ankara, Turkey

Search for other papers by O. Metin in
Current site
Google Scholar
PubMed
Close
,
E. Temur Balikligol State Hospital, 63050 Sanliurfa, Turkey

Search for other papers by E. Temur in
Current site
Google Scholar
PubMed
Close
,
O. Turel Department of Pediatric Infectious Disease Unit, Bezmialem Vakif University, Faculty of Medicine, Vatan St., 34093 Istanbul

Search for other papers by O. Turel in
Current site
Google Scholar
PubMed
Close
,
S. Guven Umraniye Education & Research Hospital, Department of Pediatrics, Adem Yavuz St. 1, Istanbul, Turkey

Search for other papers by S. Guven in
Current site
Google Scholar
PubMed
Close
,
O. Yasa Department of Pediatrics, Goztepe Training and Research Hospital, SB Istanbul Medeniyet University, Dr. Erkin St., Istanbul, Turkey

Search for other papers by O. Yasa in
Current site
Google Scholar
PubMed
Close
,
S. Bulut Ege University Faculty of Medicine, Department of Pediatrics, Bornova, 35100 Izmir, Turkey

Search for other papers by S. Bulut in
Current site
Google Scholar
PubMed
Close
,
G. Tanir Dr. Sami Ulus Research and Training Hospital of Women’s and Children’s Health and Diseases, Pediatric Infectious Disease Unit, Altindag, 06090 Ankara, Turkey

Search for other papers by G. Tanir in
Current site
Google Scholar
PubMed
Close
,
A.S. Yazar Umraniye Education & Research Hospital, Department of Pediatrics, Adem Yavuz St. 1, Istanbul, Turkey

Search for other papers by A.S. Yazar in
Current site
Google Scholar
PubMed
Close
,
A. Karbuz Okmeydani Education and Research Hospital, Department of Pediatrics, Darulaceze St. 27, 34384 Istanbul, Turkey

Search for other papers by A. Karbuz in
Current site
Google Scholar
PubMed
Close
,
M. Sancar Marmara University Faculty of Pharmacy, Clinical Pharmacy Department, Tıbbiye St. 49, 34688 Haydarpasa, Istanbul

Search for other papers by M. Sancar in
Current site
Google Scholar
PubMed
Close
,
M. Erguven Department of Pediatrics, Goztepe Training and Research Hospital, SB Istanbul Medeniyet University, Dr. Erkin St., Istanbul, Turkey

Search for other papers by M. Erguven in
Current site
Google Scholar
PubMed
Close
,
G. Akca Sisli Etfal Training and Research Hospital, Division of Pediatric Infectious Diseases, Halaskargazi St., 34371 Sisli, Istanbul, Turkey

Search for other papers by G. Akca in
Current site
Google Scholar
PubMed
Close
,
M. Eren Eskisehir Osmangazi University Faculty of Medicine, Department of Pediatrics Gastroenterology and Hepatology, 26480 Eskisehir, Turkey

Search for other papers by M. Eren in
Current site
Google Scholar
PubMed
Close
,
M. Ozen Faculty of Medicine, Department of Pediatrics, Acibadem University, Halkali, 34303, Istanbul

Search for other papers by M. Ozen in
Current site
Google Scholar
PubMed
Close
, and
Y. Vandenplas Department of Paediatrics, UZ Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium

Search for other papers by Y. Vandenplas in
Current site
Google Scholar
PubMed
Close
Download Citation Get Permissions

Access options

Get access to the full article by using one of the access options below.

Institutional Login

Log in with Open Athens, Shibboleth, or your institutional credentials

Login via Institution

Purchase

Buy instant access (PDF download and unlimited online access):

€36.93

Evidence from the literature has shown that Saccharomyces boulardii provides a clinically significant benefit in the treatment of acute infectious diarrhoea in children. In this multicentre, randomised, prospective, controlled, single blind clinical trial performed in children with acute watery diarrhoea, we aimed to evaluate the impact of S. boulardii CNCM I-745 in hospitalised children, in children requiring emergency care unit (ECU) stay and in outpatient settings. The primary endpoint was the duration of diarrhoea (in hours). Secondary outcome measures were duration of hospitalisation and diarrhoea at the 3rd day of intervention. In the whole study group (363 children), the duration of diarrhoea was approximately 24 h shorter in the S. boulardii group (75.4±33.1 vs 99.8±32.5 h, P<0.001). The effect of S. boulardii (diarrhoea-free children) was observed starting at 48 h. After 72 h, only 27.3% of the children receiving probiotic still had watery diarrhoea, in contrast to 48.5% in the control group (P<0.001). The duration of diarrhoea was significantly reduced in the probiotic group in hospital, ECU and outpatient settings (P<0.001, P<0.01 and P<0.001, respectively). The percentage of diarrhoea-free children was significantly larger after 48 and 72 h in all settings. The mean length of hospital stay was shorter with more than 36 h difference in the S. boulardii group (4.60±1.72 vs 6.12±1.71 days, P<0.001). The mean length of ECU stay was shorter with more than 19 h difference in the probiotic group (1.20±0.4 vs 2.0±0.3 days, P<0.001). No adverse effects related to the probiotic were noted. Because treatment can shorten the duration of diarrhoea and reduce the length of ECU and hospital stay, there is likely a social and economic benefit of S. boulardii CNCM I-745 in adjunction to oral rehydration solution in acute infectious gastroenteritis in children.

Content Metrics

All Time Past 365 days Past 30 Days
Abstract Views 1094 333 28
Full Text Views 34 2 0
PDF Views & Downloads 43 6 0