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  • Szajewska, HaniaFrom the Department of Paediatrics, Medical University of Warsaw, Warsaw, Poland (author)

Probiotics for the management of pediatric gastrointestinal disorders : position paper of the ESPGHAN special interest group on gut microbiota and modifications

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Lippincott Williams & Wilkins,2023
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-204482
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-204482URI
  • https://doi.org/10.1097/MPG.0000000000003633DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • BACKGROUND: Probiotics, defined as live microorganisms that, when administered in adequate amounts, confer a health benefit on the host, are widely used despite uncertainty regarding their efficacy and discordant recommendations about their use. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Special Interest Group on Gut Microbiota and Modifications provides updated recommendations for the use of probiotics for the management of selected pediatric gastrointestinal disorders.METHODS: All systematic reviews and/or meta-analyses, as well as subsequently published randomized controlled trials (RCTs) (until December 2021), that compared the use of probiotics in all delivery vehicles and formulations, at any dose, with no probiotic (ie, placebo or no treatment), were eligible for inclusion. The recommendations were formulated only if at least 2 RCTs on a similar well-defined probiotic strain were available. The modified Delphi process was used to establish consensus on the recommendations.RESULTS: Recommendations for the use of specific probiotic strains were made for the management of acute gastroenteritis, prevention of antibiotic-associated diarrhea, nosocomial diarrhea and necrotizing enterocolitis, management of Helicobacter pylori infection, and management of functional abdominal pain disorders and infant colic.CONCLUSIONS: Despite evidence to support the use of specific probiotics in some clinical situations, further studies confirming the effect(s) and defining the type, dose, and timing of probiotics are still often required. The use of probiotics with no documented health benefits should be discouraged.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Berni Canani, RobertoDepartment of Translational Medical Science - Section of Paediatrics. University of Naples Federico II, Naples, Italy (author)
  • Domellöf, Magnus,1963-Umeå universitet,Pediatrik(Swepub:umu)mado0002 (author)
  • Guarino, AlfredoDepartment of Translational Medical Science - Section of Paediatrics. University of Naples Federico II, Naples, Italy (author)
  • Hojsak, Ivathe Children's Hospital Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia, University J.J. Strossmayer School of Medicine Osijek, Osijek, Croatia (author)
  • Indrio, FlaviaDepartment of Medical and Surgical Science Pediatric Section, University of Foggia, Foggia, Italy (author)
  • Lo Vecchio, AndreaDepartment of Translational Medical Science - Section of Paediatrics. University of Naples Federico II, Naples, Italy (author)
  • Mihatsch, Walter A.Ulm University, Ulm, Germany (author)
  • Mosca, AlexisDepartment of Pediatric Gastroenterology and Nutrition, Hopital Robert Debré, Assistance Publique Hopitaux de Paris, Paris, France (author)
  • Orel, RokDepartment of Gastroenterology, Hepatology and Nutrition, University Medical Centre Ljubljana, University Children's Hospital Ljubljana, Ljubljana, Slovenia (author)
  • Salvatore, SilviaDepartment of Pediatrics, "F. Del Ponte" Hospital, University of Insubria, Varese, Italy (author)
  • Shamir, RaananInstitute for Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel (author)
  • van den Akker, Chris H PUniversity of Amsterdam and Vrije Universiteit Amsterdam, Emma Children's Hospital, Paediatrics - Neonatology, Amsterdam Reproduction & Development, Amsterdam, Netherlands (author)
  • van Goudoever, Johannes B.University of Amsterdam and Vrije Universiteit Amsterdam, Emma Children's Hospital, Paediatrics - Neonatology, Amsterdam Reproduction & Development, Amsterdam, Netherlands (author)
  • Vandenplas, YvanUZ Brussel, Vrije Universiteit Brussel, the KidZ Health Castle, Brussels, Belgium (author)
  • Weizman, ZviFaculty of Health Sciences, Ben-Gurion University, Beer-Sheva, Israel (author)
  • From the Department of Paediatrics, Medical University of Warsaw, Warsaw, PolandDepartment of Translational Medical Science - Section of Paediatrics. University of Naples Federico II, Naples, Italy (creator_code:org_t)

Related titles

  • In:Journal of Pediatric Gastroenterology and Nutrition - JPGN: Lippincott Williams & Wilkins76:2, s. 232-2470277-21161536-4801

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