Abstract
A probiotic is a living micro-organism administered to promote the health of the host by treating or preventing infections owing to strains of pathogens. Saccharomyces boulardii is a nonpathogen yeast that has a direct inhibitory effect on the growth of many pathogens, an anti-secretory effect and a trophic effect on enterocytes. The aim of this study was to determine the effect of S. boulardii on diarrhea in children. The children from 6 months to 6 years of age with acute watery diarrhea admitted in pediatric clinic in Kashan in 2012 were included in this trial. Exclusion criteria were high fever (T > 38.5 °C), severe dehydration, bloody diarrhea, severe malnutrition, using of antibiotics, anti-diarrheal or antifungal drugs and children with more than one complain. Two hundred patients were assigned into two groups: A total of 100 patients were treated with S. boulardii in addition to ORS (case group) and 100 patients were given placebo in addition to ORS (control group). The duration of diarrhea and frequency of stools were recorded by asking the mothers of the children every day. The results showed that the defecation frequency after second day of treatment in the case group was significantly less than the control group (P = 0.001) and the mean numbers of days of diarrhea was significantly lower in the case group (P = 0.001). The result of this study confirms that S. boulardii reduces the frequency of stool and duration of illness in children.
Similar content being viewed by others
References
Grandy G, Medina M, Soria R et al (2010) Probiotics in the treatment of acute rotavirus diarrhea. A randomized, double-blind, controlled trial using two different probiotic preparations in Bolivian children. BMC Infect Dis 10:253
Samadi AR, Islam R, Huq MI (1983) Replacement of intravenous therapy by oral rehydration solution in a large treatment centre for diarrhea with dehydration. Bull World Health Organ 61(3):471–476
Koletzko S, Osterrieder S (2009) Acute infectious diarrhea in children. Dtsch Arztebl Int 106(33):539–548
Canani RB, Cirillo P, Terrin G et al (2007) Probiotics for treatment of acute diarrhea in children: randomised clinical trial of five different preparations. BMJ 335(7615):340
Ozuah PO, Avner JR, Stein RE (2002) Oral rehydration, emergency physicians, and practice parameters: a national survey. Pediatrics 109(2):259–261
Fontaine O, Gore SM, Pierce NF (2000) Rice-based oral rehydration solution for treating diarrhea. Cochrane Database Syst Rev 2:CD001264
Cucchiara S, Falconieri P, Di Nardo G et al (2002) New therapeutic approach in the management of intestinal disease: probiotics in intestinal disease in pediatric age. Dig Liver Dis 34(2):44–47
Boirivant M, Strober W (2007) The mechanism of action of probiotics. Curr Opin Gastroenterol 23(6):679–692
Billoo AG, Memon MA, Khaskheli SA et al (2006) Role of a probiotic (Saccharomyces boulardii) in management and prevention of diarrhea. World J Gastroenterol 12(28):4557–4560
Petrof EO (2009) Probiotics and gastrointestinal disease: clinical evidence and basic science. Antiinflamm Antiallergy Agents Med Chem 8(3):260–269
Isolauri E (2003) Probiotics for infectious diarrhea. Gut 52(3):436–437
Guillot CC, Bacallao EG, Dominguez SCM et al (1995) Effects of Saccharomyces boulardii in children with chronic diarrhea, especially cases due to Giardiasis. Rev Mex de Puericultura Y Pediatria 2:12
Surawicz CM (2003) Probiotics, antibiotic-associated diarrhea and Clostridium difficile diarrhea in humans. Best Pract Res Clin Gastroenterol 17(5):775–783
Htwe K, Yee KS, Tin M et al (2008) Effect of Saccharomyces boulardii in the treatment of acute watery diarrhea in Myanmar children: a randomized controlled study. Am J Trop Med Hyg 78(2):214–216
Dahan S, Dalmasso G, Imbert V et al (2003) Saccharomyces boulardii interferes with enterohemorrhagic Escherichia coli-induced signaling pathways in T84 cells. Infect Immun 71(2):766–773
Acknowledgments
We would like to thank the nurses of Kashan pediatric clinic that have worked in this study with us.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declared that they have no competing interests.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments.
Rights and permissions
About this article
Cite this article
Sharif, M.R., Kashani, H.H., Ardakani, A.T. et al. The Effect of a Yeast Probiotic on Acute Diarrhea in Children. Probiotics & Antimicro. Prot. 8, 211–214 (2016). https://doi.org/10.1007/s12602-016-9221-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12602-016-9221-2