The Potential of Probiotics to Prevent Clostridium difficile Infection

被引:19
作者
Allen, Stephen J. [1 ]
机构
[1] Univ Liverpool, Liverpool Sch Trop Med, Dept Clin Sci, Liverpool L3 5QA, Merseyside, England
关键词
C difficile diarrhea; Probiotic; Lactobacilli; Bifidobacteria; Saccharomyces boulardii; ANTIBIOTIC-ASSOCIATED DIARRHEA; DOUBLE-BLIND; INTESTINAL MICROBIOTA; BIFIDOBACTERIA; LACTOBACILLI; MULTICENTER; MULTISTRAIN; INHIBITION; EFFICACY; THERAPY;
D O I
10.1016/j.idc.2014.11.002
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Exposure to antibiotics is the major risk factor for Clostridium difficile diarrhea (CDD), suggesting that impairment of colonization resistance due to depletion of the gut flora is a significant underlying disease susceptibility factor. Many properties of probiotic organisms indicate that they may be able to replenish the depleted gut flora and restore colonization resistance. However, despite numerous clinical trials, the evidence base for probiotics in the prevention of CDD remains weak. A recent large trial of a multistrain, high-dose probiotic did not show clear evidence of efficacy. The role of probiotics in the prevention of CDD remains unclear.
引用
收藏
页码:135 / +
页数:11
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