Features of management of children with persistent diarrhea and Candida albicans overgrowth

Background: to evaluate the effectiveness of Mutaflor in children from 1 to 4 years of age with a diagnosis of functional gastrointestinal disorders in the form of persistent diarrhea against the background of proven overgrowth of Candida albicans. Materials and methods. The study involved 32 childr...

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Main Authors: S.L. Nyankovskyy, О.S. Nyankovska, Yu.V. Pakulova-Trotska, H.Z. Vivcharivska, V.D. Shaidych, O.M. Horayska, L.V. Zastavna, Z.V. Tomkiv
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2019-04-01
Series:Zdorovʹe Rebenka
Subjects:
Online Access:http://childshealth.zaslavsky.com.ua/article/view/165521
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author S.L. Nyankovskyy
О.S. Nyankovska
Yu.V. Pakulova-Trotska
H.Z. Vivcharivska
V.D. Shaidych
O.M. Horayska
L.V. Zastavna
Z.V. Tomkiv
author_facet S.L. Nyankovskyy
О.S. Nyankovska
Yu.V. Pakulova-Trotska
H.Z. Vivcharivska
V.D. Shaidych
O.M. Horayska
L.V. Zastavna
Z.V. Tomkiv
author_sort S.L. Nyankovskyy
collection DOAJ
description Background: to evaluate the effectiveness of Mutaflor in children from 1 to 4 years of age with a diagnosis of functional gastrointestinal disorders in the form of persistent diarrhea against the background of proven overgrowth of Candida albicans. Materials and methods. The study involved 32 children aged 1 to 4 years with a diagnosis of functional gastrointestinal disorders in the form of persistent diarrhea with proven overgrowth of Candida albicans. Duration of administration of the probiotic agent Mutaflor at a dose of 1 ml of suspension once a day was 15 days. Thirty children completed the follow-up, two patients were excluded from the analysis of results due to non-adherence to treatment protocol. Results. All children had an overgrowth of Candida albicans at baseline. After 15 days of treatment, Candida albicans was detected in the stools of 12 children (40 %), in 11 of them (36.7 %), it was detected in the amount of 104 CFUs, and in one patients (3.3 %) — 103 CFUs indicating that the strain Escherichia coli Nissle 1917 was quite effective for intestinal candidiasis. Conclusions. The use of Mutaflor (Escherichia coli Nissle 1917 probiotic strain) in children with persistent diarrhea against the background of Candida albicans overgrowth contributes to the reduction of diarrhea, colic, abdominal distension, vomiting, episodes of crying/anxiety and poor sleep in children, normalizes intestinal biocenosis.
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spelling doaj.art-acd3ffabe51b43dd9031839be7c4c3a92022-12-21T19:49:15ZengZaslavsky O.Yu.Zdorovʹe Rebenka2224-05512307-11682019-04-01140586310.22141/2224-0551.14.0.2019.165521165521Features of management of children with persistent diarrhea and Candida albicans overgrowthS.L. Nyankovskyy0О.S. Nyankovska1Yu.V. Pakulova-Trotska2H.Z. Vivcharivska3V.D. Shaidych4O.M. Horayska5L.V. Zastavna6Z.V. Tomkiv7Danylo Halytskyi Lviv National Medical University, Lviv, UkraineDanylo Halytskyi Lviv National Medical University, Lviv, UkraineDanylo Halytskyi Lviv National Medical University, Lviv, UkraineMunicipal Nonprofit Enterprise “Lviv Children’s Clinical Hospital”, Lviv, UkraineMunicipal Nonprofit Enterprise “Lviv Children’s Clinical Hospital”, Lviv, UkraineMunicipal Nonprofit Enterprise “Lviv Children’s Clinical Hospital”, Lviv, UkraineMunicipal Nonprofit Enterprise “Lviv Children’s Clinical Hospital”, Lviv, UkraineDanylo Halytskyi Lviv National Medical University, Lviv, UkraineBackground: to evaluate the effectiveness of Mutaflor in children from 1 to 4 years of age with a diagnosis of functional gastrointestinal disorders in the form of persistent diarrhea against the background of proven overgrowth of Candida albicans. Materials and methods. The study involved 32 children aged 1 to 4 years with a diagnosis of functional gastrointestinal disorders in the form of persistent diarrhea with proven overgrowth of Candida albicans. Duration of administration of the probiotic agent Mutaflor at a dose of 1 ml of suspension once a day was 15 days. Thirty children completed the follow-up, two patients were excluded from the analysis of results due to non-adherence to treatment protocol. Results. All children had an overgrowth of Candida albicans at baseline. After 15 days of treatment, Candida albicans was detected in the stools of 12 children (40 %), in 11 of them (36.7 %), it was detected in the amount of 104 CFUs, and in one patients (3.3 %) — 103 CFUs indicating that the strain Escherichia coli Nissle 1917 was quite effective for intestinal candidiasis. Conclusions. The use of Mutaflor (Escherichia coli Nissle 1917 probiotic strain) in children with persistent diarrhea against the background of Candida albicans overgrowth contributes to the reduction of diarrhea, colic, abdominal distension, vomiting, episodes of crying/anxiety and poor sleep in children, normalizes intestinal biocenosis.http://childshealth.zaslavsky.com.ua/article/view/165521childrenfunctional gastrointestinal disordersdiarrheaCandida albicans
spellingShingle S.L. Nyankovskyy
О.S. Nyankovska
Yu.V. Pakulova-Trotska
H.Z. Vivcharivska
V.D. Shaidych
O.M. Horayska
L.V. Zastavna
Z.V. Tomkiv
Features of management of children with persistent diarrhea and Candida albicans overgrowth
Zdorovʹe Rebenka
children
functional gastrointestinal disorders
diarrhea
Candida albicans
title Features of management of children with persistent diarrhea and Candida albicans overgrowth
title_full Features of management of children with persistent diarrhea and Candida albicans overgrowth
title_fullStr Features of management of children with persistent diarrhea and Candida albicans overgrowth
title_full_unstemmed Features of management of children with persistent diarrhea and Candida albicans overgrowth
title_short Features of management of children with persistent diarrhea and Candida albicans overgrowth
title_sort features of management of children with persistent diarrhea and candida albicans overgrowth
topic children
functional gastrointestinal disorders
diarrhea
Candida albicans
url http://childshealth.zaslavsky.com.ua/article/view/165521
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