Efficacy of probiotics in the treatment of acute diarrhea in children: A systematic review and meta-analysis of clinical trials
Open accessAbstract
Background: If acute diarrhea in children is not treated promptly and effectively, it can lead to severe dehydration and serious sequelae.Due to the imbalance of intestinal bacteria in children with acute diarrhea, the supplementation with probiotics is important, which can improve the intestinal microenvironment, promote immunity, and enhance resistance.This meta-analysis provides further evidence and discussion of the therapeutic effect of probiotics on acute diarrhea in children.Methods: MEDLINE, EMBASE, PubMed, and the Cochrane Library databases were searched by rapid matching.The input keywords were as follows: (probiotics/synbiotics) and (child/children) and (acute diarrhea/acute gastroenteritis).Articles reporting on randomized controlled trials (RCTs) of probiotics in treating acute diarrhea in children were retrieved.The studies were published from 2010 to 2020.After screening and quality evaluation, Stata 16.0 software was used for the analysis.Results: Twelve articles with 744 patients were included in the study, and the overall quality of the articles was excellent.Meta-analysis showed that the duration of diarrhea in the probiotics group was shorter than that in the control group [standard mean difference (SMD) =-0.74, 95% CI: -1.11 to -0.37, Z=-3.935,P=0.000], the 2-day treatment efficacy for diarrhea in the probiotics group was greater than that in the control group [odds ratio (OR) =2.12, 95% CI: 1.47-3.05,Z=3.998, P=0.000], and the length of hospital stay in the probiotics group was shorter than that of the control group (SMD =-0.60, 95% CI: -0.74 to -0.47, Z=-8.781,P=0.000).In the subgroup analysis, combined probiotics shortened the duration of diarrhea compared with single probiotic use, and Lactobacillus reuteri and Saccharomyces boulardii had a better therapeutic effect than Lactobacillus rhamnosus or Lactobacillus acidophilus.Discussion: In the treatment of acute diarrhea in children, the addition of probiotics can shorten the duration of diarrhea, increase treatment efficacy after 2 days of treatment, and shorten the length of hospital stay.However, because of possible publication bias in the current study, further high-quality RCT studies in clinical settings are needed to verify the current results and continue the exploration of this topic.
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There is substantial evidence in the literature of the beneficial effects of probiotics on diarrhea, especially the prevention of traveler's diarrhea and the treatment of acute diarrhea in children.
“There is substantial evidence in the literature of the beneficial effects of probiotics on diarrhea, especially the prevention of traveler’s diarrhea [105,106] and the treatment of acute diarrhea in children [107].”
From The Potential Impact of Probiotics on Human Health: An Update on Their Health-Promoting Properties (2024) · cites this paper as [107]
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- Authors
- Huang, R., Xing, H.-Y., Liu, H.-J., Chen, Z.-F., & Tang, B.-B.
- Affiliations
- Hainan Maternal and Child Health Hospital (CN)
- Hainan General Hospital (CN)
- Venue
- Translational Pediatrics
- Publisher
- AME Publishing Company
- Published
- 2021-12
- Volume
- 10
- Issue
- 12
- Pages
- 3248-3260
- ISSN
- 2224-4336 (ISSN-L)
- 2224-4344
- PMC
- PMC8753473
- OpenAlex
- W4206235229
- Cited by
- 48
- References
- 32
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 14 · 2023: 4 · 2022: 3 · 2021: 1
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Translational Pediatrics (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Keywords
- probiotics, acute diarrhea, children, acute gastroenteritis, synbiotics, Lactobacillus reuteri, Saccharomyces boulardii, Lactobacillus rhamnosus, Lactobacillus acidophilus, diarrhea duration, length of hospital stay, gut microbiota, dehydration prevention, treatment efficacy comparison, publication bias, subgroup analysis
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