Randomized, double-blind, placebo-controlled trial: effect of lactobacillus GG supplementation on Helicobacter pylori eradication rates and side effects during treatment in children.

Objective: To determine the effectiveness of Lactobacillus GG (LGG) in children with Helicobacter pylori infection undergoing eradication therapy.Materials and Methods: We conducted a double-blind, placebo-controlled, randomized trial comparing a 7-day, triple eradication regimen consisting of 2 ant...

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Publicado en:Journal of Pediatric Gastroenterology & Nutrition Vol. 48; no. 4; pp. 431 - 437
Autores principales: Szajewska H, Albrecht P, Topczewska-Cabanek A, Szajewska, Hania, Albrecht, Piotr, Topczewska-Cabanek, Agnieszka
Formato: clinical trial research Journal Article
Publicado: Wiley-Blackwell 2009 Apr
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2009 Apr
      vid: 48
      iid: 4
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Randomized, double-blind, placebo-controlled trial: effect of lactobacillus GG supplementation on Helicobacter pylori eradication rates and side effects during treatment in children.
      aug:
        au:
          Szajewska H
          Albrecht P
          Topczewska-Cabanek A
          Szajewska, Hania
          Albrecht, Piotr
          Topczewska-Cabanek, Agnieszka
        affil: 2nd Department of Paediatrics, Medical University of Warsaw, Warsaw, Poland
      sug:
        subj:
          Antibiotics Therapeutic Use
          Gastrointestinal Agents Therapeutic Use
          Helicobacter Infections Therapy
          Helicobacter Pylori Drug Effects
          Lactobacillus
          Omeprazole Therapeutic Use
          Probiotics Therapeutic Use
          Adolescence
          Amoxicillin Adverse Effects
          Amoxicillin Therapeutic Use
          Antibiotics Adverse Effects
          Child
          Clarithromycin Adverse Effects
          Clarithromycin Therapeutic Use
          Combined Modality Therapy
          Dietary Supplements
          Double-Blind Studies
          Drug Therapy, Combination
          Female
          Gastrointestinal Agents Adverse Effects
          Helicobacter Infections Drug Therapy
          Helicobacter Infections Microbiology
          Male
          Omeprazole Adverse Effects
          Placebos Therapeutic Use
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Female
          Male
      ab: Objective: To determine the effectiveness of Lactobacillus GG (LGG) in children with Helicobacter pylori infection undergoing eradication therapy.Materials and Methods: We conducted a double-blind, placebo-controlled, randomized trial comparing a 7-day, triple eradication regimen consisting of 2 antibiotics (amoxicillin tablets, 25 mg/kg twice per day, and clarithromycin tablets, 10 mg/kg twice per day) plus a proton pump inhibitor (omeprazole capsules, 0.5 mg/kg twice per day) supplemented with LGG (109 colony-forming units) or placebo in 83 children with H pylori infection confirmed by 2 of 3 tests (13C-urea breath test, histopathology, rapid urease test). The primary outcome measure was the H pylori eradication rate. The secondary outcome measure was the proportion of patients who experienced therapy-related adverse effects during anti-H pylori treatment.Results: The groups did not differ with respect to H pylori eradication rates. Of the 34 children in the LGG group, 23 (69%) experienced eradication, compared with 22 of 32 children (68%) in the placebo group (RR 0.98, 95% CI 0.7-1.4). The groups did not differ with respect to adverse effects.Conclusions: In children with H pylori infection, supplementation of standard triple therapy with LGG did not significantly alter the eradication rate or side effects.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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