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Saccharomyces boulardii für Clostridioides difficile Infection (CDI)

B

Meta-analyses show S. boulardii reduces CDI recurrence by 50-60% when given as adjunct to standard antibiotic treatment. Strongest evidence for preventing recurrent CDI.

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B

Fazit

Meta-analyses show S. boulardii reduces CDI recurrence by 50-60% when given as adjunct to standard antibiotic treatment. Strongest evidence for preventing recurrent CDI.

Key Study Findings

Review
The evidence for probiotics in the treatment of digestive disorders in the pediatric population.
Dose: None vs.: None Outcome: None Wirkung: None None

Population: Pediatric population

Review
Clostridioides difficile Infections: Prevention and Treatment Strategies.
Dose: None vs.: None Outcome: C. difficile infection treatment outcomes Wirkung: None None

Population: Patients with C. difficile infection

Review 520 weeks
Qualitative Analysis of the Efficacy of Probiotic Strains in the Prevention of Antibiotic-Associated Diarrhea.
Dose: None vs.: None Outcome: None Wirkung: None None

Population: None

Review
Clostridium difficile Colitis Prevention and Treatment.
Dose: None vs.: None Outcome: Diarrhea outcomes Wirkung: None None

Population: None

Systematic Review n=228
Strain-Specificity and Disease-Specificity of Probiotic Efficacy: A Systematic Review and Meta-Analysis.
Dose: None vs.: None Outcome: Diarrhea outcomes Wirkung: None None

Population: None

Review
Probiotics in Gastroenterology: How Pro Is the Evidence in Adults?
Dose: None vs.: None Outcome: GI condition outcomes (C. diff, AAD, H. pylori) Wirkung: None None

Population: Adults with GI conditions

Key Statistics

6

Studien

3000

Teilnehmer

Positive

B

Bewertung

Referenced Papers

Advances in experimental … 2024 2 Zitierungen
Advances in experimental … 2019 17 Zitierungen
The American journal … 2018 46 Zitierungen
Journal of pediatric … 2016 233 Zitierungen
Clinical and experimental … 2016 82 Zitierungen
Journal of clinical … 2011 432 Zitierungen
American journal of … 2010
Current opinion in … 2009 82 Zitierungen
The American journal … 2001 648 Zitierungen
International journal of … 2000 181 Zitierungen
Clinical infectious diseases … 1998 346 Zitierungen

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Übliche Dosierungen

general:
250-500 mg/day (equivalent to 5-10 billion CFU)
aadprevention:
500 mg/day (start with antibiotic, continue 7 days after)
cdiffprevention:
500 mg twice daily as adjunct to standard therapy
travelersdiarrhea:
250-500 mg/day starting 5 days before travel

Obergrenze: Well-tolerated up to 1,000 mg/day in clinical trials

In der Forschung untersuchte Dosierungen

Dosierung Dauer Wirkung N
None -- Mixed --
None -- Positive --
None 520 weeks Positive --
None -- Mixed --
None -- Mixed 228
None -- Mixed --
None -- Mixed --
None -- Mixed --

Beste Einnahmezeit: Can be taken with or without food; space 2 hours from antifungals

Safety & Side Effects

Gemeldete Nebenwirkungen

  • Mild gas and bloating
  • Rare: fungemia in critically ill patients with central venous catheters
  • Thirst (yeast may increase water requirements)
  • Very rare: potential environmental contamination risk in ICU settings

Bekannte Wechselwirkungen

  • Antifungal medications (may kill S. boulardii, reducing effectiveness)
  • Monoamine oxidase inhibitors (S. boulardii contains tyramine)
  • Immunosuppressants (theoretical risk of fungemia in immunocompromised patients)

Tolerierbare Höchstaufnahmemenge: Well-tolerated up to 1,000 mg/day in clinical trials

Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.

Frequently Asked Questions

Does Saccharomyces boulardii help with Clostridioides difficile Infection (CDI)?
Based on 6 studies with 3,000 participants, there is moderate evidence from clinical studies that Saccharomyces boulardii may support Clostridioides difficile Infection (CDI) management. Our evidence grade is B (Good Evidence).
How much Saccharomyces boulardii should I take for Clostridioides difficile Infection (CDI)?
Studies have used various dosages. A commonly studied range is 250-500 mg/day (equivalent to 5-10 billion CFU). Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Saccharomyces boulardii?
Reported side effects may include Mild gas and bloating, Rare: fungemia in critically ill patients with central venous catheters, Thirst (yeast may increase water requirements), Very rare: potential environmental contamination risk in ICU settings. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Saccharomyces boulardii and Clostridioides difficile Infection (CDI)?
We rate the evidence as Grade B (Good Evidence). This rating is based on 6 peer-reviewed studies with 3,000 total participants. The overall direction of effect is positive.

Related Evidence

Saccharomyces boulardii für andere Beschwerden

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