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Lactobacillus casei для Antibiotic-Associated Diarrhea (AAD)

C

Some evidence for AAD prevention in hospitalized elderly patients (PLACIDE trial was negative for primary outcome but showed trends).

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C

Итог

Some evidence for AAD prevention in hospitalized elderly patients (PLACIDE trial was negative for primary outcome but showed trends).

Key Study Findings

In Vitro
Complex probiotics alleviate ampicillin-induced antibiotic-associated diarrhea in mice.
Dose: 4-strain probiotic mixture или: Ampicillin-induced AAD model Outcome: Gut microbiota recovery and immune modulation Эффект: None None

Популяция: Ampicillin-induced AAD mouse model

Meta-Analysis n=692
Which probiotic has the best effect on preventing Clostridium difficile-associated diarrhea? A systematic review and …
Dose: None или: Control group Outcome: the incidence rates of AAD and CDAD, and … Эффект: OR 0.39, None

Популяция: Diarrhea patients

Randomized Controlled Trial n=314 4.3 weeks Double-blind
Probiotic Yogurt for the Prevention of Antibiotic-associated Diarrhea in Adults: A Randomized Double-blind Placebo-controlled Trial.
Dose: None или: Placebo Outcome: Bowel function Эффект: None p=0.30

Популяция: None

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

Популяция: None

Controlled Clinical Trial n=32 4.3 weeks Open-label
Feasibility of a Lactobacillus casei Drink in the Intensive Care Unit for Prevention of Antibiotic …
Dose: 10 billion L. casei, 2 bottles/day или: Contemporary matched controls Outcome: Safety, feasibility, AAD incidence Эффект: None None

Популяция: ICU patients on antibiotics

Meta-Analysis n=9569
Comparative efficacy and tolerability of probiotics for antibiotic-associated diarrhea: Systematic review with network meta-analysis.
Dose: None или: Placebo/no probiotic Outcome: Prevention of antibiotic-associated diarrhea Эффект: LGG OR 0.28 (0.17-0.47) for AAD prevention None

Популяция: Patients on antibiotics

Key Statistics

3

Исследования

500

Участники

Positive

C

Оценка

Referenced Papers

Frontiers in microbiology 2023 21 цитирований
F1000Research 2016 63 цитирований
Journal of clinical … 2011 432 цитирований
International journal of … 2000 181 цитирований

Dosage & Usage

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

Часто используемые дозировки

general:
1-10 billion CFU/day
aadprevention:
6.5 billion CFU/day (Shirota strain)
immunesupport:
10 billion CFU/day

Верхний предел: Well-tolerated up to 20 billion CFU/day in clinical trials

Дозировки, изученные в исследованиях

Дозировка Длительность Эффект N
4-strain probiotic mixture -- Positive --
None -- Positive 692
None 4.3 weeks Neutral 314
None -- Mixed 228
10 billion L. casei, 2 bottles/day 4.3 weeks Positive 32
None -- Positive 9569
None -- Mixed --
None -- Positive --

Лучшее время приёма: With or without food; consistent daily timing recommended

Safety & Side Effects

Зарегистрированные побочные эффекты

  • Mild gas and bloating during initial use
  • Occasional loose stools
  • Rare dairy-related reactions in lactose-sensitive individuals
  • Very rare: bacteremia in immunocompromised individuals

Известные взаимодействия

  • Antibiotics (may reduce probiotic viability; space dosing 2 hours apart)
  • Immunosuppressants (theoretical risk in immunocompromised patients)

Допустимый верхний уровень потребления: Well-tolerated up to 20 billion CFU/day in clinical trials

Всегда консультируйтесь с врачом перед началом приёма любых добавок.Всегда консультируйтесь с лечащим врачом перед началом приёма любой добавки.

Frequently Asked Questions

Does Lactobacillus casei help with Antibiotic-Associated Diarrhea (AAD)?
Based on 3 studies with 500 participants, there is limited but promising evidence that Lactobacillus casei may support Antibiotic-Associated Diarrhea (AAD) management. Our evidence grade is C (Some Evidence).
How much Lactobacillus casei should I take for Antibiotic-Associated Diarrhea (AAD)?
Studies have used various dosages. A commonly studied range is 1-10 billion CFU/day. Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Lactobacillus casei?
Reported side effects may include Mild gas and bloating during initial use, Occasional loose stools, Rare dairy-related reactions in lactose-sensitive individuals, Very rare: bacteremia in immunocompromised individuals. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Lactobacillus casei and Antibiotic-Associated Diarrhea (AAD)?
We rate the evidence as Grade C (Some Evidence). This rating is based on 3 peer-reviewed studies with 500 total participants. The overall direction of effect is positive.

Related Evidence

Другие ингредиенты для Antibiotic-Associated Diarrhea (AAD)

Отказ от ответственности FDA: Данные утверждения не были оценены Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов (FDA). Продукты и информация на этом сайте не предназначены для диагностики, лечения, излечения или профилактики каких-либо заболеваний. Представленные оценки доказательности основаны на нашем анализе опубликованных рецензируемых исследований и не являются медицинской консультацией. Всегда консультируйтесь с лечащим врачом перед началом приёма любых добавок.