Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia in Katowice, Francuska 20/24, 40-027 Katowice, Poland.
Nutrients. 2018 Oct 24;10(11):1574. doi: 10.3390/nu10111574.
(LP299v) is a probiotic strain which influences on the intestinal bacterial flora. This is why, it has been introduced into clinical practice for the prevention and treatment of diarrheal disorders and alleviation of their symptoms in patients during antibiotic therapy. However, the use of probiotics in the prophylaxis of infections (CDI) in these patients is problematic. The aim of this clinical, retrospective, single-centre study was to analyse the incidence of CDI among patients hospitalized in the nephrology and transplantation ward in the period before, during and after stopping of LP299v prophylaxis. Among 5341 patients hospitalized in the nephrology and transplantation ward over a three year period, 34 patients with CDI were diagnosed and included in this analysis. From December 2013 to December 2014 all patients under antibiotic and immunosuppressive therapies received LP299v as a prophylaxis of CDI. The observation period consisted of three twelve-months periods: before, during LP299v use and after stopping of such method of CDI prevention. A significant ( = 0.0003) reduction of CDI incidence during LP299v use (0.11%) was observed compared to two other periods, that is, before and after LP299v use (1.03% and 0.77%, respectively). Routine use of LP299v as a CDI prophylaxis may prevent CDI during antibiotics therapy in patients treated with immunosuppressive agents in nephrology and transplantation ward.
(LP299v)是一种益生菌菌株,它会影响肠道细菌菌群。这就是为什么它已被引入临床实践,用于预防和治疗腹泻疾病,并在抗生素治疗期间减轻患者的症状。然而,在这些患者中使用益生菌预防 感染(CDI)是有问题的。这项临床、回顾性、单中心研究的目的是分析在停止 LP299v 预防期间,肾病和移植病房住院患者中 CDI 的发生率。在三年内,共有 5341 名患者在肾病和移植病房住院,其中 34 名患者被诊断为 CDI 并纳入本分析。2013 年 12 月至 2014 年 12 月,所有接受抗生素和免疫抑制治疗的患者均接受 LP299v 预防 CDI。观察期包括三个 12 个月的时期:使用 LP299v 之前、使用期间和停止使用 LP299v 之后。与 LP299v 使用之前和之后的两个时期相比(分别为 1.03%和 0.77%),在使用 LP299v 期间(0.11%),CDI 的发生率显著降低(=0.0003)。在肾病和移植病房接受免疫抑制剂治疗的患者中,常规使用 LP299v 预防 CDI 可能会预防抗生素治疗期间的 CDI。