Gopalan Sarath, Ganapathy Sridhar, Mitra Monjori, Kumar Joshi Devesh, Veligandla Krishna C, Rathod Rahul, Kotak Bhavesh P
Pediatrics, Madhukar Rainbow Children's Hospital, New Delhi, IND.
Pediatrics, Janani Children's Hospital, Mumbai, IND.
Cureus. 2023 Oct 1;15(10):e46314. doi: 10.7759/cureus.46314. eCollection 2023 Oct.
Probiotics, both bacterial and yeast, have long been associated with a beneficial health history and human well-being. Among yeasts, is a genus that is efficacious in rendering better human health, with () CNCM I-745 being classified as a probiotic agent. The present review highlights the unique properties of and its rolein the prevention of antibiotic-associated diarrhea (AAD) and pediatric acute gastroenteritis (PAGE) in comparison to bacterial probiotics. Its unique properties,such as viability over a wide pH range, inability to acquire antibiotic resistance genes, and property to achieve a steady state rapidly, have given an edge over bacterial probiotics. In AAD patients, prophylactic use of has shown a significantly lower risk of AAD (in comparison to controls) and restored the diversity of gut microbiota. Among Indian children with PAGE, CNCM I-745 was found superior to GG and four strains of in shortening the duration of diarrhea and reducing the length of hospital stay. CNCM I-745 being considered a safe probiotic for use in children and adults also finds recommendations in several international guidelines for the management of acute diarrhea. The current review discusses evidence for the proven efficacy and safety of CNCM I-745 as a probiotic for preventing gastrointestinal disorders.
益生菌,包括细菌和酵母,长期以来都与有益的健康史和人类福祉相关联。在酵母中, 是一个对改善人类健康有效的属,其中 ()CNCM I - 745被归类为益生菌剂。本综述强调了 与细菌益生菌相比的独特特性及其在预防抗生素相关性腹泻(AAD)和小儿急性胃肠炎(PAGE)中的作用。其独特特性,如在广泛pH范围内的生存能力、无法获得抗生素抗性基因以及能迅速达到稳态的特性,使 比细菌益生菌更具优势。在AAD患者中,预防性使用 显示出AAD风险显著降低(与对照组相比),并恢复了肠道微生物群的多样性。在患有PAGE的印度儿童中,发现CNCM I - 745在缩短腹泻持续时间和减少住院时间方面优于GG和四株 。CNCM I - 745被认为是一种用于儿童和成人的安全益生菌,在一些急性腹泻管理的国际指南中也有推荐。本综述讨论了CNCM I - 745作为预防胃肠道疾病的益生菌的已证实疗效和安全性的证据。