Antibiotic- associated diarrhea (AAD) occurs in 2-25% of elderly in nursing homes , which can lead to dehydration, malnutrition, severe complications and hospitalization.
Studies have shown that probiotics can effectively and safely reduce AAD.
However, probiotics are not routinely used in nursing homes in the Netherlands.
Recently, researchers have developed a program to implement probiotics to prevent AAD in nursing homes to evaluate the impact on AAD and evaluate the implementation process of probiotics in daily care.
The results of the study have been published in BMC Gastroenterol.
The researchers used PPE to implement probiotic management in three nursing homes in Rivas Zorggroep for residents with physical and/or elderly mental illnesses .
93 residents provided data on the use of antibiotics for 167 times, of which 84 times included probiotic supplementation and 83 times without probiotic supplementation.
At the beginning of antibiotic treatment, take multi-strain probiotics twice a day until 1 week after completing the course of antibiotic treatment.
Monitor the occurrence of AAD and conduct process evaluation to evaluate the facilitating factors and obstacles to the implementation of probiotics.
The results showed that when probiotics were used, the number of AAD episodes was significantly lower than when probiotics were not used (20% vs 36%; p = 0,022, Chi-square).
Among the elderly taking amoxicillin/clavulanic acid or ciprofloxacin, no significant difference in the occurrence of AAD was found.
The facilitating factor of the implementation is the perception of the benefits of probiotics and the prescription of medical staff.
The obstacles to implementation are the elderly's intake of probiotics and personal decisions about which residents will benefit from it.
In summary, the results of this study show that the successful implementation of probiotics can effectively prevent the occurrence of AAD in the elderly in nursing homes.
Herman A van Wietmarschen, et al.
gov/32404062/" target="_blank" rel="noopener">Probiotics use for antibiotic-associated diarrhea: a pragmatic participatory evaluation in nursing homes .
2020 May 13;20(1):151.
gov/32404062/" target="_blank" rel="noopener">Probiotics use for antibiotic-associated diarrhea: a pragmatic participatory evaluation in nursing homes
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