TACTICS OF BIOCENOSIS-SAVING THERAPY BY USE ANTIBIOTICS IN CHILDREN WITH ACUTE INTESTINAL INFECTIONS
https://doi.org/10.22627/2072-8107-2017-16-3-41-49
Abstract
50 children aged from 3 to 67 months with acute intestinal infections receiving antibiotic therapy, were clinically and microbiologically examined using gas-liquid chromatographic test with the measurement of short-chain fatty acids (SCFAs) in coprofiltrates. The influence on the biocenosis is assessed upon treatment with an-tidiarrhoeal medication Gelatin tannat (Adiarin), which acts by forming a protective film on the surface of intestinal mucosa preventing loss of body fluids and microbial toxins. 20 children in the control group received antibiotics, sorbents, probiotics. The study has proved the clinical effect of Gelatin tannat, resulting in reduction of time to normalization of diarrhea and intoxication for 2 days, and data on the probiotic effect of the drug, similar to that of probiotics in the control group which expands the indications for the use of Gelatin tannat for prevention of antibiotic-associated diarrhea.
About the Authors
L. N. MazankovaRussian Federation
MD, Professor, Department of Infectious Diseases
A. A. Korsunsky
Russian Federation
A. P. Prodeus
Russian Federation
M. D. Ardatskaya
Russian Federation
S. G. Perlovskaya
Russian Federation
References
1. Hogenauer C., Hammer H.F., Krejs G.J., Reisinger E.C. Mechanisms and management of antibiotic-associated diarrhea. Clin. Infect. Dis. 1998; 27: 702—10.
2. Hogenauer C., Langner C., Beubler E. et al. Klebsiella oxytoca as a Causative Organism of Antibiotic-Associated Hemorrhagic Colitis. N Engl J Med. Dec. 7, 2006; 355:2418—26.
3. Лобзин Ю.В., Захаренко С.М., Иванов Г.А. Современные представления об инфекции Clostridium difficile. Клиническая микробиология и антимикробная химиотерапия. 2002, 4(3):200—232. [Lobzin Yu.V., Zakharenko S.M., Ivanov G.A. Current Understanding of Clostridium difficile Infection. Clin. Microb. and Antimicrob. Chemoth. 2002, 4(3):200—232. (In Russ.)].
4. David M.S., Donald H.A., Fabio B. Association Between Antibiotic Use and Primary Idiopathic Intussusception. Arch. Pediatr. Adolesc. Med. 2003, Suppl. 157(1): 54-59.
5. Молочкова О.В., Кладова О.В., Новокшонов А.А., Вальтц Н.Л., Компаниец Ю.В., Гришкевич Н.Л. Профилактика антибиотико-ассоциированной диареи у детей лактосодержащим пробиотиком. Детские инфекции. 2016, 15(4):37-41. [Molochkova O.V., Kladova O.V., Novokshonov A.A., Walts N.L., Kompaniets Yu.V., Grishkevich N.L. Prevention of antibiotic-associated diarrhea in children with Lactobacillus probio-tic. Detskie Infektsii=Children's infections. 2016, 15 (4): 37-41. (In Russ.)]. DOI: http://dx.doi.org/10.22627/2072-8107-2016-15-4-37-41
6. Масляная кислота и инулин в клинической практике: теоретические аспекты и возможности клинического применения: пособие. Под ред. М.Д. Ардатской. М.: Форте принт, 2014: 64. [Oleic acid and inulin in clinical practice: theoretical aspects and possibilities of clinical use: manual. Ed. M.D. Ardatskaya. M.: Forte print, 2014: 64. (In Russ.)].
7. Захаренко С.М., Пономарев С.В. Заболевания, ассоциированные с Clostridium difficile. Лечение и профилактика. 2012, 3:82—89. [Zakharenko S.M., Ponomarev S.V. The diseases associated with Clostridium difficile. Treatment and prevention. 2012, 3:82—89. (In Russ.)].
8. Ардатская М.Д. Клиническое значение короткоцепочечных жирных кислот при патологии желудочно-кишечного тракта: Автореф. дис. ... дмн. М., 2003:45. [Ardatskaya M.D. Clinical significance of short-chain fatty acids in pathology of the gastrointestinal tract: Abstract of MD Thesis (Medicine). M., 2003: 45. (In Russ.)].
9. Бегиашвили Л.В. Клиническая оценка нарушений метаболической активности микрофлоры кишечника при острых кишечных инфекциях у детей и методы коррекции: Автореф. дисс. ... кмн.
10. Москва, 2010: 24. [Begiashvili L.V. Clinical evaluation of violations of metabolic activity of intestinal microflora in acute intestinal infections in children and correction methods: Abstract of PhD Thesis (Medicine). Moscow, 2010: 24. (In Russ.)]
11. Мазанкова Л.Н., Бегиашвили Л.B., Шапошникова Л.И. Характеристика метаболической активности кишечной микрофлоры и методы пробиотической коррекции при вирусных диареях у детей. Ж. Российский вестник перинатологии и педиатрии. 2009, 54(4):44—48. [Mazankova L.N., Begiashvili L.V., Shaposhnikova L.I. Characteristics of metabolic activity of the enteric microflora and probiotic corrective methods in children with viral diarrhea. J Rossiyskiy Vestnik Perinatologii i Pediatrii=Russian Bulletin of Perinatology and Pediatrics. 2009, 54(4):44—48. (In Russ.)].
12. Ардатская М.Д., Минушкин О.Н. Дисбактериозы кишечника: эволюция взглядов, cовременные принципы диагностики и фармакологической коррекции. Consilium Medicum. Гастроэнтеро-логия. 2006, 2:4—17. [Ardatskaya M.D., Minushkin O.N. Modern principles of diagnosis and pharmacological correction. Consilium Medicum. 2006, 8: 2: 4—17. (In Russ.)]
13. Braegger C., Chmielewska A., Decsi T., Kolacek S., Mihatsch W., Moreno L., Pieścik M., Puntis J., Shamir R., Szajewska H., Turck D., van Goudoever J. Supplementation of infant formula with probiotics and/or prebiotics: a systematic review and comment by the ESPGHAN committee on nutrition. ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2011 Feb; 52(2):238—50. doi:10.1097/MPG.0b013e3181fb9e80. Review. PMID: 21150647
14. WGO. Probiotics and Prebiotics. World Gastroenterology Organization, 2011; http://www. worldgastroenterology. org/assets/ export/userfiles/2012%20 Probiotics_ NEW%20 FINAL_sp. pdf.
15. Новокшонов А.А. Пероральная регидратационная терапия кишечных инфекций у детей, какой раствор выбрать? Детские инфекции. 2015, 2:40—45. [Novokshonov A.A. Oral Rehydration Therapy Intestinal Infections in Children, Which Solution to Choose? Detskie Infektsii=Children's infections. 2015, 2:40—45. (In Russ.)] DOI: http://dx.doi.org/10.22627/2072-8107-2015-14-2-40-45
16. Meloni M. et al. New insights into the mechanism of action of Gela-tine Tanate for Acute diarrhea, protection against bacterial infection. Presented at the GFHGHP Congress, March 2012. Nantes, France.
17. Allegrini A., Costantini M. Gelatine Tannate for the Treatment of Acute Diarrhea in Adults. J Gastroint Dig Syst. 2012, 2: 3.
18. Oi H., Matsuura D., Miyake M., Ueno M., Takai I., et al. Identification in traditional herbal medications and confirmation by synthesis of factors that inhibit cholera toxin-induced fluid accumulation. Proc Natl Acad Sci USA. 2002, 99: 3042—3046.
19. Field M. Intestinal ion transport and the pathophysiology of diarrhea. J Clin Invest . 2003,111: 931—943.
20. Freli V., Moreira da Silva R., Pescio P. New insights into the mechanism of gelatine tannate for acute diarrhoea. Part 1: film forming effect. Abstract 34. Poster presented at the 33rd congress of the francophone group of hepatology, gastroenterology and pediatric nutrician, march 2012. Nantes Frances.
21. De Servi B., Moreira da Silva R., Meloni M. New insights into the mechanism of gelatine tannate for acute diarrhoea. Part 2: protection against bacterial infection. Abstract 35. Poster presented at the 33rd congress of the francophone group of hepatology, gastroenterology and pediatric nutrician, march 2012. Nantes Frances.
22. Mensa L., Marco F., Vila J., Gascdn J., Ruiz J. Quinolone resistance among Shigella spp. isolated from travellers returning from India. Clin Microbiol Infect. 2008, 14:279—281.
23. Frasca G., Cardile V., Puglia C., Bonina C., Bonina F. Gelatin tan-nate reduces the proinflammatory effects of lipopolysaccharide in human intestinal epithelial cells. Clin Exp Gastroenterol. 2012; 5:61—7. doi: 10.2147/CEG.S28792. Epub 2012 May 8.
24. Готтшалк Г. Метаболизм бактерий: изд. Москва «Мир», 1982: 310. [Gottshalk G. Metabolism of bacteria. Ed. Mir, Moscow (1982): 310. (In Russ.)].
Review
For citations:
Mazankova L.N., Korsunsky A.A., Prodeus A.P., Ardatskaya M.D., Perlovskaya S.G. TACTICS OF BIOCENOSIS-SAVING THERAPY BY USE ANTIBIOTICS IN CHILDREN WITH ACUTE INTESTINAL INFECTIONS. CHILDREN INFECTIONS. 2017;16(3):41-49. (In Russ.) https://doi.org/10.22627/2072-8107-2017-16-3-41-49