Probiotics Not Warranted for Seniors Taking Antibiotics: Study08/08/13
THURSDAY, Aug. 8 (HealthDay News) -- Giving probiotics to older
adults who are prescribed antibiotics does not reduce their risk of
diarrhea, a new study finds.
Diarrhea is a common and sometimes life-threatening side effect
of antibiotics in elderly patients. Some previous research has
suggested that giving these patients probiotic supplements might
lower the risk of diarrhea, and the practice has become routine in
This study included nearly 3,000 hospital patients, aged 65 and
older, in Great Britain who had been prescribed one or more
antibiotics. About half of the patients took one probiotic capsule
a day for 21 days, while the other patients took a placebo.
Both groups of patients had similar rates of diarrhea (about one
in 10), and its frequency and severity were similar in both groups,
according to the study, which was published Aug. 7 in the journal
It is believed that antibiotics can cause diarrhea by depleting
the normal population of "friendly bacteria" in the digestive
system. The use of probiotic supplementation is meant to restore
this population of friendly bacteria.
The study authors also noted that a harmful bacteria called
Clostridium difficilecan cause severe diarrhea and that
previous research has suggested that probiotic treatment may reduce
But the researchers analyzed stool samples from about half of
the patients who experienced diarrhea and found similar levels of
C. difficilein those who did and did not take the probiotic
Study leader Stephen Allen, of Swansea University in Wales, said
the previous studies were small and gave inconsistent results.
"Our study is by far the largest trial so far to assess the effects on [antibiotic-associated diarrhea] of so-called probiotics -- which might better be termed microbial preparations, given the uncertainty over whether they are indeed beneficial to health -- and the results do not support the use of these preparations to reduce rates of [antibiotic-associated diarrhea] in older inpatients," he said in a journal news release.
At the very least, these findings question the
cost-effectiveness of giving probiotic supplements to elderly
patients who are prescribed antibiotics, Dr. Nick Daneman, of the
Sunnybrook Health Sciences Center at the University of Toronto,
wrote in an accompanying editorial.
Daneman added that this was a "large and rigorous negative
study, and we must judge whether it can tip the balance of
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