Probiotics - Role In Medicine
Journal Title: The Indian Practitioner - Year 2014, Vol 67, Issue 11
Abstract
Probiotics are nonpathogenic microbes used to confer health benefits to the recipient. The derangement of normal body flora has been held responsible for causation of various disorders. Probiotics have been tried in a number of infective and noninfective disorders and found useful, primarily because of their ability to supplement the normal body flora. Their use offers various advantages over existing antimicrobial agents in being relatively cheap and safe. Various bacterial genera most commonly used in probiotic preparations are Lactobacillus, Bifidobacterium, Escherichia, Enterococcus, Bacillus and Streptococcus. Some fungal strains belonging to Saccharomyces have also been used. Probiotics have been shown to be effective in varied clinical conditions ranging from antibiotic-associated diarrhoea, infantile diarrhoea, necrotising enterocolitis, relapsing Clostridium difficile colitis, Helicobacter pylori infections, inflammatory bowel disease to cancer, female uro-genital infection and surgical infections. Lactobacillus rhamnosus strain GG has proven beneficial effects on intestinal immunity. It increases the number of IgA and other immunoglobulins secreting cells in the intestinal mucosa. It also stimulates local release of interferons. However, there are few reports of systemic fungaemia associated with their use especially, in immunocompromised and severely debilitated patients. They also carry a risk of transferring resistance to other microbes including pathogens. Probiotics are live microorganisms, so it is possible that they may result in infection in the host. The risk and morbidity of sepsis due to probiotic bacteria should be weighed against the potential for sepsis due to more pathological bacteria and the morbidity of diseases for which probiotic bacteria are being used as therapeutic agents. In conclusion, more studies are required to establish their definite place in therapeutics. This review is an attempt to discuss briefly the role of probiotics in medicine.
Authors and Affiliations
K Kandle, S Kandle, R Kandle, V Jahagirdar
Adolescents Reproductive Health Dilemmas and Doubts
Adolescents, especially in India, quite often are not aware of reproductive health, possible deviations related to their reproductive health, and available health care. Awareness can help in preventing many disorders whi...
Unusual case of simultaneous anterolateral infarction of medulla bilaterally
Stroke in the young has a varied etiology - commonly cardiac, haematological and vasculitic. Additionally, cryptogenic strokes contribute to this pool. Here we report a very unusual case of simultaneous infarction of ant...
Recurrent Episode of Priapism due to Quetiapine in a Bipolar Patient
Priapism is a rare side effect of anti-psychotics. Both typical and atypical anti-psychotics can cause priapism. Priapism means persistent and most of the times painful penile erection not associated with sexual stimulat...
Study of Prevalence of Low Bone Mineral Density among Urban Population and its relationship with Body Mass Index
Background: Osteoporosis among people living in urban areas has become one of the major public health problems due to changes in lifestyle. Individuals with osteoporosis are at high risk of suffering from fractures. Purp...
Ewing’s Sarcoma – A Case Report
Ewing (1856-1943) first described, the tumour, establishing that the disease was separate from lymphoma and other types of cancers known at that time. It occurs most frequently in teenagers and young adults with a male f...