Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian Federation
Aim: to optimize the provision of medical care to patients with small intestinal bacterial overgrowth (SIBO) in the Southern Federal District based on clarification of data on the epidemiology of the syndrome (disease), unification of approaches to diagnostics and treatment.Materials and methods. We...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2025-02-01
|
| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/948 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823860033746632704 |
|---|---|
| author | N. V. Korochanskaya I. L. Kliaritskaya S. N. Serikova A. V. Tkachev M. V. Koroleva M. A. Basenko |
| author_facet | N. V. Korochanskaya I. L. Kliaritskaya S. N. Serikova A. V. Tkachev M. V. Koroleva M. A. Basenko |
| author_sort | N. V. Korochanskaya |
| collection | DOAJ |
| description | Aim: to optimize the provision of medical care to patients with small intestinal bacterial overgrowth (SIBO) in the Southern Federal District based on clarification of data on the epidemiology of the syndrome (disease), unification of approaches to diagnostics and treatment.Materials and methods. We analysed the questionnaires sent to the main gastroenterologists of the federal subjects included in the Southern Federal District, which contained questions in epidemiology, diagnostics and treatment SIBO in different districts.Results. A survey of chief gastroenterologists of the Southern Federal District has demonstrated that there is no accurate data on the prevalence of SIBO in the Southern Federal District. Verification of the diagnosis in all regions is carried out using various modifications of the breath test. Most often, SIBO is suspected and patients with functional gastrointestinal diseases (32.4 %) and diverticular disease (36.5 %) are sent for a breath test. In the group of people with a predominance of hydrogen-producing microbiota, there are fewer men than women (30.8 % vs. 69.2 %), in the group with a predominance of methane-producing microflora, the ratio of men and women was 27.4 % vs. 72.6 %, and in the group with a predominance of hydrogen- and methane-producing microbiota, this ratio was 16.6 % vs. 83.4 %, respectively.Antibacterial therapy after confirmation of the diagnosis is carried out in accordance with national clinical guidelines; probiotics, mainly Saccharomyces boulardii, are prescribed to prevent antibiotic-associated diarrhea.Conclusions. The widespread introduction of various versions of the breath test into the work of healthcare institutions will make it possible to overcome diagnostic difficulties in relation to verification of this diagnosis, substantiate and individualize the approach to prescribing antibacterial and probiotic therapy. |
| format | Article |
| id | doaj-art-29e170b237354d0f9138518bad907775 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2025-02-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-29e170b237354d0f9138518bad9077752025-02-10T16:14:40ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732025-02-01346424810.22416/1382-4376-2024-34-6-42-481143Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian FederationN. V. Korochanskaya0I. L. Kliaritskaya1S. N. Serikova2A. V. Tkachev3M. V. Koroleva4M. A. Basenko5Kuban State Medical University; Regional Clinical Hospital No. 2S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal UniversityKuban State Medical University; Regional Clinical Hospital No. 2Rostov State Medical UniversityCity Clinical Hospital of Emergency Medical Care No. 25Kuban State Medical University.Aim: to optimize the provision of medical care to patients with small intestinal bacterial overgrowth (SIBO) in the Southern Federal District based on clarification of data on the epidemiology of the syndrome (disease), unification of approaches to diagnostics and treatment.Materials and methods. We analysed the questionnaires sent to the main gastroenterologists of the federal subjects included in the Southern Federal District, which contained questions in epidemiology, diagnostics and treatment SIBO in different districts.Results. A survey of chief gastroenterologists of the Southern Federal District has demonstrated that there is no accurate data on the prevalence of SIBO in the Southern Federal District. Verification of the diagnosis in all regions is carried out using various modifications of the breath test. Most often, SIBO is suspected and patients with functional gastrointestinal diseases (32.4 %) and diverticular disease (36.5 %) are sent for a breath test. In the group of people with a predominance of hydrogen-producing microbiota, there are fewer men than women (30.8 % vs. 69.2 %), in the group with a predominance of methane-producing microflora, the ratio of men and women was 27.4 % vs. 72.6 %, and in the group with a predominance of hydrogen- and methane-producing microbiota, this ratio was 16.6 % vs. 83.4 %, respectively.Antibacterial therapy after confirmation of the diagnosis is carried out in accordance with national clinical guidelines; probiotics, mainly Saccharomyces boulardii, are prescribed to prevent antibiotic-associated diarrhea.Conclusions. The widespread introduction of various versions of the breath test into the work of healthcare institutions will make it possible to overcome diagnostic difficulties in relation to verification of this diagnosis, substantiate and individualize the approach to prescribing antibacterial and probiotic therapy.https://www.gastro-j.ru/jour/article/view/948small intestinal bacterial overgrowthprevalencebreath testetiological treatment |
| spellingShingle | N. V. Korochanskaya I. L. Kliaritskaya S. N. Serikova A. V. Tkachev M. V. Koroleva M. A. Basenko Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian Federation Российский журнал гастроэнтерологии, гепатологии, колопроктологии small intestinal bacterial overgrowth prevalence breath test etiological treatment |
| title | Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian Federation |
| title_full | Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian Federation |
| title_fullStr | Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian Federation |
| title_full_unstemmed | Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian Federation |
| title_short | Prevalence, Diagnostics and Treatment of Small Intestinal Bacterial Overgrowth in the Clinical Practice in Southern Federal District of the Russian Federation |
| title_sort | prevalence diagnostics and treatment of small intestinal bacterial overgrowth in the clinical practice in southern federal district of the russian federation |
| topic | small intestinal bacterial overgrowth prevalence breath test etiological treatment |
| url | https://www.gastro-j.ru/jour/article/view/948 |
| work_keys_str_mv | AT nvkorochanskaya prevalencediagnosticsandtreatmentofsmallintestinalbacterialovergrowthintheclinicalpracticeinsouthernfederaldistrictoftherussianfederation AT ilkliaritskaya prevalencediagnosticsandtreatmentofsmallintestinalbacterialovergrowthintheclinicalpracticeinsouthernfederaldistrictoftherussianfederation AT snserikova prevalencediagnosticsandtreatmentofsmallintestinalbacterialovergrowthintheclinicalpracticeinsouthernfederaldistrictoftherussianfederation AT avtkachev prevalencediagnosticsandtreatmentofsmallintestinalbacterialovergrowthintheclinicalpracticeinsouthernfederaldistrictoftherussianfederation AT mvkoroleva prevalencediagnosticsandtreatmentofsmallintestinalbacterialovergrowthintheclinicalpracticeinsouthernfederaldistrictoftherussianfederation AT mabasenko prevalencediagnosticsandtreatmentofsmallintestinalbacterialovergrowthintheclinicalpracticeinsouthernfederaldistrictoftherussianfederation |