The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric Study

Objective: Probiotics have been researched extensively over the past few years for the prevention and treatment of diarrhea in pediatric populations. In the present study, the efficacy and safety of probiotic <italic>Bacillus subtilis</italic> HU58 and probiotic <italic>Bacillus co...

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Main Authors: Ashish Ramchandra Dhongade, Sanjay Sudhakar Joshi, Suhas Venkatesh Kulkarni, Shashank S Jadhav, Neeta Nargundkar, Deepak Deshmukh, Anirudh Dilip Mehta
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2022-08-01
Series:Pediatric Infectious Disease
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Online Access:https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1370
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author Ashish Ramchandra Dhongade
Sanjay Sudhakar Joshi
Suhas Venkatesh Kulkarni
Shashank S Jadhav
Neeta Nargundkar
Deepak Deshmukh
Anirudh Dilip Mehta
author_facet Ashish Ramchandra Dhongade
Sanjay Sudhakar Joshi
Suhas Venkatesh Kulkarni
Shashank S Jadhav
Neeta Nargundkar
Deepak Deshmukh
Anirudh Dilip Mehta
author_sort Ashish Ramchandra Dhongade
collection DOAJ
description Objective: Probiotics have been researched extensively over the past few years for the prevention and treatment of diarrhea in pediatric populations. In the present study, the efficacy and safety of probiotic <italic>Bacillus subtilis</italic> HU58 and probiotic <italic>Bacillus coagulans</italic> SC208 in combination were evaluated in children for the treatment of acute diarrhea. Materials and Methods: In this randomized, double-blind, parallel, placebo-controlled trial, 64 children with average age of 4.18 ± 3.0 years (mean ± standard deviation), out of which 32 children with antibiotic-associated diarrhea (AAD) and 32 children with acute infective diarrhea randomly received either syrup containing <italic>B. subtilis</italic> HU58 and <italic>B. coagulans</italic> SC208 probiotics or placebo syrup daily for a period of 7 days. Stool consistency, duration of diarrhea in days, and abdominal pain intensity during the treatment period, were assessed daily in all subjects for the improvement in clinical signs and symptoms. Also, an assessment of adverse events was done from the screening visit to the end of study visit. Result: A total of 32 subjects were screened and randomized in both cohort 1 and cohort 2. At the end of the study, that is, on day 7, <italic>B. subtilis</italic> HU58 + <italic>B. coagulans</italic> SC208 syrup-treated subjects in both cohorts showed significant improvement in stool consistency and duration of diarrhea over placebo syrup. No adverse events were observed in the study of both cohorts. Conclusion: This study’s results conclude that <italic>B. subtilis</italic> HU58 and <italic>B. coagulans</italic> SC208 syrup improved the recovery and reduced the course of acute infectious diarrhea and AAD in children, with no reported adverse effects.
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spelling doaj-art-a47e044fd3ae431a984af4eeca0363142025-08-20T03:18:20ZengJaypee Brothers Medical PublisherPediatric Infectious Disease2582-49882022-08-0143869110.5005/jp-journals-10081-13702The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric StudyAshish Ramchandra Dhongade0Sanjay Sudhakar Joshi1Suhas Venkatesh Kulkarni2Shashank S Jadhav3Neeta Nargundkar4Deepak Deshmukh5Anirudh Dilip Mehta6Department of Pediatrics, Sant Dnyaneshwar Medical Education and Research Centre, Pune, Maharashtra, IndiaDepartment of Pediatrics, JMFS ACPM Medical College and Hospital, Dhule, Maharashtra, IndiaDepartment of Pediatrics, Chiranjeevi Hospital, Thane, Maharashtra, IndiaShashank S Jadhav, Synergia Life Sciences Pvt. Ltd., Mumbai, Maharashtra, India, Phone: +9122 6266 9600Biosphere Clinical Research Pvt. Ltd., Thane, Maharashtra, IndiaBiosphere Clinical Research Pvt. Ltd., Thane, Maharashtra, IndiaSynergia Life Sciences Pvt. Ltd., Mumbai, Maharashtra, IndiaObjective: Probiotics have been researched extensively over the past few years for the prevention and treatment of diarrhea in pediatric populations. In the present study, the efficacy and safety of probiotic <italic>Bacillus subtilis</italic> HU58 and probiotic <italic>Bacillus coagulans</italic> SC208 in combination were evaluated in children for the treatment of acute diarrhea. Materials and Methods: In this randomized, double-blind, parallel, placebo-controlled trial, 64 children with average age of 4.18 ± 3.0 years (mean ± standard deviation), out of which 32 children with antibiotic-associated diarrhea (AAD) and 32 children with acute infective diarrhea randomly received either syrup containing <italic>B. subtilis</italic> HU58 and <italic>B. coagulans</italic> SC208 probiotics or placebo syrup daily for a period of 7 days. Stool consistency, duration of diarrhea in days, and abdominal pain intensity during the treatment period, were assessed daily in all subjects for the improvement in clinical signs and symptoms. Also, an assessment of adverse events was done from the screening visit to the end of study visit. Result: A total of 32 subjects were screened and randomized in both cohort 1 and cohort 2. At the end of the study, that is, on day 7, <italic>B. subtilis</italic> HU58 + <italic>B. coagulans</italic> SC208 syrup-treated subjects in both cohorts showed significant improvement in stool consistency and duration of diarrhea over placebo syrup. No adverse events were observed in the study of both cohorts. Conclusion: This study’s results conclude that <italic>B. subtilis</italic> HU58 and <italic>B. coagulans</italic> SC208 syrup improved the recovery and reduced the course of acute infectious diarrhea and AAD in children, with no reported adverse effects.https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1370acute infective diarrheaantibiotic-associated diarrheabacillus coagulans sc208bacillus subtilis hu58bristol stool scale
spellingShingle Ashish Ramchandra Dhongade
Sanjay Sudhakar Joshi
Suhas Venkatesh Kulkarni
Shashank S Jadhav
Neeta Nargundkar
Deepak Deshmukh
Anirudh Dilip Mehta
The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric Study
Pediatric Infectious Disease
acute infective diarrhea
antibiotic-associated diarrhea
bacillus coagulans sc208
bacillus subtilis hu58
bristol stool scale
title The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric Study
title_full The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric Study
title_fullStr The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric Study
title_full_unstemmed The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric Study
title_short The Efficacy and Safety of a <italic>Bacillus</italic> Probiotic Combination for the Treatment of Acute Diarrhea in Children: A Double-blind, Randomized, Placebo-controlled Multicentric Study
title_sort efficacy and safety of a italic bacillus italic probiotic combination for the treatment of acute diarrhea in children a double blind randomized placebo controlled multicentric study
topic acute infective diarrhea
antibiotic-associated diarrhea
bacillus coagulans sc208
bacillus subtilis hu58
bristol stool scale
url https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1370
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