PT  - JOURNAL ARTICLE
AU  - Mustafa Akcam
AU  - Tugba Koca
AU  - Hakan Salman
AU  - Nermin Karahan
TI  - The effects of probiotics on treatment of <em>Helicobacter pylori</em> eradication in children
AID  - 10.15537/smj.2015.3.10124
DP  - 2015 Mar 01
TA  - Saudi Medical Journal
PG  - 286--290
VI  - 36
IP  - 3
4099  - http://smj.org.sa/content/36/3/286.short
4100  - http://smj.org.sa/content/36/3/286.full
SO  - Saudi Med J2015 Mar 01; 36
AB  - Objectives: To investigate the eradication rates and side effects of probiotics added in standard triple therapy for the treatment of Helicobacter pylori (H. pylori).Methods: A prospective open study was performed in the outpatient clinics of the Department of Pediatric Gastroenterology, School of Medicine, Suleyman Demirel University, Isparta, Turkey between March 2012 and May 2013. Sixty-one symptomatic children (range 7-18 years) with H. pylori infection were randomized to 2 groups: group 1 received standard triple therapy (lansoprazole, amoxicillin, and clarithromycin for 14 days), group 2 received the standard triple therapy plus probiotics (Lactobacillus casei, Lactobacillus acidophilus, and Bifidobacterium lactis). Side effects of the drugs were recorded. The 14C-urea breath test was performed for 6 weeks after discontinuation of the therapy.Results: Helicobacter pylori infection was detected in 61 of 95 (64.2%) children. Fifty-six patients (38 girls and 18 boys) completed the study. Their mean age was 13.9 ± 2.7 years. Helicobacter pylori eradication rate was 68.9% in group 1, and 66.6% in group 2 (p=0.78). No statistically significant difference was observed between the 2 groups in terms of side effects.Conclusion: We found no evidence in terms of eradication of H. pylori, or impact on adverse effects obtained after the addition of probiotics to standard treatment. Larger randomized controlled investigations are needed to clearly understand the effects of probiotics on H. pylori eradication.