Kinder- und Jugendmedizin 2004; 4(06): 210-214
DOI: 10.1055/s-0037-1617836
Gastroenterologie
Schattauer GmbH

Probiotika in der Pädiatrie heute

Probiotics in paediatrics today
Markus Rose
1   Zentrum für Kinderheilkunde und Jugendmedizin der Johann Wolfgang Goethe- Universität, Frankfurt/Main (Direktor: Prof. Dr. med. H. J. Böhles)
,
Richard Kitz
1   Zentrum für Kinderheilkunde und Jugendmedizin der Johann Wolfgang Goethe- Universität, Frankfurt/Main (Direktor: Prof. Dr. med. H. J. Böhles)
,
Franziska Stieglitz
1   Zentrum für Kinderheilkunde und Jugendmedizin der Johann Wolfgang Goethe- Universität, Frankfurt/Main (Direktor: Prof. Dr. med. H. J. Böhles)
,
Stefan Zielen
1   Zentrum für Kinderheilkunde und Jugendmedizin der Johann Wolfgang Goethe- Universität, Frankfurt/Main (Direktor: Prof. Dr. med. H. J. Böhles)
› Author Affiliations
Further Information

Publication History

Publication Date:
10 January 2018 (online)

Zusammenfassung

Eine normale mikrobielle Besiedlung des Darmes ist von zentraler Bedeutung für immunphysiologische Regulationsmechanismen unseres Organismus bis hin zur allergischen Sensibilisierung wie auch Manifestation atopischer Erkrankungen. Die stabilisierende Wirkung probiotischer Mikroorganismen auf die Darmflora und die Regulation der Immunantwort auf spezifische Antigene bilden die Grundlage für erfolgreiche klinische Versuche, atopischen Erkrankungen durch die Gabe von probiotischen Mikroorganismen entgegen zu wirken. Eine probiotische Prävention und Therapie kindlicher infektiöser Durchfallerkrankungen ist nach Kriterien der evidenzbasierten Medizin zu empfehlen.

Summary

A normal gut flora is essential for the regulation of our immune system, affecting also allergic sensitisation and the origin of atopic diseases. The stabilizing effect of probiotic microorganisms on the gut flora and the regulation of an immune response upon specific antigens are the basis for successful clinical trials on the way to a primary prevention of atopic diseases. A probiotic prevention and therapy of paediatric infectious diarrhoeal diseases can be recommended in accordance with criteria of evidence based medicine.

 
  • Literatur

  • 1 Farina C, Arosio M, Mangia M, Moioli F. Lactobacillus casei subsp. Rhamnosus sepsis in a patient with ulcerative colitis. J Clin Gastroenterol 2001; 33 (03) 251-2.
  • 2 Gorbach SL. Probiotics and gastrointestinal health. Am J Gastroenterol 2000; 95: S2-4.
  • 3 Guandalini S, Pensabene L, Zikri MA. et al. Lactobacillus GG administered in oral rehydration solution to children with acute diarrhea: a multicenter European trial. J Pediatr Gastroenterol Nutr 2001; 30: 54-60.
  • 4 Hattaka K, Savilahti E, Pönkä A, Meurman JH, Poussa Korpela R. Effect of long term consumption of probiotic milk on infections in children attending day care centres: double blind randomised trial. BMJ 2001; 322: 1327-9.
  • 5 Helin T, Haahtela S, Haahtela T. No effect of oral treatment with an intestinal strain, Lactobacillus rhamnosus (ATCC 53103), on birchpollen allergy: a placebo-controlled doubleblind study. Allergy 2002; 57: 243-6.
  • 6 Isolauri E, Juntunen M, Rautanen T, Sillanaukee P, Koivula T. A human Lactobacillus strain (Lactobacillus Casei sp GG) promotes recovery from acute diarrhea in children. Pediatrics 1991; 88: 90-7.
  • 7 Isolauri E, Majamaa H, Arvola T, Rantala I, Virtanen E, Arvilommi H. Lactobacillus casei strain GG reverse increased intestinal permeability induced by cow milk in suckling rats. Gastroenterol 1993; 105: 1643-50.
  • 8 Isolauri E, Arvola T, Sütas Y, Moilanen E, Salminen S. Probiotics in the management of atopic eczema. Clin Exp Allergy 2000; 30: 1604-10.
  • 9 Isolauri E, Rautava S, Kalliomäki M, Kirjavainen P, Salminen S. Role of probiotics in food hypersensitivity. Curr Opin Allergy Clin Immunol 2002; 2: 263-71.
  • 10 Kaila M, Isolauri E, Soppi E. et al. Enhancement of the circulation antibody secreting cell response in human diarrhea by a human lactobacillus strain. Pediatr Res 1992; 32: 141-44.
  • 11 Kalliomäki M, Kirjavainen P, Eerola E, Isolauri E. Distinct patterns of neonatal gut microflora in infants in whom atopy was and was not developing. J. Allergy Clin Immunol 2001; 107: 129-34.
  • 12 Kalliomäki M, Salminen S, Arvilommi H, Kero P, Koskinen P, Isolauri E. Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial. Lancet 2001; 357: 1076-9.
  • 13 Kalliomäki M, Salminen S, Poussa T, Arvilommi H, Isolauri E. Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebo-controlled trial. Lancet 2003; 361: 1869-71.
  • 14 Korpela R, Peuhkuri K, Lähteenmäki T, Sievi E. et al. Lactobacillus rhamnosus GG shows antioxidative properties in vascular endothelial cell culture. Milchwissenschaft 1997; 52: 503-5.
  • 15 Majamaa H, Isolauri E. Probiotics: A novel approach in the management of food allergy. J Allergy Clin Immunol 1997; 99: 179-85.
  • 16 Majcher-Peszynska M, Heine W, Richter I, Eggers G, Mohr C. Persistierende Lactobacillus casei subsp Rhamnosus-Bakteriämie bei einer 14-jährigen Patientin mit akuter myeloischer Leukämie. Klin Pädiatr 1999; 211: 53-6.
  • 17 Mechnikov I. The prolongation of life. London: Heinemann; 1907
  • 18 Niel CW van. et al. Lactobacillus therapy for acute infectious diarrhea in children: a metaanalysis. Pediatr 2002; 109: 678-84.
  • 19 Rautanen T, Isolauri E, Vesikari T. Management of acute diarrhea with low osmolarity oral rehydration solutions and Lactobacillus strain GG. Arch Dis Childhood 1998; 79: 157-60.
  • 20 Rautava S, Kalliomäki M, Isolauri E. Probiotics during pregnancy and breastfeeding might confer immunomodulatory protection against atopic disease in the infant. J Allergy Clin Immunol 2002; 109: 119-21.
  • 21 Rautio M, Jousimies-Somer H, Kauma H, Pietarinen I. et al. Liver abscess due to a Lactobacillus rhamnosus strain indistinguishable from L rhamnosus strain GG. Clin Infect Dis 1999; 28 (05) 1159-60.
  • 22 Schrezenenmeir J, deVrese M. Probiotics, prebiotics, and symbiotics – approaching a definition. Am J Clin Nutr 2001; 73: 361S-64S.
  • 23 Shornikova AV, Isolauri E, Burkanova L. et al. A trial in the Karelian Republic of oral rehydration and Lactobacillus GG for treatment of acute diarrhea. Acta Paediatr 1997; 86: 460-65.
  • 24 Silva M, Jacobus NV, Deneke C, Gorbach SL. Antimicrobial substances from a human lactobacillus strain. Antimicrob Agents Chemother 1987; 31 (08) 1231-33.
  • 25 Sutas Y, Hurme M, Isolauri E. Down-regulation of anti-CD3 antibody-induced IL-4 production by bovine caseins hydrolysed with Lactobacillus GG-derived enzymes. Scand J Immunol 1996; Jun 43 (06) 687-9.
  • 26 Szajewska H, Kotowska M, Mrukowicz JZ, Armanska M, Mikolajczyk W. Efficacy of Lactobacillus GG in prevention of nosocomial diarrhea in infants. J Pediatr 2001; 138: 361-5.
  • 27 Wagner RD, Pierson C, Warner T, Farmer J, Balish E. Biotherapeutic effects of probiotic bacteria on candidiasis in immunodeficient mice. Infect Immun 1997; 65: 4165-72.
  • 28 Wheeler JG, Shema S, Bogle ML, Shirrell MA, Burks AW, Pittler A, Helm RM. Immune and clinical impact of Lactobacillus acidophilus on asthma. Ann Allergy Immunol 1997; 79: 229-33.