Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jul 25;46(1):104.
doi: 10.1186/s13052-020-00862-z.

Probiotics' efficacy in paediatric diseases: which is the evidence? A critical review on behalf of the Italian Society of Pediatrics

Affiliations
Review

Probiotics' efficacy in paediatric diseases: which is the evidence? A critical review on behalf of the Italian Society of Pediatrics

Massimo Martinelli et al. Ital J Pediatr. .

Erratum in

Abstract

During the last decade several paediatric studies have been published with different possible indications for probiotics, leading to a global increase of probiotics' market. Nevertheless, different study designs, multiple single/combined strains and small sample size still leave many uncertainties regarding their efficacy. In addition, different regulatory and quality control issues make still very difficult the interpretation of the clinical data. The objective of this review is to critically summarise the current evidence on probiotics' efficacy and safety on a different number of pathologies, including necrotizing enterocolitis, acute infectious diarrhoea, allergic diseases and functional gastrointestinal disorders in order to guide paediatric healthcare professionals on using evidence-based probiotics' strains. To identify relevant data, literature searches were performed including Medline-PubMed, the Cochrane Library and EMBASE databases. Considering probiotics strain-specific effects, the main focus was on individual probiotic strains and not on probiotics in general.

Keywords: Acute infectious diarrhoea; Allergy; Functional gastrointestinal disorders; Necrotizing enterocolitis; Paediatrics; Probiotics.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest with regards to this manuscript.

References

    1. Hill C, Guarner F, Reid G, Gibson GR, et al. Expert consensus document. The international scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol. 2014;11:506–514. - PubMed
    1. Food and Agricultural Organization of the United Nations and World Health Organization. Health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria: World Health Organization; 2001. http://www.who.int/foodsafety/publications/fs_management/en/probiotics.pdf.
    1. Bertazzoni E, Donelli G, Midtvedt T, Nicoli J, Sanz Y. Probiotics and clinical effects: is the number what counts? J Chemother. 2013;25:193–212. - PubMed
    1. Health Canada. Accepted claims about nature of probiotic microorganisms in food. Health Canada. http://www.inspection.gc.ca/food/%20labelling/food-labelling-for-industr....
    1. Federal Regulation of Probiotics: An Analysis of the. Existing Regulatory Framework and Recommendations for. Alternative Frameworks. NIH Grant Number:5R01HG00517102;2016.http://www.law.umaryland.edu/ProbioticsWhitePaper.

LinkOut - more resources