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Probiotic For Critical Ill
Probiotic For Critical Ill
Twww.ECCC-Dubai.com
reg = Regulatory T cell
TGF b = Transforming growth factor beta
SCFA = short chain fatty acid
Role of Probiotics in ICU,
Pros and Cons - Function
Probiotic influence on different immune functions
L. Rhamnosus HN001
Increased NK cell activity B. lactis HN109
L. casei subsp. casei + dextran
• B. bifidum
• L. acidophilus (johnsonii)
Stimulation of IgA production • La1L. casei rhamnosus GG
• B. lactis Bb12
Concluded
The use of probiotic or synbiotic preparations in critically ill pts continues to be
controversial
However,
publications reporting
No / -ve effects of probiotics in critical ill pts <
+ve effects
Role of Probiotics in
ICU, Pros and Cons
Role of Probiotics in ICU, Pros
and Cons – New & In progress
CONCLUSION:
Administration of probiotics to alter
early oropharyngeal cavity infestation with
PPM in adult trauma ICU pt.s ,
appears to be non-efficacious
The gut-brain axis: interactions between enteric
microbiota, central and enteric nervous systems
Annals of Gastroenterology (2015) 28, 1-7
Marilia Carabottia, Annunziata Sciroccoa, Maria Antonietta Masellib, Carola Severia
University Sapienza, Rome; S. De Bellis, Castellana Grotte, Bari, Italy
When rigorously evaluated, probiotics may have salutary effects decreasing nosocomial
infections as prior RCTs suggest.
Role of Probiotics in ICU, Pros
and Cons - New & In progress
+ Suction ETT
+ IHI* Bundle with oral care
+ Probiotics
Optimal doses
Duration of treatment