Objectives: Probiotics are microbial cell preparations or living organisms that have a beneficial effect on the health and well being of the host. Probiotics may offer a safe intervention in acute infectious childhood...Objectives: Probiotics are microbial cell preparations or living organisms that have a beneficial effect on the health and well being of the host. Probiotics may offer a safe intervention in acute infectious childhood diarrhea to reduce the duration and severity of the illness. In many places, probiotics are overused or misused and often given without professional jurisdiction. The present study was designed to analyze prescription patterns of probiotics in rural area of Bangladesh and to assess the effects of probiotics in proven or presumed infectious childhood diarrhea. Material and Methods: This study was conducted at Manikganj district hospital of Bangladesh from October to December 2016 to accumulate data from 430 respondents. The data were collected by taking prescription details from patients or their relatives by face to face interview with them who were willing to respond. Statistical analysis was performed using statistical software package SPSS, version 23. Results: According to current study oral rehydration therapy was found as a cornerstone for treating pediatric diarrhea. In addition, it was observed that average 3.2 drugs prescribed per encounter and more than 26.4% prescriptions contained probiotic products. Approximately 35% probiotics were prescribed by pediatricians. Bacillus and Lactobacillus were found to be the most frequently prescribed probiotic species for treating childhood diarrhea in Bangladesh. Both antibiotics and probiotics were prescribed to one-third of pediatric patients suffering from diarrhea. Only oral solid (63.7%) and oral liquid (36.3%) were prescribed as probiotic products for pediatric patients. Conclusion: It is hoped that the outputs of the present study on probiotics will be used as a science-based assessment tool for managerial decisions on probiotics. This study will help to develop the guidelines and a practical model for the industry to scientifically evaluate probiotics in food. As a national priority, it is expected that these outputs will be useful for the government policy makers to evaluate probiotics on health benefits and the study results can also be used as a scientific tool for the assessment of this new therapeutic option.展开更多
Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be eve...Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be even more critical. However, studies assessing the place of exclusive breast freeing in the prevention of childhood illnesses in our area are scarce. The aim of the study was to identify determinant factors of childhood pneumonia and diarrhoea. An institution based case control study was conducted in Achefer District in July, 2012. The cases were 122 children of 7 - 24 months old who had repeated attack of diarrhoea or pneumonia over three months prior to the survey while controls were 122 children who visited well baby clinic for vaccination. Data were collected by using pre-tested and structured questionnaire, and analysed using SPSS version 16 for windows. Logistic regression was performed, and strength of associations was estimated using odds ratio and 95% confidence interval. About 83% of the controls and only 12.3% of the cases were exclusively breast fed. Children who were exclusively breast fed were 83 times less likely to develop pneumonia or diarrhea than those who were not exclusively fed. Marital status, monthly income, prelacteal feeding, and late initiation of breast feeding were found to have statistically significant association with childhood diarrhea and pneumonia. This study brought local evidence that exclusive breast feeding had a protective effect against common childhood infectious diseases—pneumonia and diarrhoea—in the study area. Therefore, culture sensitive and plausible health education is recommended to strengthen exclusive breast feeding practices in order to decrease mortality and morbidity of infants and children from pneumonia and diarrhoea.展开更多
文摘Objectives: Probiotics are microbial cell preparations or living organisms that have a beneficial effect on the health and well being of the host. Probiotics may offer a safe intervention in acute infectious childhood diarrhea to reduce the duration and severity of the illness. In many places, probiotics are overused or misused and often given without professional jurisdiction. The present study was designed to analyze prescription patterns of probiotics in rural area of Bangladesh and to assess the effects of probiotics in proven or presumed infectious childhood diarrhea. Material and Methods: This study was conducted at Manikganj district hospital of Bangladesh from October to December 2016 to accumulate data from 430 respondents. The data were collected by taking prescription details from patients or their relatives by face to face interview with them who were willing to respond. Statistical analysis was performed using statistical software package SPSS, version 23. Results: According to current study oral rehydration therapy was found as a cornerstone for treating pediatric diarrhea. In addition, it was observed that average 3.2 drugs prescribed per encounter and more than 26.4% prescriptions contained probiotic products. Approximately 35% probiotics were prescribed by pediatricians. Bacillus and Lactobacillus were found to be the most frequently prescribed probiotic species for treating childhood diarrhea in Bangladesh. Both antibiotics and probiotics were prescribed to one-third of pediatric patients suffering from diarrhea. Only oral solid (63.7%) and oral liquid (36.3%) were prescribed as probiotic products for pediatric patients. Conclusion: It is hoped that the outputs of the present study on probiotics will be used as a science-based assessment tool for managerial decisions on probiotics. This study will help to develop the guidelines and a practical model for the industry to scientifically evaluate probiotics in food. As a national priority, it is expected that these outputs will be useful for the government policy makers to evaluate probiotics on health benefits and the study results can also be used as a scientific tool for the assessment of this new therapeutic option.
文摘Studies showed that exclusive breast feeding reduced infant morbidity and mortality. In low income countries such as Ethiopia where under-five mortality is very high, the role of exclusively breastfeeding could be even more critical. However, studies assessing the place of exclusive breast freeing in the prevention of childhood illnesses in our area are scarce. The aim of the study was to identify determinant factors of childhood pneumonia and diarrhoea. An institution based case control study was conducted in Achefer District in July, 2012. The cases were 122 children of 7 - 24 months old who had repeated attack of diarrhoea or pneumonia over three months prior to the survey while controls were 122 children who visited well baby clinic for vaccination. Data were collected by using pre-tested and structured questionnaire, and analysed using SPSS version 16 for windows. Logistic regression was performed, and strength of associations was estimated using odds ratio and 95% confidence interval. About 83% of the controls and only 12.3% of the cases were exclusively breast fed. Children who were exclusively breast fed were 83 times less likely to develop pneumonia or diarrhea than those who were not exclusively fed. Marital status, monthly income, prelacteal feeding, and late initiation of breast feeding were found to have statistically significant association with childhood diarrhea and pneumonia. This study brought local evidence that exclusive breast feeding had a protective effect against common childhood infectious diseases—pneumonia and diarrhoea—in the study area. Therefore, culture sensitive and plausible health education is recommended to strengthen exclusive breast feeding practices in order to decrease mortality and morbidity of infants and children from pneumonia and diarrhoea.
