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Question clinique
Is probiotic supplementation effective in decreasing crying in infants with colic?
L’Essentiel
The treatment of breastfed colicky infants with a specific probiotic — Bifidobacterium animalis subsp. lactis — significantly decreased crying duration and episodes. The probiotic decreased the daily crying duration by at least half in 80% of infants (number needed to treat = 2). Other studies have not consistently shown benefit , and this is a small study, but it may be that the particular probiotic matters. If you recommend a probiotic to parents at their wits' end, have them read the labels to find this specific one. 1b-
Référence
Plan de l'etude: Randomized controlled trial (double-blinded)
Financement: Industry
Cadre: Outpatient (primary care)
Sommaire
These researchers worked with community pediatricians to identify breastfed infants younger than 8 weeks with reported colic for at least 1 week, consisting of crying or irritability without obvious cause for at least 3 hours a day for at least 3 days per week. Identified infants were followed up for 1 week before the intervention started to confirm the diagnosis. Then, 80 infants were randomized, using concealed allocation, to receive placebo or supplementation with the probiotic Bifidobacterium animalis subsp. lactis (Bifidolactis Infant) each morning, by mouth, for 28 days. Parents kept a diary and patients were evaluated weekly by a pediatrician. Follow-up was 100% in both groups and analysis was by intention to treat. The primary outcome, a reduction of 50% or more of average daily crying duration after 28 days of intervention, occurred in 80% of the treated infants as compared with 33% of the untreated children (P < .0001) and began with the first week of treatment. In addition, the average minutes of crying per day, the number of crying episodes, and the number of daily stools was lower with treatment.
Reviewer
Allen F. Shaughnessy, PharmD, MMedEd
Professor of Family Medicine
Tufts University
Boston, MA
Commentaires
Clinical translation
which brands of infant probiotics carry this specific species? What do I tell my patients to buy?
Good Start Baby Probiotic Drops
I looked it up and it appears the Goodstart and Jamieson brand of probiotic infant drops contain this specific good bacteria. Biogaia does not.
Thank you!
Thank you!
This may be the greatest POEM yet.
Obviously a small study, but if the results pan out, this is a great relief for a lot of worn-out parents.