Use of a probiotic mixture containing Bifidobacterium animalis subsp. lactis BB-12 and Enterococcus faecium L3 as prophylaxis to reduce the incidence of acute gastroenteritis and upper respiratory tract infections in children

Minerva Pediatr (Torino). 2021 Jun;73(3):222-229. doi: 10.23736/S2724-5276.20.05925-3. Epub 2020 Jun 4.

Abstract

Background: For healthy children, attending communities such as nurseries, kindergartens or schools, exposes them to the risk of acute gastroenteritis (AGE) and/or upper respiratory tract infections (URTIs). We therefore evaluated whether the use of a well-documented probiotic formula could act as prophylaxis for AGE and URTIs, reducing the risk of occurrence.

Methods: In a randomized study, we tested a probiotic mixture containing Bifidobacterium animalis subspecies lactis BB-12 and Enterococcus faecium L3 on 94 healthy children, comparing the incidence and duration of episodes of AGE and the incidence of URTIs to those of a control group of 109 healthy, untreated subjects. In a subgroup consisting of 34 healthy, treated children, we also evaluated salivary IgA levels.

Results: The use of the probiotic formula significantly reduced the incidence and duration of episodes of AGE by 82% and 45%, respectively, and the incidence and duration of episodes of URTIs by 84% and 50%. Salivary IgA levels significantly increased three-fold after 90 days of probiotic treatment. The probiotic formula was well tolerated and no side effects occurred.

Conclusions: According to our results, use of the probiotic strains BB-12 and L3 statistically reduced the risk of AGE and URTIs in healthy children and increased levels of salivary IgA.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acute Disease
  • Bifidobacterium animalis*
  • Child, Preschool
  • Enterococcus faecium*
  • Female
  • Gastroenteritis / epidemiology
  • Gastroenteritis / prevention & control*
  • Humans
  • Immunoglobulin A, Secretory / metabolism
  • Incidence
  • Infant
  • Italy / epidemiology
  • Male
  • Probiotics / therapeutic use*
  • Prospective Studies
  • Respiratory Tract Infections / epidemiology
  • Respiratory Tract Infections / prevention & control*
  • Saliva / immunology

Substances

  • Immunoglobulin A, Secretory