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Pathog Glob Health ; 109(6): 275-82, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26260354

ABSTRACT

We conducted a randomised single-blinded clinical trial of 100 cholera patients in Port-au-Prince, Haiti to determine if the probiotic Saccharomyces cerevisiae var. boulardii and the anti-diarrhoeal drug bismuth subsalicylate (BS) were able to reduce the duration and severity of cholera. Subjects received either: S. boulardii 250 mg, S. boulardii 250 mg capsule plus BS 524 mg tablet, BS 524 mg, or two placebo capsules every 6 hours alongside standard treatment for cholera. The length of hospitalisation plus the number and volume of emesis, stool and urine were recorded every 6 hours until the study subject was discharged (n = 83), left against medical advice (n = 11), or requested removal from the study (n = 6). There were no reported deaths or adverse study-related events. There were no statistically significant differences between the study arms and the outcomes of interest.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Bismuth/therapeutic use , Cholera/drug therapy , Cholera/therapy , Diarrhea/prevention & control , Emergency Medical Services/methods , Organometallic Compounds/therapeutic use , Probiotics/therapeutic use , Saccharomyces , Salicylates/therapeutic use , Vibrio cholerae/drug effects , Adult , Anti-Bacterial Agents/economics , Antibodies, Bacterial , Cholera/economics , Cholera/epidemiology , Disease Outbreaks/economics , Emergency Medical Services/economics , Feces/microbiology , Female , Fluid Therapy/economics , Haiti/epidemiology , Humans , Length of Stay/economics , Length of Stay/statistics & numerical data , Male , Severity of Illness Index , Treatment Outcome
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