Mohammad Juffrie
Department of Child Health, Gadjah Mada University Medical School/Dr. Sardjito Hospital, Yogyakarta

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Journal : Paediatrica Indonesiana

Effects of live versus heat-killed probiotics on acute diarrhea in young children Atik Indriyani; Mohammad Juffrie; Amalia Setyati
Paediatrica Indonesiana Vol 52 No 5 (2012): September 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.025 KB) | DOI: 10.14238/pi52.5.2012.249-54

Abstract

Background Diarrhea remains one of the major causes ofmorbidity and mortality in children in developing countries.Probiotics have been shown to be beneficial for decreasing thefrequency and duration of diarrhea. However, the reported effectson reducing the duration of diarrhea have been varied.Objective To compare the effectiveness of live and heat􀁂killedprobiotics in 6􀁂60 month􀁂old children with acute diarrhea fordecreasing duration and frequency of diarrhea and improvingweight gain.Methods We conducted a randomized, single􀁂blind, controlledtrial in children aged 6􀁂60 months with acute diarrhea. Childrenwere randomized into two groups, receiving either live or heat􀁂killed probiotics. All children received standard treatment fordiarrhea and probiotics as adjuvant treatment. The primaryoutcomes were duration and frequency of diarrhea, as well asweight gain. T􀁂test was used for data analysis.Results There were 165 children with acute diarrhea enrolledin this study. They were divided into 2 groups, with 83 childrenreceiving live probiotics and 82 children receiving heat􀁂killedprobiotics. There were no significant differences in diarrhealduration in the two groups. The mean durations of diarrhea inthe live and heat􀁂killed probiotic groups were 3.64 (SD 0.85) daysand 3.74 (SD 0.73) days (P>0.05), respectively. Mean diarrhealfrequencies were also not significantly different, with 3.25 (SD1.44) times per day in the live probiotic group and 3.26 (SD 1.20)times per day in the heat􀁂killed probiotic group (P>0.05). Inaddition, mean weight gain was not significantly different, 'With241.57 (SD 75.84) g in the live prohiotic group and 221.95 (SD85.38) g in the heat-killed prohiotic group (P>0.05).Conclusion There were no significant differences between live andheat􀁂killed probiotics for reducing duration and frequency of diarrhea,as well as in weight gain in children aged 6􀁂60 months 'With acutediarrhea. [paediatr lndones. 2012;52:249-54].
Influence of zinc on severity of common cold in children Cahalafa Shinta Caesar; Mohammad Juffrie; Sumadiono Sumadiono
Paediatrica Indonesiana Vol 52 No 6 (2012): November 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.721 KB) | DOI: 10.14238/pi52.6.2012.324-8

Abstract

Background Symptomatic treatment of common cold in childrendoes not reduce the duration and severity of disease. Since zinc hasbeen used to enhance cellular and humoral immunity, it has thepotential to reduce the severity of the common cold. However, theeffects of zinc on the common cold have been inconclusive. Theuse of zinc to treat cold symptoms deserves further studies.Objective To determine the effect of zinc supplementation onthe severity of the common cold in children.Methods We performed a randomized, double􀁁blind, controlledtrial in children aged 3􀁁 5 years who were diagnosed Mth a commoncold at primary health care centers in Gedongtengen, Umbulharj 0I and Kotagede II, Yogyakarta. Subjects were collected byconsecutive sampling and their parents were interviewed. Severityof illness was categorized as mild, moderate or severe.Results One hundred fourteen patients with common cold weredivided into 2 groups of 57 subjects each. One group receivedzinc supplementation while the other group received a placebo.Subjects with fever received additional paracetamol. After 7 daysof treatment, there were no significant differences in clinicalimprovement in the zinc group (80.7%) compared to that of theplacebo group (78.9%), P􀁂O.83.Conclusion The severity of the common cold in children aged3􀁁5 years was not significantly different in those who receivedzinc supplementation compared to placebo. [Paediatr Indones.2012;52:324-8].