Bekhtereva MK. Is dietary therapy for acute intestinal infections necessary? A review. Pediatrics. Consilium Medicum. 2023;3:179–187. DOI: 10.26442/26586630.2023.3.202404
Необходима ли диетотерапия острых кишечных инфекций?
Бехтерева М.К. Необходима ли диетотерапия острых кишечных инфекций? Педиатрия. Consilium Medicum. 2023;3:179–187. DOI: 10.26442/26586630.2023.3.202404
Bekhtereva MK. Is dietary therapy for acute intestinal infections necessary? A review. Pediatrics. Consilium Medicum. 2023;3:179–187. DOI: 10.26442/26586630.2023.3.202404
Статья посвящена различным аспектам диетического питания детей с острыми кишечными инфекциями (ОКИ) разной степени тяжести. Подробно рассмат-
ривается обоснованность диетической коррекции при ОКИ у детей. Рациональное питание – важнейшая часть лечения таких больных. Тактика диетической коррекции при ОКИ выстраивается в соответствии с возрастом ребенка, характером предшествующего вскармливания, тяжестью и фазой основного заболевания, наличием сопутствующих заболеваний. Лактазная недостаточность – это наиболее частая форма ферментативной недостаточности, наличие ее симптомов при инфекционных диареях следует учитывать при составлении диеты как в острую фазу болезни, так и в реконвалесценцию. В статье подробно рассматриваются положительные стороны применения при ОКИ различных ферментированных продуктов на молочной и альтернативной ей овсяной основе.
Ключевые слова: острые кишечные инфекции у детей, диарея, диетическая коррекция, питание детей при кишечных инфекциях, лактазная недостаточность при инфекционных диареях, ферментированные продукты питания
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The article addresses various aspects of dietary nutrition of children with diarrheal diseases (DDs). Dietary adjustment in pediatric DDs is detailed. Nutrition is the most essential part of the treatment of such patients. The approach to dietary adjustment in DDs depends on the child's age, the nature of previous feeding, the severity and phase of the underlying disease, and the presence of comorbidities. Lactase deficiency is the most common enzymatic insufficiency; its symptoms in infectious diarrheas should be considered when choosing a diet both in the acute phase of the disease and in convalescence. The article discusses in detail the benefits of fermented foods based on dairy vs. oatmeal in DDs.
Keywords: diarrheal diseases in children, diarrhea, dietary correction, nutrition of children with intestinal infections, lactase deficiency in infectious diarrheas, fermented foods
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32. Romond MB, Haddou Z, Mielcareck C, Romond C. Bifidobacteria and human health: regulatory effect of indigenous bifidobacteria on Escherichia coli intestinal colonization. Anaerobe. 1997;(3):131-6.
33. Cheikhyoussef AN. Bifidin I – a new bacteriocin produced by Bifidobacte-rium infantis BCRC 14602: purification and partial amino acid sequence. Food Control. 2010;(21):746-53.
34. Saavedra JM, Bauman NARN, Perman JA, et al. Feeding of Bifidobacterium bifidum and Streptococcus thermophilus to infants in hospital for prevention of diarrhoea and shedding of rotavirus. Lancet. 1994;344(8929):1046-9.
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36. Martins FS, Silva AA, Vieira AT, et al. Comparative study of Bifidobacterium animalis, Escherichia coli, Lactobacillus casei and Saccharomyces boulardii probiotic properties. Arch Microbiol. 2009;191:623-30.
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________________________________________________
1. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018;18(11):1211-28. DOI:10.1016/S1473-3099(18)30362-1
2. Acute diarrhea in adults and children: a global perspective. World Gastroenterology Organisation Global Guidelines. February 2012.
3. O sostoianii sanitarno-epidemiologicheskogo blagopoluchiia naseleniia v Rossiiskoi Federatsii v 2022 godu: Gosudarstvennyi doklad. Moscow: Federal'naia sluzhba po nadzoru v sfere zashchity prav potrebitelei i blagopoluchiia cheloveka, 2023 (in Russian).
4. Zinserling VA. The importance of morphological investigations in diagnostics and study of infections. Tissue microbiology. Journal Infectology. 2018;10(3):124-32 (in Russian)].
DOI:10.22625/2072-6732-2018-10-3-124-132
5. Vorotyntseva NV, Mazankova LN. Ostryie kishechnyie infektsii. Moscow: Meditsina, 2001 (in Russian).
6. Shane AL, Mody RK, Crump JA, et al. 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea. Clin Infect Dis. 2017;65(12):e45-e80. DOI:10.1093/cid/cix669
7. Guarino A, Ashkenazi S, Szajewska H, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Update 2014. J Pediat Gastroenterol Nutr. 2014;59(1):132-52. DOI:10.1097/MPG.0000000000000375
8. Ruzhentsova TA, Gorelov AV, Ploskireva AA, Usenko DV. Startovaia terapiia ostroi diarei u detei. RMZH. Mat' i ditia. 2015;23(14):830 (in Russian).
9. Programma optimizatsii vskarmlivaniia detei pervogo goda zhizni v Rossiiskoi Federatsii: Metodicheskiie rekomendatsii. FGAU «NMITS zdorov'ia detei» Minzdrava Rossii. Moscow, 2019 (in Russian).
10. Detskoie pitaniie. Rukovodstvo dlia vrachei. Pod red. VA Tutel'iana, IIa Konia. Moscow: Meditsinskoie informatsionnoie agentstvo, 2013 (in Russian).
11. Ploskireva AA. Mesto produktov funktsional'nogo pitaniia v stupenchatoi diyetoterapii ostrykh kishechnykh infektsii u detei. Pediatriia. 2013;3:72-4 (in Russian).
12. Belmer SV. Lactase insufficiency: a modern concept of nutrition. Lechashchii vrach. 2023;6(26):35-40 (in Russian). DOI:10.51793/OS.2023.26.6.005
13. Mukhina IuG, Chubarova AI, Geras'kina VP, et al. Voprosy detskoi diyetologii. Rabochii protokol po diagnostike i lecheniiu laktaznoi nedostatochnosti u detei. 2016;1:64-9 (in Russian).
14. Fassio F, Facioni MS, Guagnini F. Lactose Maldigestion, Malabsorption, and Intolerance: A Comprehensive Review with a Focus on Current Management and Future Perspectives. Nutrients. 2018;10(11).
15. Baranov AA, Borovik TE, Kon IIa. Novyie tekhnologii pitaniia detei, bol'nykh tseliakiiei i laktaznoi nedostatochnost'iu. 2-e izd., pererab. i dop. Moscow, 2008 (in Russian).
16. Ziatdinova NV, Malanicheva TG, Bareeva LA. Lactase deficiency and gastrointestinal allergies in young children. Medical Council. 2020;(10):86-90 (in Russian).
DOI:10.21518/2079-701X-2020-10-86-90
17. MacGillivray S, William TF, McGuire L. Lactose avoidance for young children with acute diarrhea. Cochrane Database Syst Rev. 2013;2013(10):CD005433. DOI:10.1002/14651858.CD005433.pub2
18. WHO. Breastfeeding 2021. Питание детей грудного и раннего возраста. Available at: https://www.who.int/ru/news-room/fact-sheets/detail/infant-and-young-child-feeding. Accessed: 14.05.2023.
19. Mantis NJ, Farrant SA, Mehta S. Oligosaccharide side chain son human secretory IgA serve as receptors for ricin. J Immunol. 2004;172:683845. DOI:10.4049/jimmunol.172.11.6838
20. Hassiotou F, Geddes DT, Hartmann PE. Cells in human milk: state of the science. J Hum Lact. 2013;29:(2):171-82.
21. Carr LE, Virmani MD, Rosa F, et al. Role of Human Milk Bioactives on Infants' Gut and Immune Health. Front Immunol. 2021;12:604080. DOI:10.3389/fimmu.2021.604080
22. Kruzel ML, Harari Y, Chen CY, Castro GA. Lactoferrin protects gut mucosal integrity during endotoxemia induced by lipopolysaccharidein mice. Inflammation. 2000;24:33-44. DOI:10.1023/A:1006935908960
23. Romero-Velarde E, Delgado-Franco D, García-Gutiérrez M, et al. The Importance of Lactose in the Human Diet: Outcomes of a Mexican Consensus Meeting. Nutrients. 2019;11:2737.
24. Agostoni C, Canani RB. Scientific Opinion on the essential composition of infant and follow-on formulae. EFSA J. 2014;12(7):3760.
25. Diietoterapiia ostrykh kishechnykh infektsii u detei. Pod red. MK Bekhterevoi, NV Skripchenko. Saint Perersburg, 2014 (in Russian).
26. Marco ML, Sanders ME, Gänzle M, et al. The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on fermented foods. Review Nat Rev Gastroenterol Hepatol. 2021;18(3):196-208. DOI:10.1038/s41575-020-00390-5
27. Programma optimizatsii pitaniia detei v vozraste ot 1 goda do 3 let v Rossiiskoi Federatsii: Metodicheskiie rekomendatsii. FGAU «NMITS zdorov'ia detei» Minzdrava Rossii. Moscow, 2019 (in Russian).
28. Kirjavainen PV, Ouwehand AC, Isolauri E, Salminen SJ. The ability of probiotic bacteria to bind to human intestinal mucus. FEMS Microbiology Letters. 1998;167:185-9.
29. Juntunen M, Kirjavainen PV, Ouwehand AC, et al. Adherence of probiotic bacteria to human intestinal mucus in healthy infants and during rotavirus infection. Clin Diagn Lab Immunol. 2001;8(2):293-6.
30. Zaharova IN, Dmitrieva IuA. Shtamm-specificheskie svoistva Bifidobacterium animalis subsp. lactis BB-12. Effektivnaia farmakoterapiia. 2013;4:8-12 (in Russian).
31. De Vrese M. The probiotic effects of LA-5 and BB-12 – an overview. Chr. Hansen Monograph, June 2003.
32. Romond MB, Haddou Z, Mielcareck C, Romond C. Bifidobacteria and human health: regulatory effect of indigenous bifidobacteria on Escherichia coli intestinal colonization. Anaerobe. 1997;(3):131-6.
33. Cheikhyoussef AN. Bifidin I – a new bacteriocin produced by Bifidobacte-rium infantis BCRC 14602: purification and partial amino acid sequence. Food Control. 2010;(21):746-53.
34. Saavedra JM, Bauman NARN, Perman JA, et al. Feeding of Bifidobacterium bifidum and Streptococcus thermophilus to infants in hospital for prevention of diarrhoea and shedding of rotavirus. Lancet. 1994;344(8929):1046-9.
35. Ishibashi NT. Bifidobacteria: their significance in human intestinal health. Mal J Nutr. 1997;(3):149-59.
36. Martins FS, Silva AA, Vieira AT, et al. Comparative study of Bifidobacterium animalis, Escherichia coli, Lactobacillus casei and Saccharomyces boulardii probiotic properties. Arch Microbiol. 2009;191:623-30.
37. Collado MC, Meriluoto J, Salminen S. Role of commercial probiotic strains against human pathogen adhesion to intestinal mucus. Lett Arch Microbiol. 2007;45:454-60.
38. Jacobsen CN, Rosenfeldt Nielsen V, Hayford AE, et al. Screening of probiotic activities of forty-seven strains of Lactobacillus spp. by in vitro techniques and evaluation of the colonization ability of five selected strains in humans. Appl Environ Microbiol. 1999;65:4949-56.
39. Wang KY, Li SN, Liu CS, et al. Effects of ingesting Lactobacillus- and Bifidobacterium-containing yogurt in subjects with colonized Helicobacter pylori. Am J Clin Nutr. 2004;80:737-41.
40. Sheu BS, Wu JJ, Lo CY, et al. Impact of supplement with Lactobacillus- and Bifidobacterium-containing yogurt on triple therapy for Helicobacter pylori eradication. Aliment Pharmacol Ther. 2002;16:1669-75.
41. Igorianova NA, Meleshkina EP, Kolomiyets SN. Novyie svoistva ovsa s pozitsii zdorovogo pitaniia. Nauchno-innovatsionnyie aspekty khraneniia i pererabotki zerna. Moscow: Tipografiia Rossel'khozakademii, 2014; p. 103-5 (in Russian).
42. Zenkova AN, Pankrat'ieva IA, Politukha OV. Ovsianaia krupa i khlop'ia – produkty povyshennoi pishchevoi tsennosti. Khleboprodukty. 2012;11:60-2 (in Russian).
43. Khimicheskii sostav rossiiskikh pishchevykh produktov. Pod red. chlen-kor. MAI prof. IM Skurikhina i akad. RAMN prof. VA Tutel'iana. Moscow: DeLi print, 2002 (in Russian).
44. Ugolev AM. Teoriia adekvatnogo pitaniia. Moscow: Kontseptual, 2016 (in Russian).
Авторы
М.К. Бехтерева*
1) ФГБУ «Детский научно-клинический центр инфекционных болезней» ФМБА России, Санкт-Петербург, Россия;
2) ФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» Минздрава России, Санкт-Петербург, Россия
*mkbechtereva@mail.ru
________________________________________________
Maria K. Bekhtereva*
1) Children's Research and Clinical Center for Infectious Diseases, Saint Petersburg, Russia;
2) Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia
*mkbechtereva@mail.ru