{"id":8768,"date":"2024-09-06T02:45:14","date_gmt":"2024-09-06T00:45:14","guid":{"rendered":"https:\/\/gastropedia.pub\/es\/?p=8768"},"modified":"2025-05-10T00:33:58","modified_gmt":"2025-05-09T22:33:58","slug":"probioticos-en-la-diarrea-cuando-y-como-usarlos","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/es\/gastroenterologia\/probioticos-en-la-diarrea-cuando-y-como-usarlos\/","title":{"rendered":"Probi\u00f3ticos en la diarrea: \u00bfcu\u00e1ndo y c\u00f3mo usarlos?"},"content":{"rendered":"

En febrero de 2023, la World Gastroenterology Organisation<\/em> public\u00f3 una actualizaci\u00f3n sobre el uso de prebi\u00f3ticos y probi\u00f3ticos.<\/p>\n

La Organizaci\u00f3n Mundial de la Salud (OMS) define probi\u00f3ticos como microorganismos vivos que, cuando se administran en cantidades adecuadas, confieren beneficios a la salud del hu\u00e9sped. Las especies de Lactobacillus<\/em> y Bifidobacterium<\/em> son las m\u00e1s estudiadas y utilizadas como probi\u00f3ticos.<\/p>\n

Los efectos de los probi\u00f3ticos dependen de la cepa, la dosis y el tiempo utilizado.<\/p>\n

La evaluaci\u00f3n de la aplicaci\u00f3n cl\u00ednica de los probi\u00f3ticos en el documento se bas\u00f3 en metan\u00e1lisis, pero los autores dejan claro que existen problemas debido a la heterogeneidad de los estudios, las intervenciones con probi\u00f3ticos, las poblaciones estudiadas y del “n” peque\u00f1o de los ensayos cl\u00ednicos.<\/p>\n

A continuaci\u00f3n, vemos las consideraciones del documento sobre el uso de probi\u00f3ticos en la diarrea.<\/p>\n

Tratamiento de la diarrea aguda en adultos:\u00a0<\/strong><\/h2>\n
    \n
  1. Lactobacillus paracasei<\/em> B 21060 o L. rhamnosus<\/em> GG (109<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
  2. Saccharomyces boulardii<\/em> CNCM I-745 (5 \u00d7 109<\/sup>\u00a0 UFC o 250 mg, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
  3. Enterococcus faecium<\/em> SF68 (7,5 \u00d7 107<\/sup> UFC, tres veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n<\/ol>\n

    Diarrea asociada a antibi\u00f3ticos:<\/strong><\/h2>\n
      \n
    1. Yogur con L. casei<\/em> DN114, L. bulgaricus<\/em> y Streptococcus thermophilus<\/em>\u00a0(? 1010<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 2<\/li>\n
    2. Lactobacillus acidophilus<\/em> CL1285 y L. casei<\/em> (Bio-K+ CL1285) (? 1010<\/sup> UFC, una vez al d\u00eda) \u2013 nivel de evidencia 2<\/li>\n
    3. Lactobacillus rhamnosus<\/em> GG (1010<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 1<\/li>\n
    4. Saccharomyces boulardii<\/em> CNCM I-745 (5 \u00d7 1010<\/sup> UFC o 250 mg, dos veces al d\u00eda) \u2013 nivel de evidencia 1<\/li>\n
    5. Lactobacillus reuteri<\/em> DSM 17938 (108<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
    6. Lactobacillus acidophilus<\/em> NCFM, L. paracasei<\/em> Lpc-37, Bifidobacterium lactis<\/em> Bi-07, B. lactis<\/em> Bl-04 (1,7 x 1010<\/sup> UFC, una vez al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
    7. Bifidobacterium bifidum<\/em> W23, B. lactis<\/em> W18, B. longum<\/em> W51, Enterococcus faecium<\/em> W54, Lactobacillus acidophilus<\/em> W37 y W55, L. paracasei<\/em> W72, L. plantarum<\/em> W62, L. rhamnosus<\/em> W71, L. salivarius<\/em> W24\u00a0 (5 g de la mezcla conteniendo 109<\/sup> UFC \/g, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
    8. Lactobacillus rhamnosus<\/em> GG, L. acidophilus<\/em> La5, y B. animalis<\/em> subsp. lactis <\/em>BB-12 (2,5 \u00d7 1010<\/sup>, 2,5\u00d7109<\/sup>, 2,5 \u00d7 1010<\/sup> UFC, respectivamente, una vez al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
    9. Lactobacillus acidophilus, Lactobacillus plantarum, Lactobacillus casei, y Lactobacillus delbrueckii<\/em> subsp. bulgaricus<\/em>, Bifidobacterium breve, Bifidobacterium longum, Bifidobacterium infantis, Streptococcus salivarius<\/em> subsp. Thermophilus<\/em> (4,5 \u00d7 1011<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n<\/ol>\n

      Prevenci\u00f3n de la diarrea asociada a Clostridioides difficile<\/em> (o prevenci\u00f3n de la recurrencia):<\/strong><\/h2>\n
        \n
      1. Lactobacillus acidophilus<\/em> CL1285 y L. casei<\/em> LBC80R (1010<\/sup> UFC, una vez al d\u00eda) \u2013 nivel de evidencia 2<\/li>\n
      2. Yogur con L. casei<\/em> DN114 y L. bulgaricus<\/em> y Streptococcus thermophilus<\/em> (107-<\/sup>108 <\/sup>UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
      3. Saccharomyces boulardii<\/em> CNCM I-745 (109<\/sup> UFC o 250mg, dos veces al d\u00eda) \u2013 nivel de evidencia 2<\/li>\n
      4. Lactobacillus acidophilus<\/em> NCFM, L. paracasei<\/em> Lpc-37, Bifidobacterium lactis<\/em> Bi-07, B. lactis<\/em> Bl-04 (1,7 \u00d7 1010 <\/sup>UFC, una vez al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
      5. Lactobacillus acidophilus<\/em> + Bifidobacterium bifidum<\/em> (cepas Cultech) (2 \u00d7 1010 <\/sup>UFC, una vez al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
      6. Oligofructosa (prevenci\u00f3n de la recurrencia) (4 g, tres veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n<\/ol>\n

        Prevenci\u00f3n de la diarrea asociada a radioterapia (despu\u00e9s de cirug\u00eda para c\u00e1ncer p\u00e9lvico):<\/strong><\/h2>\n
          \n
        1. Mezcla de cepas de Lactobacillus plantarum<\/em>, L. casei, L. acidophil<\/em>us, L. delbrueckii<\/em> subsp. bulgaricus<\/em>, Bifidobacterium infantis<\/em>, B. longum<\/em>, B. Breve<\/em>, Streptococcus salivarius<\/em> subsp. Thermophilus <\/em>(450 \u00d7 109 <\/sup>UFC, tres veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
        2. Lactobacillus acidophilus<\/em> + Bifidobacterium bifidum <\/em>(2 x 109<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
        3. Lactobacillus acidophilus<\/em> LAC-361 y Bifidobacterium longum<\/em> BB-536 (1,3 x 109<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n
        4. Lactobacillus acidophilus<\/em> LA-5 + Bifidobacterium animalis<\/em> subsp. lactis<\/em> BB-12 (1,75 x 109<\/sup> UFC, tres veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n<\/ol>\n

          Prevenci\u00f3n de la diarrea asociada a nutrici\u00f3n enteral:<\/strong><\/h2>\n
            \n
          1. Shen Jia fibra + Bifidobacterium<\/em> y Lactobacillus<\/em> en comprimidos (30 g + 6 g) \u2013 nivel de evidencia 3 (pacientes en postoperatorio por c\u00e1ncer g\u00e1strico)<\/li>\n
          2. Bacillus cereus<\/em> A05 (5 x 106 <\/sup>UFC, cada 6 horas) \u2013 nivel de evidencia 3<\/li>\n
          3. Mezcla de cepas de Lactobacillus plantarum<\/em>, L. casei<\/em>, L. acidophilus<\/em>, L. delbrueckii<\/em> subsp. bulgaricus<\/em>, Bifidobacterium infantis<\/em>, B. longum<\/em>, B. Breve,<\/em> Streptococcus salivarius<\/em> subsp. Thermophilus<\/em> (450 x 109<\/sup> UFC, dos veces al d\u00eda) \u2013 nivel de evidencia 3<\/li>\n<\/ol>\n

            Lea tambi\u00e9n: condiciones gastrointestinales que el probi\u00f3tico est\u00e1 indicado<\/a><\/p>\n

            Referencia<\/strong><\/h2>\n
              \n
            1. https:\/\/www.worldgastroenterology.org\/guidelines\/probiotics-and-prebiotics\/probiotics-and-prebiotics-english<\/a> Versi\u00f3n en espa\u00f1ol: https:\/\/www.worldgastroenterology.org\/guidelines\/probiotics-and-prebiotics\/probiotics-and-prebiotics-spanish<\/li>\n<\/ol>\n

              C\u00f3mo citar este art\u00edculo<\/strong><\/h2>\n

              Arraes L, Gamarra ACQ. Probi\u00f3ticos en la diarrea: \u00bfcu\u00e1ndo y c\u00f3mo usar? Gastropedia 2024, vol 2. Disponible en: https:\/\/gastropedia.pub\/es\/gastroenterologia\/probioticos-en-la-diarrea-cuando-y-como-usarlos\/<\/p>\n","protected":false},"excerpt":{"rendered":"

              En febrero de 2023, la World Gastroenterology Organisation public\u00f3 una actualizaci\u00f3n sobre el uso de prebi\u00f3ticos y probi\u00f3ticos. La Organizaci\u00f3n Mundial de la Salud (OMS) define probi\u00f3ticos como microorganismos vivos…<\/p>\n","protected":false},"author":3186,"featured_media":8766,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"categories":[18,22],"tags":[],"ano":[395],"tipo":[],"volumen":[],"class_list":["post-8768","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-intestino","ano-395"],"yoast_head":"\nProbi\u00f3ticos en la diarrea: \u00bfcu\u00e1ndo y c\u00f3mo usarlos? - Gastropedia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gastropedia.pub\/es\/gastroenterologia\/probioticos-en-la-diarrea-cuando-y-como-usarlos\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Probi\u00f3ticos en la diarrea: \u00bfcu\u00e1ndo y c\u00f3mo usarlos?\" \/>\n<meta property=\"og:description\" content=\"En febrero de 2023, la World Gastroenterology Organisation public\u00f3 una actualizaci\u00f3n sobre el uso de prebi\u00f3ticos y probi\u00f3ticos. 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