{"id":8570,"date":"2024-08-29T06:30:00","date_gmt":"2024-08-29T09:30:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=8570"},"modified":"2025-03-03T18:14:11","modified_gmt":"2025-03-03T21:14:11","slug":"probioticos-na-diarreia-quando-e-como-usar","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/probioticos-na-diarreia-quando-e-como-usar\/","title":{"rendered":"Probi\u00f3ticos na diarreia: quando e como usar?"},"content":{"rendered":"
\"image_pdf\"<\/a>\"image_print\"<\/a><\/div>\n

Em fevereiro de 2023, a World Gastroenterology Organisation<\/em> publicou uma atualiza\u00e7\u00e3o sobre o uso de prebi\u00f3ticos e probi\u00f3ticos.<\/p>\n\n\n\n

A Organiza\u00e7\u00e3o Mundial de Sa\u00fade (OMS) define probi\u00f3ticos como microrganismos vivos que, quando administrados em quantidades adequadas, conferem benef\u00edcios \u00e0 sa\u00fade do hospedeiro. As esp\u00e9cies de Lactobacillus<\/em> e Bifidobacterium<\/em> s\u00e3o as mais estudadas e usadas como probi\u00f3ticos. <\/p>\n\n\n\n

Os efeitos dos probi\u00f3ticos dependem da cepa, da dose e do tempo utilizado.<\/p>\n\n\n\n

A avalia\u00e7\u00e3o da aplica\u00e7\u00e3o cl\u00ednica dos probi\u00f3ticos no documento foram baseadas em metan\u00e1lises, mas os autores deixam claro que existem problemas por conta da heterogeneidade dos estudos, das interven\u00e7\u00f5es com probi\u00f3ticos, das popula\u00e7\u00f5es estudadas e do \u201cn\u201d pequeno dos ensaios cl\u00ednicos. <\/p>\n\n\n\n

Abaixo, vemos as considera\u00e7\u00f5es do documento sobre o uso de probi\u00f3ticos na diarreia. <\/p>\n\n\n\n

Tratamento da diarreia aguda em adultos: <\/strong><\/h2>\n\n\n\n
    \n
  1. Lactobacillus paracasei<\/em> B 21060 ou L. rhamnosus<\/em> GG (109<\/sup> UFC, duas vezes ao dia) \u2013 n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
  2. Saccharomyces boulardii<\/em> CNCM I-745 (5 \u00d7 109<\/sup>  UFC ou 250 mg, duas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
  3. Enterococcus faecium<\/em> SF68 (7,5 \u00d7 107<\/sup> UFC, tr\u00eas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n<\/ol>\n\n\n\n

    Diarreia associada a antibi\u00f3ticos:<\/strong><\/h2>\n\n\n\n
      \n
    1. Iogurte com L. casei<\/em> DN114, L. bulgari<\/em>cus e Streptococcus thermophilus<\/em> (\u2265 1010<\/sup> UFC, duas vezes ao dia) – n\u00edvel de evid\u00eancia 2<\/li>\n\n\n\n
    2. Lactobacillus acidophilus<\/em> CL1285 e L. casei<\/em> (Bio-K+ CL1285) (\u2265 1010<\/sup> UFC, uma vez ao dia) – n\u00edvel de evid\u00eancia 2<\/li>\n\n\n\n
    3. Lactobacillus rhamnosus<\/em> GG (1010<\/sup> UFC, duas vezes ao dia) – n\u00edvel de evid\u00eancia 1<\/li>\n\n\n\n
    4. Saccharomyces boulardii<\/em> CNCM I-745 (5 \u00d7 1010<\/sup> UFC ou 250 mg, duas vezes ao dia) – n\u00edvel de evid\u00eancia 1<\/li>\n\n\n\n
    5. Lactobacillus reuteri<\/em> DSM 17938 (108<\/sup> UFC, duas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\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, uma vez ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
    7. Bifidobacterium bifidum<\/em> W23, B. lactis<\/em> W18, B. longu<\/em>m W51, Enterococcus faecium<\/em> W54, Lactobacillus acidophilus<\/em> W37 e W55, L. paracasei<\/em> W72, L. plantarum<\/em> W62, L. rhamnosus<\/em> W71, L. salivarius<\/em> W24  (5 g da mistura contendo 109<\/sup> UFC \/g, duas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
    8. Lactobacillus rhamnosus<\/em> GG, L. acidophilus<\/em> La5, e B. animalis<\/em> subsp. lactis <\/em>BB-12 (2,5 \u00d7 1010<\/sup>, 2,5\u00d7109<\/sup>, 2,5 \u00d7 1010<\/sup> UFC, respectivamente, uma vez ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
    9. Lactobacillus acidophilus, Lactobacillus plantarum, Lactobacillus casei, e Lactobacillus delbrueckii<\/em> subsp. bulgaricu<\/em>s, Bifidobacterium breve, Bifidobacterium longum, Bifidobacterium infantis, Streptococcus salivarius<\/em> subsp. Thermophilus<\/em> (4,5 \u00d7 1011<\/sup> UFC, duas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n<\/ol>\n\n\n\n

      Preven\u00e7\u00e3o da diarreia associada a Clostridioides difficile<\/em> (ou preven\u00e7\u00e3o da recidiva):<\/strong><\/h2>\n\n\n\n
        \n
      1. Lactobacillus acidophilus<\/em> CL1285 e L. casei<\/em> LBC80R (1010<\/sup> UFC, uma vez ao dia) – n\u00edvel de evid\u00eancia 2<\/li>\n\n\n\n
      2. Iogurte com L. casei<\/em> DN114 e L. bulgaricus<\/em> e Streptococcus thermophilus<\/em> (107-<\/sup>108 <\/sup>UFC, duas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
      3. Saccharomyces boulardii<\/em> CNCM I-745 (109<\/sup> UFC ou 250mg, duas vezes ao dia) \u2013 n\u00edvel de evid\u00eancia 2<\/li>\n\n\n\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, uma vez ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
      5. Lactobacillus acidophilus<\/em> + Bifidobacterium bifidum<\/em> (cepas Cultech) (2 \u00d7 1010 <\/sup>UFC, uma vez ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
      6. Oligofrutose (preven\u00e7\u00e3o da recidiva) (4 g, tr\u00eas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n<\/ol>\n\n\n\n

        Preven\u00e7\u00e3o da diarreia associada a radioterapia (ap\u00f3s cirurgia para c\u00e2ncer p\u00e9lvico):<\/strong><\/h2>\n\n\n\n
          \n
        1. Mistura de cepas de Lactobacillus plantarum<\/em>, L. casei, L. acidophil<\/em>us, L. delbrueckii<\/em> subsp. bulgaricu<\/em>s, Bifidobacterium infantis<\/em>, B. longum<\/em>, B. Breve<\/em>, Streptococcus salivarius<\/em> subsp. Thermophilus <\/em>(450 \u00d7 109 <\/sup>UFC, tr\u00eas vezes ao dia) – n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
        2. Lactobacillus acidophilus<\/em> + Bifidobacterium bifidum <\/em>(2 x 109<\/sup> UFC, duas vezes ao dia) \u2013 n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
        3. Lactobacillus acidophilus<\/em> LAC-361 e Bifidobacterium longum<\/em> BB-536 (1,3 x 109<\/sup> UFC, duas vezes ao dia) \u2013 n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
        4. Lactobacillus acidophilus<\/em> LA-5 + Bifidobacterium animalis<\/em> subsp. lactis<\/em> BB-12 (1,75 x 109<\/sup> UFC, tr\u00eas vezes ao dia) \u2013 n\u00edvel de evid\u00eancia 3<\/li>\n<\/ol>\n\n\n\n

          Preven\u00e7\u00e3o da diarreia associada a nutri\u00e7\u00e3o enteral:<\/strong><\/h2>\n\n\n\n
            \n
          1. Shen Jia fibra + Bifidobacterium<\/em> e Lactobacillus<\/em> em comprimidos (30 g + 6 g) \u2013 n\u00edvel de evid\u00eancia 3 (pacientes em p\u00f3s-operat\u00f3rio por c\u00e2ncer g\u00e1strico)<\/li>\n\n\n\n
          2. Bacillus cereus<\/em> A05 (5 x 106 <\/sup>UFC, a cada 6 horas) \u2013 n\u00edvel de evid\u00eancia 3<\/li>\n\n\n\n
          3. Mistura 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, duas vezes ao dia) \u2013 n\u00edvel de evid\u00eancia 3<\/li>\n<\/ol>\n\n\n\n

            Leia tamb\u00e9m: condi\u00e7\u00f5es gastrointestinais que o probiotico est\u00e1 indicado<\/a><\/p>\n\n\n\n

            <\/p>\n\n\n\n

            \n

            Conhe\u00e7a nosso curso Gastroenterologia do Consult\u00f3rio<\/a><\/strong> e saiba como lidar com as queixas mais comuns que encontramos no dia a dia<\/p>\n<\/blockquote>\n\n\n\n

            Refer\u00eancias<\/strong><\/h2>\n\n\n\n
              \n
            1. https:\/\/www.worldgastroenterology.org\/guidelines\/probiotics-and-prebiotics\/probiotics-and-prebiotics-english<\/a> Vers\u00e3o em portugu\u00eas: https:\/\/www.worldgastroenterology.org\/guidelines\/probiotics-and-prebiotics\/probiotics-and-prebiotics-portuguese<\/li>\n<\/ol>\n\n\n\n

              Como citar este artigo<\/strong><\/h2>\n\n\n\n

              Arraes L. Probi\u00f3ticos na diarreia: quando e como usar? Gastropedia 2024, vol 2. Dispon\u00edvel em: https:\/\/gastropedia.pub\/pt\/gastroenterologia\/probioticos-na-diarreia-quando-e-como-usar\/<\/p>\n\n\n\n

              <\/p>\n","protected":false},"excerpt":{"rendered":"

              Em fevereiro de 2023, a World Gastroenterology Organisation publicou uma atualiza\u00e7\u00e3o sobre o uso de prebi\u00f3ticos e probi\u00f3ticos. A Organiza\u00e7\u00e3o Mundial de Sa\u00fade (OMS) define probi\u00f3ticos como microrganismos vivos que,…<\/p>\n","protected":false},"author":3186,"featured_media":8608,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[18,22],"tags":[],"ano":[396],"tipo":[121],"volume":[44],"class_list":["post-8570","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-intestino","ano-396","tipo-assuntos-gerais","volume-volume-ii"],"yoast_head":"\nProbi\u00f3ticos na diarreia: quando e como usar? - 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\/pt\/gastroenterologia\/probioticos-na-diarreia-quando-e-como-usar\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Probi\u00f3ticos na diarreia: quando e como usar?\" \/>\n<meta property=\"og:description\" content=\"Em fevereiro de 2023, a World Gastroenterology Organisation publicou uma atualiza\u00e7\u00e3o sobre o uso de prebi\u00f3ticos e probi\u00f3ticos. 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