Yıl: 2018 Cilt: 19 Sayı: 2 Sayfa Aralığı: 95 - 104 Metin Dili: Türkçe İndeks Tarihi: 16-03-2020

Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi

Öz:
Atopik dermatit dâhil allerjik hastalıkların prevalansı son bir kaç dekattırartmaktadır. Atopik dermatit günümüzde bilinen bir tedavisiolmayan allerjik marşın ilk adımı sayılan yaygın bir allerjik hastalıktır.Güncel literatür verilerine göre, gebelikten başlayarak yaşamın erkendöneminde probiyotik kullanımı etkin bir önleme metotu ve ümit verenbir strateji olarak görünmekle beraber uzun dönem önleyici etkilerihakkında çok az bilgi mevcuttur. Burada amacımız, tedavi ve önlemeyeyönelik yapılan literatürdeki çalışmaların sonuçlarını özetlemek ve güncelyaklaşımları tartışmaktır. Probiyotikler Dünya Sağlık Örgütü (WHO)tarafından ‘yeterli miktarda verildiğinde konağa sağlık açısından yararlıcanlı mikroorganizmalar’ olarak tarif edilmektedir. Çoğu çalışmada, tektür probiyotik veya laktik asit ve bifidobakteri içeren karışımlar olarakdoğum öncesi (gebelikte), sonrası ya da her iki dönemde perinatalolarak kullanılmıştır. Bazı metaanalizler, probiyotiklerin egzamanınönlenmesinde orta derecede etkili olduğunu bildirmiştir. En belirginetki ailesel yatkınlık sonucu allerjik hastalık için yüksek riskli süt çocuklarındakombine perinatal (prenatal+postnatal) probiyotik uygulamasıylagösterilmiştir. Yine birden fazla farklı bakteri ya da laktobasil türüiçeren probiyotikler, egzamanın önlenmesinde en etkin görünmektedir.Çocuk ve erişkinlerde orta- şiddetli egzamada probiyotikler egzama tedavisindebir seçenek olabilir. Diğer allerjik hastalıklarda probiyotiklerinönlemede ve tedavide yeri yoktur. Diğer uzmanlık dernekleri alerjiyiönlemede probiyotikleri önermemekle beraber, Dünya Allerji Örgütüallerjik hastalık geliştirme riskinin yüksek olduğu durumda gebede,emzirirken ve/veya süt çocuğunda probiyotik kullanımının düşünülmesiniönermektedir.
Anahtar Kelime:

Konular: Tıbbi İnformatik Alerji Pediatri

Role and Use of Probiotics in Allergic Diseases: Review of the Literature

Öz:
The prevalence of allergic diseases including atopic dermatitis has increased over the last few decades. Atopic dermatitis is a widespread allergic disease and the first step of allergic march, for which there is presently no known treatment. Under the recent literature data, use of probiotics in early life beginning from pregnancy is thought to be an effective method and appears to be a hopeful tactic for prevention, but very little is known about its long-term preventive effect. Here, our aim is to give an outline of the results from these prevention/treatment studies and to discuss current approaches. Probiotics are universally described as “live microorganisms that, when administered in adequate amounts, confer a health benefit on the host” by the World Health Organization. In most studies, single strains or a mixture of strains of lactic acid bacteria and bifidobacteria was used prenatally, postnatally, or perinatally. Several meta-analyses have shown a moderate benefit of probiotics for eczema prevention, and the most reliable effect has been observed with a combined perinatal (prenatally + postnatally) administration in infants at high risk of allergic disease by heredity. In addition, use of multi-strain (mixture of different bacterial species or of Lactobacillus species) probiotics appeared to be most effective for eczema prevention. Probiotics also could be an option in eczema therapy, especially for moderate to severe eczema in children and adults. No preventive and therapeutic effect has been shown for other allergic disorders. To date, expert bodies do not generally propose probiotics for allergy prevention, although the World Allergy Organization suggests considering using probiotics in pregnant women, during breastfeeding, and/or to the infant if at high risk of developing allergic disease.
Anahtar Kelime:

Konular: Tıbbi İnformatik Alerji Pediatri
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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APA Özdemir Ö (2018). Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. , 95 - 104.
Chicago Özdemir Öner Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. (2018): 95 - 104.
MLA Özdemir Öner Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. , 2018, ss.95 - 104.
AMA Özdemir Ö Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. . 2018; 95 - 104.
Vancouver Özdemir Ö Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. . 2018; 95 - 104.
IEEE Özdemir Ö "Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi." , ss.95 - 104, 2018.
ISNAD Özdemir, Öner. "Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi". (2018), 95-104.
APA Özdemir Ö (2018). Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. İstanbul Medical Journal, 19(2), 95 - 104.
Chicago Özdemir Öner Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. İstanbul Medical Journal 19, no.2 (2018): 95 - 104.
MLA Özdemir Öner Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. İstanbul Medical Journal, vol.19, no.2, 2018, ss.95 - 104.
AMA Özdemir Ö Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. İstanbul Medical Journal. 2018; 19(2): 95 - 104.
Vancouver Özdemir Ö Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi. İstanbul Medical Journal. 2018; 19(2): 95 - 104.
IEEE Özdemir Ö "Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi." İstanbul Medical Journal, 19, ss.95 - 104, 2018.
ISNAD Özdemir, Öner. "Allerjik Hastalıklarda Probiyotiklerin Rolü ve Kullanımı: Literatürün Gözden Geçirilmesi". İstanbul Medical Journal 19/2 (2018), 95-104.