Choice of paediatric medical nutrition in intestinal infections
https://doi.org/10.21518/2079-701X-2021-1-143-147
Abstract
Acute intestinal infections are the most common cause of a diarrheal syndrome at an early age and represent a great challenge in paediatrics. Over one billion people suffer from acute infectious diarrhoea worldwide every year, of which 65–70% are children under 5 years of age. Along with pharmaceutical (etiotropic and pathogenetic) therapy, nutritional therapy is the most important part of the treatment of children suffering from acute intestinal infections, as the unbalanced and improperly selected nutrition may cause development of a long-lasting diarrheal syndrome resulting in a weight loss, lactase deficiency and some other unfavourable conditions. It is obvious that the issue of adequate nutrition becomes important in case of intestinal infections in children, as it should be easily digested and assimilated, replenishing energy and microbiocenotic losses. An early return to a normal nutrition ration helps reduce duration of the disease, speed up recovery in both functional and anatomical aspects. Today, there is a sufficiently large selection of products in the paediatric practice, which contribute, to one degree or another, to a balanced nutrition of children in the acute stage of the disease. Probiotic products hold a most unique position among these products. The article pays special attention to the baby foods produced by the Russian manufacturer, which is the leader in the Russian paediatric nutrition market and has been producing natural and healthy products for babies for about 30 years. The product line of this manufacturer includes a wide range of probiotic and functional products for patients of older age groups for the management of microbiota dysbiosis in acute intestinal infections.
About the Authors
Aleksandr V. GorelovRussian Federation
Aleksandr V. Gorelov, Corresponding Member of RAS, Dr. of Sci. (Med.), Professor, Deputy Director for Science, Professor of the Department of Children’s Diseases
3a, Novogireevskaya St., Moscow, 111123
8, Bldg. 2, Trubetskaya St., Moscow, 119991
Vladimir A. Petrov
Russian Federation
Vladimir A. Petrov, Dr. of Sci. (Med.), Professor, Head of the Scientific and Educational Department, Head of the Department of Head Infectious Diseases, Public Health and Health Care
4, Korolev St., Obninsk, 249036
1, Studgorodok, Obninsk, 249040
Nadezda V. Rodionova
Russian Federation
Nadezda V. Rodionova, Assistant at the Department of Infectious Diseases, Public Health and Health Care
1, Studgorodok, Obninsk, 249040
References
1. King C.K., Glass R., Bresee J.S., Duggan C. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003;52(RR-16):1–16. Available at: https://pubmed.ncbi.nlm.nih.gov/14627948/.
2. Turck D. Prevention and treatment of acute diarrhea in infants. Arch Pediatr. 2007;14(11):1375–1378. doi: 10.1016/j.arcped.2007.06.009.
3. Agus M.S.D., Jaksic T. Nutritional support of the critically ill child. Current Opinion in Pediatrics. 2002;14(4):470–481. doi: 10.1097/00008480-200208000-00020.
4. Gorelov A.V., Milyutina L.N., Usenko D.V. Treatment of acute intestinal infections in children. Moscow: Central Research Institute of Epidemiology; 2003. (In Russ.)
5. Tikhomirova O.V., Bekhtereva M.K. Nutrition for children: modern approaches to the prevention and treatment of intestinal infections in children. St Peterburg; 2005. (In Russ.)
6. Ruzhentsova T.A., Levitskaya D.S., Meshkova N.A., Ploskireva A.A. Nutrition of children at early and preschool age in acute respiratory infections. Lechaschi Vrach Journal. 2019;(11):36–38. (In Russ.) Available at: https://lvrach.ru/2019/11/15437432.
7. Khismatova E.N. Microecology of the intestine of children in the age of 3 to 6 months. Vestnik sovremennykh issledovaniy = Bulletin of Current Studies. 2017;(3):28–31. (In Russ.) Available at: https://elibrary.ru/item.asp?id=28897255.
8. Mazankova L.N., Rybalchenko O.V., Nikolaeva I.V. Microdisbiosis and endogenous infections. Moscow: GEOTAR-Media; 2018. 336 p. (In Russ.)
9. Iqbal M.Z., Qadir M.I., Hussain T., Janbaz K.H., Khan Y.H., Ahmad B. Review: probiotics and their beneficial effects against various diseases. Pak J Pharm Sci. 2014;27(2):405–415. Available at: https://pubmed.ncbi.nlm.nih.gov/24577933.
10. Cruchet S., Furnes R., Maruy A., Hebel E., Palacios J., Medina F. et al. The use of probiotics in pediatric gastroenterology: a review of the literature and recommendations by Latin-American experts. Paediatr Drugs. 2015;17(3):199-216. doi: 10.1007/s40272-015-0124-6.
11. Borovik T.E., Ladodo K.S. (ed.).Paediatric clinical nutrition. 2 nd ed. Moscow: Medical Information Agency; 2015. 720 p. (In Russ.) Available at: https://docplayer.ru/33708254-Klinicheskaya-dietologiya-detskogo-vozrasta.html.
12. Yang S.T., Lin L.H., Wu H.M. Clinical characteristics of rotavirus gastroenteritis in children in a medical center. Pediatr Neonatol. 2010;51(2):112–115. doi: 10.1016/S1875-9572(10)60020-4.
13. Tutelyan V.A., Kon I.Ya. (ed.). Pediatric nutrition. 4 th ed., updated and revised. Moscow: Medical Information Agency; 2017. 784 p. (In Russ.)
14. Koletzko B., Goulet O. Nutritional support in infants, children and adolescents. In: Sobotka L. (ed.). Basics in Clinical Nutrition. Prague: Galen; 2019, рр. 587–611.
15. Zakharova I.N., Borovik T.E., Stepurina L.L., Osipenko O.V., Zvonkova N.G., Dmitrieva Yu.A. et al. Industrial cereal based products in infant nutrition. Moscow: Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education”; 2013. 62 p. (In Russ.)
16. Bekhtereva M.K., Khorosheva T.S., Volokhova O.A., Luk’yanova A.M., Nyrkova O.I. An experience of using manufactured complementary foods in diet therapy of acute infectious diarrhoeas in children. Voprosy detskoy dietologii = Pediatric Nutrition.2013;11(6):16–23. (In Russ.) Available at: https://elibrary.ru/item.asp?id=21124629.
17. Tutelyan V.A., Kon I.Ya., Kaganov B.S. (ed.). Nutrition for a healthy and ill child. Moscow; 2007. (In Russ.)
18. Ladodo K.S. Rational infant nutrition. Moscow: Miklosh; 2007 (In Russ.)
19. Baranov A.A., Tutelyan V.A. (ed.). Infant nutrition optimization program in the Russian Federation. Moscow: Federal State Autonomous Institution of the Ministry of Health of the Russian Federation “National Medical Research Center for Children’s Health”; 2019. 112 p. (In Russ.) Available at: http://nczd.ru/wp-content/uploads/2019/12/Met_rekom_1_god_.pdf.
20. Khavkin А.I., Fedotova O.B., Volynets G.V., Koshkarova Yu.A., Penkina N.A., Komarova O.N. The results of a prospective comparative openlabel randomised study of the effectiveness of a probiotic- and prebiotic-fortified yogurt in small children after an acute respiratory infection. Voprosy detskoy dietologii = Pediatric Nutrition.2019;17(1): 29–37. (In Russ.) doi: 10.20953/1727-5784-2019-1-29-37.
21. Ploskireva A.A. Probiotic therapy under acute intestinal infections in children. Lechaschi Vrach Journal.2018;(6):20–24. (In Russ.) Available at: https://lvrach.ru/2018/06/15436996.
Review
For citations:
Gorelov AV, Petrov VA, Rodionova NV. Choice of paediatric medical nutrition in intestinal infections. Meditsinskiy sovet = Medical Council. 2021;(1):143-147. (In Russ.) https://doi.org/10.21518/2079-701X-2021-1-143-147