Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based Review

Background. Atopic dermatitis or eczema is one of the most common dermatologic problems, especially in children. Several studies have hypothesized that alteration of gut-colonizing microbes might have induced and conditioned the development of the disease. Thus, modulation of microbial diversity and...

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Main Authors: Ashila Putri Disamantiaji, Endang Farihatul Izza, Muhamad Faza Soelaeman, Tannia Sembiring, Melva Louisa
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/4587459
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author Ashila Putri Disamantiaji
Endang Farihatul Izza
Muhamad Faza Soelaeman
Tannia Sembiring
Melva Louisa
author_facet Ashila Putri Disamantiaji
Endang Farihatul Izza
Muhamad Faza Soelaeman
Tannia Sembiring
Melva Louisa
author_sort Ashila Putri Disamantiaji
collection DOAJ
description Background. Atopic dermatitis or eczema is one of the most common dermatologic problems, especially in children. Several studies have hypothesized that alteration of gut-colonizing microbes might have induced and conditioned the development of the disease. Thus, modulation of microbial diversity and abundance might help alleviate symptoms and conditions for patients. Given the ability of commensal and symbiotic microorganisms in modulating the immune system, probiotics administration has been studied in previous research in the management of eczema. However, until today, there are conflicting results between studies making inconclusive recommendations towards probiotics supplementation in the management of atopic dermatitis. This case-based review was done to assess and evaluate the therapeutic efficacy of probiotics supplementation in the management of eczema in children. Method. An electronic database search was conducted in PubMed-NCBI, Cochrane, EBSCO, ProQuest, and SCOPUS in March 2020. Individual studies and reviews were then gathered for screening using predetermined inclusion and exclusion criteria. The included studies were then critically appraised for their validity and importance. Result. A total of 5 studies, all of which were RCTs, were included in this review. Out of all the studies included, 4 showed no clinically significant improvements in using probiotics in the management of eczema in children as they did not pass the minimal clinically important difference (MCID) of eczema severity as determined by SCORAD (SCORing Atopic Dermatitis). Conclusion. Supplementation of probiotics in the management of eczema in children does not show a clinically relevant difference vs. standard treatment in reducing eczema severity.
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spelling doaj-art-6a80c9709cb749d780ad1002a6f67c122025-02-03T05:57:19ZengWileyDermatology Research and Practice1687-61051687-61132020-01-01202010.1155/2020/45874594587459Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based ReviewAshila Putri Disamantiaji0Endang Farihatul Izza1Muhamad Faza Soelaeman2Tannia Sembiring3Melva Louisa4Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia, Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia, Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDepartment of Pharmacology and Therapeutics, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaBackground. Atopic dermatitis or eczema is one of the most common dermatologic problems, especially in children. Several studies have hypothesized that alteration of gut-colonizing microbes might have induced and conditioned the development of the disease. Thus, modulation of microbial diversity and abundance might help alleviate symptoms and conditions for patients. Given the ability of commensal and symbiotic microorganisms in modulating the immune system, probiotics administration has been studied in previous research in the management of eczema. However, until today, there are conflicting results between studies making inconclusive recommendations towards probiotics supplementation in the management of atopic dermatitis. This case-based review was done to assess and evaluate the therapeutic efficacy of probiotics supplementation in the management of eczema in children. Method. An electronic database search was conducted in PubMed-NCBI, Cochrane, EBSCO, ProQuest, and SCOPUS in March 2020. Individual studies and reviews were then gathered for screening using predetermined inclusion and exclusion criteria. The included studies were then critically appraised for their validity and importance. Result. A total of 5 studies, all of which were RCTs, were included in this review. Out of all the studies included, 4 showed no clinically significant improvements in using probiotics in the management of eczema in children as they did not pass the minimal clinically important difference (MCID) of eczema severity as determined by SCORAD (SCORing Atopic Dermatitis). Conclusion. Supplementation of probiotics in the management of eczema in children does not show a clinically relevant difference vs. standard treatment in reducing eczema severity.http://dx.doi.org/10.1155/2020/4587459
spellingShingle Ashila Putri Disamantiaji
Endang Farihatul Izza
Muhamad Faza Soelaeman
Tannia Sembiring
Melva Louisa
Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based Review
Dermatology Research and Practice
title Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based Review
title_full Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based Review
title_fullStr Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based Review
title_full_unstemmed Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based Review
title_short Probiotics in the Management of Atopic Dermatitis for Children: A Case-Based Review
title_sort probiotics in the management of atopic dermatitis for children a case based review
url http://dx.doi.org/10.1155/2020/4587459
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