Probiotics in the treatment and prevention of allergy in children 英文参考文献.docVIP

Probiotics in the treatment and prevention of allergy in children 英文参考文献.doc

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Probiotics in the treatment and prevention of allergy in children 英文参考文献

ORIGINALARTICLE ProbioticsintheTreatmentandPrevention ofAllergyinChildren ErkkiSavilahti,MD,KaarinaKukkonen,MD,andMikaelKuitunenMD,PhD INTRODUCTION hemarkedincreaseintheprevalenceofallergicdiseases duringthepast50yearsisassociatedwiththedecreaseof life-threatening infections during childhood and the postin- dustrialchangesinlifestyle,characterizedbyahighstandard ofhygieneandreducedexposuretomicrobesindailyenvi- Abstract: Several fold increase in allergic diseases in developed, T high-income countries during recent decades is attributed to envi- ronmental changes such as urbanization with improved hygiene. This, together with conquering severe bacterial infections during childhood,hasreducedthemicrobialstimulationofthedeveloping immune system of infants. Studies on the pathogenesis of allergy bothinmanandexperimentalanimalhaveshowntheimportanceof commensal bacteria in the gastrointestinal tract in stimulating and directingtheimmunesystem.Theinterestinmodulatingcommensal bacterial ?ora with probiotics to prevent and treat allergy has multipliedinrecentyears. ronments. 1,2 Gerrardetalalreadyproposedinthe1970sthat thisincreaseisthepricewehavetopayforbettersurvivalof children,althoughthe“hygienehypothesis”wasformulated by Strachan, who found fewer allergies in families with a greater number of children. This led him to postulate that infections protected them from allergy. 3,4 Epidemiologic Inthepresentreviewwereportresultsonrandomized,controlled studies in which childhood atopic eczema was treated or which aimedtopreventdevelopmentofallergyduringchildhood. Nine studies with 639 patients have looked at the effect of probioticsintreatmentofeczema.While3studiedshowednoeffect, otherstudiessuggestedamoderatebene?toftheuseofprobioticson theseverityofeczema.Studiessuggestedthattheeffectmaybeseen particularlyinpatientswithfoodallergyand/orsensitization. Ninestudieshavereportedonthepreventionofallergyon6study populationwithaltogether1989highriskinfants.Whiletheearlystudy repor

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