Effect of Gut Microbiota and Fecal Inflammatory Marker on Childhood Gastroenteritis

Chang Gung Medical Foundation

Status: Completed

Conditions: Microbial Colonization; Inflammatory Response; Gastroenteritis; Probiotics; Clinical Infection

Study type: Observational

Funder types: Other

Identifiers

NCT03856138

201507461B0

Details and patient eligibility

About

Childhood gastroenteritis establishes gastrointestinal disease and increase the economic burden, and the pediatric population is especially vulnerable to these gastrointestinal infections. The aim of this study is to evaluate the role of intestinal microbiota and their relationship with childhood gastroenteritis.

Full description

Childhood gastroenteritis establishes gastrointestinal disease and increase the economic burden, and the pediatric population is especially vulnerable to these gastrointestinal infections. According to a World Health Organization report in 2003, the median incidence of diarrhea for all children age under 5 years was 3.2 episodes per child-year, and this number has not changed significantly since 1980s. In Taiwan, the enteric pathogens associated mortality is low, but the social burden and economic costs are substantial because of the high incidence.

Intestinal microflora are able to use the substances consumed in the diet: bacteria can transform complex polysaccharides and monosaccharides in short-chain fatty acids. Short-chain fatty acids are a source of energy for colonocytes and directly affect the storage of lipids and the absorption and metabolism of food, creating the so-called 'second meal effect'.

Qualitative and quantitative alterations of commensal flora may result in various gastrointestinal and extraintestinal diseases. One of the first interactions these bacteria have when interacting with the intestinal epithelial cells lining the GI tact.

The first aim of this study is to evaluate the role of intestinal microbiota and their relationship with childhood gastroenteritis. The second aim of this study is determining the inflammatory markers (such as fecal TNF-α, interleukin -6, calprotectin, lactoferrin) on the host of childhood gastroenteritis. The investigators try to seek to gain an advanced understanding effect of intestinal microbiota and fecal inflammatory marker in the childhood gastroenteritis.

Enrollment: 118 patients

Sex: All

Ages: 6 months to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Children with or without diarrhea less than three days

Exclusion criteria

• diabetes
• chronic liver disease

Trial design

118 participants in 3 patient groups

diarrhea with probiotics supplement

Description:

The children suffered from diarrhea, gastroenteritis oral probiotics during the clinical course

diarrhea without probiotics supplement

Description:

The children suffered from diarrhea, gastroenteritis no oral probiotics during the clinical course

healthy control

Description:

The children without diarrhea/ gastroenteritis