Chewable probiotics. Probiotics for children: types, application, reviews. The best probiotics. Imported probiotics for newborns

Probiotics are medications that contain strains of live bacteria. The product is sold in various forms release and with different compositions. There are not only single-component probiotics, where only one type of microorganism is present, but also multicomponent ones. Unique properties The drug helps achieve the following results:

• strengthening immune system;
• restoration of microflora and intestinal mucosa after taking antibiotics;
• lowering blood cholesterol;
• rapid removal of toxins and allergens from the body;
• normalization of Ph balance in the colon;
• improving the absorption of vitamins and microelements.

Below are the best probiotics according to doctors and patient reviews. Please note that the information provided is for informational purposes only and is not a guide to purchase. For any advice you should contact specialists!

There are contraindications. Consult your doctor.

The best monocomponent probiotics

Mono-ingredient probiotics contain only one strain of bacteria. These can be: bifidobacteria, lactobacilli, coli or bacilli. Such drugs are classified as first generation probiotics. That is, this was exactly the composition of the very first products for improving intestinal microflora. Despite the fact that probiotics are modified every year and have more complex formulas, monocomponent preparations do not reduce their popularity.

2 Lactobacterin

Best for newborns
Country Russia
Average price: 140 rub.
Rating (2018): 4.6

The first generation probiotic “Lactobacterin” is created on the basis of one component – ​​live lactobacilli. Once in the intestines, they produce lactic acid, creating favorable conditions for the formation of beneficial bacteria. The active component fights staphylococcus, Proteus and E. coli. Lactobacterin is allowed for babies from the first day of life. The probiotic has virtually no contraindications and side effects, therefore, is not capable of harming the fragile intestines of newborns.

The drug is available in the form of a powder, hermetically packaged in bottles. Each pack contains 10 such bottles. The product can be used for no more than 10 days. The product is resistant to antibiotics, so it can be used simultaneously with antibacterial drugs.

Indications for use:

• diarrhea;
• impaired intestinal function in newborns.

Contraindications:

• vulvovaginitis.

1 Bifidumbacterin

For the whole family
Country Russia
Average price: 232 rub.
Rating (2018): 4.8

A prominent representative of the first generation of probiotics is Bifidumbacterin. The one-component drug is available in the form of tablets, drops, powder and suppositories. The product improves metabolic processes, increases immunity and normalizes intestinal function in both adults and children from 6 months. It is worth noting that six-month-old babies can only take “Bifidumbacterin” in powder; other forms of release are approved for use from 3 years of age. If infants refuse to take the drug, then it is possible to prepare a solution based on breast milk.

The active ingredient of the drug is bifidobacteria, which are active against strains of Escherichia coli, yeast-like fungi and staphylococcus. The course of treatment should not exceed 14 days. Only the attending physician can extend the period of admission.

Indications for use:

• dysbacteriosis;
• intestinal infections;
• colic.

Contraindications:

• individual intolerance;
• allergy to probiotic.

The best multi-component probiotics

Multicomponent probiotics are called symbiotics, since they contain from 2 to 30 strains or several types of living bacteria. That is, the symbiotic formula includes more than two probiotics. For example, one preparation may contain four types of lactobacilli or a mixture of bifidobacteria and lactic acid streptococci. Thanks to more complex composition than in first-generation probiotics, symbiotics have a complex effect on the intestinal microflora. Below are the three best multi-ingredient probiotics based on customer reviews and medical recommendations.

3 Bifiform

Best for kids
Country: Denmark
Average price: 472 rub.
Rating (2018): 4.5

The composition of the symbiotic "Bifiform" includes enterococci and strains of bifidobacteria. Active substances normalize work digestive system Therefore, the probiotic is used for the treatment and prevention of dysbiosis in children and adults. The product also effectively combats constipation and diarrhea. The medication strengthens the immune system and serves as a prevention of infectious diseases.

For adults, the drug is sold in the form of tablets or capsules. For children The release form is more varied. "Bifiform Malysh" is presented in the form of a powder for preparing a solution with an orange-raspberry flavor. There are Bifiform Kids chewable tablets with the same taste. And for very young patients it is produced oil solution"Bifiform Baby"

Indications for use:

• prevention and treatment of dysbacteriosis;
• constipation and diarrhea.

Contraindications:

2 Acipol

Maximum benefits – minimum contraindications
Country Russia
Average price: 337 rub.
Rating (2018): 4.7

"Acipol" is produced in capsules containing kefir grains and acidophilus lactobacilli. Since the shell is gelatinous, before taking the symbiotic for small children, it is recommended to open the capsule and mix the contents in one teaspoon of water or milk. The probiotic is approved for use by babies older than three months.

The action of the active substances of the drug is similar to antibiotics. The tool creates unfavourable conditions for pathogenic microbes, therefore it easily normalizes the balance of intestinal microflora. The probiotic is used for the prevention and treatment of dysbiosis resulting from poor nutrition or taking antibiotics. It is often included in the course complex treatment Gastrointestinal tract, for example, with colitis and enterocolitis.

Indications for use:

• intestinal infections and dysbacteriosis;
• reducing intoxication during food poisoning;
• chronic enterocolitis and colitis.

Contraindications:

• sensitivity to components.

1 Enterol

Best after taking antibiotics
Country: France
Average price: 450 rub.
Rating (2018): 4.9

The multicomponent probiotic "Enterol" was developed by French scientists. The symbiotic composition includes Saccharomyces boulardii - these are lyophilized live bacteria, and as excipient acts as lactose monohydrate. Having completed its main function, yeast mushrooms in a natural way are excreted from the body. The drug is available in capsules or sachets of powder.

Most often, Enterol is prescribed after a course of antibiotics. The probiotic fights the causes of diarrhea, which could occur due to food poisoning or against the background of dysbiosis. The product should not be taken by children under 1 year of age without a doctor's prescription.

Indications for use:

• diarrhea;
• rotavirus infection;
• irritable bowel syndrome.

Contraindications:

• allergic reactions or high sensitivity to the components included;
• pregnancy and lactation period.

The best sorption probiotics

This category presents the best probiotic complexes, which in addition to living microorganisms include a sorbent. In the preparation, bacteria are united into small colonies (20-180 living cells), which are fixed on sorbents, most often Activated carbon. This increases the survival rate of microorganisms in the stomach. A product with this composition gently and effectively cleanses the intestines, restores colonies of beneficial bacteria, and prevents poisoning and other stomach problems.

3 Linux

Produces B vitamins
Country: Slovenia
Average price: 263 rub.
Rating (2018): 4.4

The active ingredient of the drug "Linex" is libenin, which contains strains of live lactobacilli, bifidobacteria and enterococci. Once in the intestines, beneficial microorganisms begin not only to actively multiply, but also to synthesize vitamins B1, B2, B6, B12 and K. Lactic acid bacteria increase the acidity of the intestinal microflora, which leads to inhibition of growth and development pathogenic microorganisms. Active substances do not give pathogenic bacteria attach to the intestinal wall.

The release form of the drug is capsules. "Linex" is safe for health when correct observance dosage. The product is prescribed even to infants, but it is first recommended to carefully remove the contents of the capsule and mix with breast milk or a mixture.

Indications for use:

• treatment and prevention of dysbacteriosis;
• gas or heartburn;
• diarrhea or constipation.

Contraindication:

• hypersensitivity to components.

2 Probifor

Best for poisoning
Country Russia
Average price: 730 rub.
Rating (2018): 4.6

The release form of Probifor is capsules or powder in sealed bags. The drug does not have age restrictions, so even newborns can take it from the first day of life. The probiotic consists of live bifidobacteria sorbed on activated carbon, lactose acts as an auxiliary substance.

The product perfectly fights diarrhea, since bifidobacteria not only destroy pathogenic microorganisms, but produce antibacterial substances. Due to its unique composition, the probiotic in short time restores the structure of the intestinal mucosa, and fights poisoning and toxicity without the help of antibiotics. The drug can be prescribed in postoperative period or in preparation for surgery, childbirth, or caesarean section. Often used in comprehensive courses treatment of ARVI or influenza.

Indications for use:

• eczema and allergic reactions;
• irritable bowel syndrome;
• chronic colitis and pancreatitis;
• bacterial vaginosis and colpitis (external use).

Contraindications:

• intolerance to probiotic components.

1 Bifidumbacterin Forte

Quickly removes toxins from the body
Country Russia
Average price: 215 rub.
Rating (2018): 4.9

The probiotic complex is available in capsule or powder form. Live bifidobacteria sorbed on activated carbon evenly populate the intestinal microflora. Active components normalize microflora, and charcoal eliminates intoxication. The drug very quickly rids the digestive organs of waste products of harmful bacteria, removes toxic substances and restores colonies of beneficial microorganisms.

A probiotic is prescribed not only for indigestion, but also before a planned operation or after surgical intervention. The drug easily eliminates poisoning, constipation and diarrhea. Newborns are prescribed the drug from the first day of life only in powder; capsules are allowed from the age of three.

Indications for use:

• poisoning and allergies;
• constipation or diarrhea;
• intestinal infections.

Contraindications:

• lactase deficiency;
• Individual intolerance to the components of the drug.

The best synbiotics

Synbiotics are preparations that contain probiotics and prebiotics. Probiotics are live bacteria that belong to the normal intestinal microflora. Prebiotics – organic chemical substances, creating ideal conditions to normalize intestinal microflora. Complex drugs They cope well with indigestion, since one capsule contains not only beneficial microorganisms, but also a nutrient medium for them.

3 Normoflorin

Most natural composition, suitable for newborns
Country Russia
Average price: 400 rub.
Rating (2018): 4.7

"Normoflorin" is an effective biocomplex against intestinal dysbiosis. It improves peristalsis, restores microflora, and reduces cholesterol. It is based on three components: metabolites, lactitol and bacteria (bifido and lacto). Together they have an active positive impact on the gastrointestinal tract. The drug is suitable even for people with lactose and protein intolerance cow's milk. Important feature considered to be a completely natural composition.

The manufacturer produces three types of “Normoflorin”, which differ slightly in composition. But most often they are advised to be taken in combination. The probiotic has been on the market for over 20 years. Is a complex useful substances, capable of helping even with chronic diseases Gastrointestinal tract (ulcers, gastritis, etc.). The kit includes a measuring cup. The product is used for the prevention and treatment of dysbiosis in children and adults. Does not contain dyes or preservatives.

Indications for use:

• stomach ulcer, chronic gastritis and etc.;
• lactase deficiency;
• dysbacteriosis;
• disturbed microbiocenosis.

Contraindications:

• individual intolerance to components.

2 Narine Forte

Dietary fermented milk product
Country Russia
Average price: 350 rub.
Rating (2018): 4.7

The liquid probiotic contains a specially created strain of acidobacteria “Narine TNSi”, which takes root well on mucous membranes gastrointestinal tract. The product fights all known pathogenic microorganisms. Together bifidobacteria and acidobacteria for a long time remain viable, which means the effect of normalizing the intestinal microflora is longer.

The drink is recommended for use by adults and children with dysbacteriosis and intestinal infections. "Narine Forte" is prescribed after long reception antibiotics or hormonal drugs, as well as after radiation or chemotherapy. The product normalizes intestinal function after climate change. It can be taken by expectant mothers, women during lactation, as well as newborn or premature babies.

Indications for use:

• vitamin deficiency;
• alcohol intoxication;
• prevention of dysbacteriosis.

Contraindications:

• individual intolerance.

1 Maxilac

Best by popularity
Country: Poland
Average price: 440 rub.
Rating (2018): 4.8

The dietary supplement “Maxilak” is one of the most popular according to doctors and patient reviews. The drug contains live lactobacilli (4 species), bifidobacteria (3 species), lactococci and streptococci, and to create comfortable conditions the prebiotic oligofructose is used. This combination effectively suppresses the activity of harmful bacteria and stops their reproduction.

The drug can be taken not only by adults, but also by children aged 3 to 14 years, subject to compliance with all prescriptions of the attending physician. The synbiotic is available in the form of capsules with an innovative patented Multi Resistant Encapsulation (MURE) coating. Capsules retain the viability of microorganisms even under aggressive influences external environment, so the product can be stored at high temperatures.

Indications for use:

• long-term treatment with antibiotics;
• diarrhea or constipation;
• dysbiosis.

Contraindications:

• hypersensitivity to synbiotic components.

Probiotics and prebiotics for children are often necessary in the treatment of many diseases as a restorative agent. Probiotics are living microorganisms that populate the natural intestinal microflora.

Beneficial bacteria and yeast included in the preparations have a pronounced resistance to many types of pathogenic microorganisms, helping to eliminate diseases.

Probiotics do many things important functions in the child’s body, for example, they produce folic acid, biotin, vitamin K, restore the microflora of mucous membranes, promote the elimination of toxic substances and general strengthening immunity.

To find out which probiotics are best for children, it is necessary to understand the principle of action of such drugs. Beneficial microorganisms can be found in two dosage forms: in the form of liquid and powder.

Powdered preparations differ in that they begin to work some time after the product enters the stomach. Such drugs have a significant drawback, which is that while the effect of the substance reaches its maximum, part of it is already excreted from the body through the intestines.

The result of treatment with such drugs is usually quite weak and appears only after a few days of therapy.

Dry probiotics include not only powders, but also capsules and tablets. Such drugs have low effectiveness because it takes considerable time to activate their action.

Another form of dry probiotics is suppositories, but their effectiveness is minimal because the paraffin they contain prevents beneficial bacteria from having the necessary effect.

Children's probiotics with a liquid structure are more effective compared to dry ones, since the bacteria in them are already in an active state, and therefore, when they enter the child's body, they immediately begin to act without losing useful properties and providing maximum effect. Such products contain millions of living and active bifidobacteria.

Probiotic groups

Preparations that normalize intestinal microflora, probiotics for children and adults are divided into several generations:

1. Monocomponent preparations containing one of the strains of beneficial bacteria.
2. Self-eliminating antagonists.
3. Preparations of multicomponent type.
4. Sorbed bifido-containing probiotics. Such preparations belong to the fourth generation and contain live beneficial bacteria immobilized on a sorbent.

In addition, probiotics for children under one year of age and older are classified according to the type of bacteria they contain. The manufacturer of almost all drugs is Russia, with the exception of some foreign drugs, for example, Enterol, Linex and Bifiform.

Probiotics for children can be divided into the following groups:

Probiotics for infants are often included in specialized infant formulas along with prebiotics used as complementary therapy in the correction of intestinal dysfunction. Prebiotics include Lysozyme, pantothenic acid, Lactulose and its analogues, as well as the well-known Hilak Forte.

Dietary supplements with probiotics

There are also dietary supplements with probiotics, which are not drugs and are used to correct the condition of the intestinal microflora and general health improvement body. These probiotics are often used to help recover from antibiotic use.

Among the Russian drugs for older children, the most famous are:

• Euflorin.
• Normoflorin L and V.
• Polybacterin.
• Yogulact.
• Bifacil.
• Biovestin and Biovestin lacto.
• Liquid concentrates of beneficial bifidobacteria.
• Laminolact.

Among the imported dietary supplements with probiotics are:

• Normobakt.
• Rela Life.
• Primadophyllus.
• Flora dophilus.
• Probionix.
• Rioflora balance.
• Ayidophilus.
• Ecofemin Balance.
• Symbiolact.

Probiotics for newborns and babies in the form of dietary supplements have a special special formula. Among Russian drugs, the most popular is Bifidumbacterin-multi, produced in several versions for children of 3 age groups. In addition, Bifidus and Primalophilus junior are often used for infants.

Composition of some drugs

First generation:

• Dry Bifidumbacterin. Available in the form of capsules, tablets, as well as lyophilisate intended for the preparation medicinal solutions. The Russian drug contains live bifidobacteria Bifidum.
• Dry Lactobacterin. Available Russian drug in the form of a lyophilisate intended for the preparation medicinal solutions, and it contains acidophilic lactobacilli.
• Dry Colibacterin. Available in the form of a lyophilisate. The drug contains Escherichia coli strain M17 bacteria, live but dried in their cultivation medium. In addition, a protective mixture of sucrose and gelatin has been added.
• Narine in capsules, complex forms and milk concentrates. The drug is produced in Armenia and is a dietary supplement with high content acidophilic form of lactobacterin.
• Dry Biobakton, produced in the form of a lyophilisate. It contains acidophilic lactobacilli.
• Primadophilus in capsules, dietary supplement made in the USA. It contains acidophilic lactobacilli and lactobacilli rhamnosus.

The second generation of probiotics, which include bacillus spores and yeast-like fungi.

• Bactisubtil, a drug produced in France, available in capsules. It contains leophilically dried spores of B. cereus IP 5832 bacilli, exhibiting wide range antibacterial action, killing many germs, stopping diarrhea and promoting rapid recovery intestinal microflora.
• Sporobacterin Russian production, available in the form of lyophilisate and suspension. The drug contains: Bacillus subtilis in the form of a live active strain.
• Biosporin made in Russia. It contains aerobic saprophytes belonging to the genus Bacillus, namely licenifomis and subtilis. Available in the form of tablets and lyophilisate.
• Russian-made Zubikor contains inactive yeast-like cultures, alimentary fiber, important microelements, vitamins, amino acids and is a dietary supplement. Available in powder form.
• Enterol produced in France is available in the form of suspension and capsules. It contains: titanium dioxide, gelatin, lactose monohydrate, magnesium stearate and lyophilized Saccharomyces Baulardi.

The third generation of probiotics is represented by drugs that are analogues of Linex, many of which are used as probiotics for infants.

• Linex produced in Slovenia is available in the form of capsules for adults, capsules for children, and powders for babies. The drug contains enterococci, bifidobacteria, and lactobacilli.
• Bifiform produced in Denmark is available in the form of drops and chewable tablets, as well as special complexes for children. The preparations contain special Baby bifidobacteria and enterococci. Some products are enriched with vitamins B6 and B1, as well as plant fibers inulin.
• Bifiliz of Russian production is produced in the form of lyophilisate and rectal suppositories. The preparations consist of lysocin and bifidobacteria Bifidum.
• Acylact produced in Russia is available in the form of suppositories, lyophilisate and tablets, containing acidophilus lactobacilli.
• Russian-made Acipol is available in the form of lyophilisate, tablets and capsules, containing lactobacilli acidophilus and kefir grains.

Fourth generation of probiotics

• Russian-made probifur, available in the form of capsules and powders, contains bifidobacteria bifidum sorbed on activated carbon.
• Florin forte, available in powder form, contains bifidobacteria and lactobacilli adsorbed on activated carbon.
• Bifidumbacterin forte, produced in Russia, available in the form of powders and capsules, contains bifidobacteria sorbed on activated carbon.

There is also a unique drug that combines probiotics and prebiotics, which belongs to the category of synbiotics.

The combined Polish drug Maxilact contains 9 types of beneficial bacteria (4 types of lactobacilli, 3 types of bifidobacteria, lactococci and streptococci) and oligofructose. Seven of the nine types of bacteria are part of the natural microflora of the human gastrointestinal tract.

How probiotics work

After taking drugs in any form (except for rectal suppositories), the substances pass through the entire digestive system, restoring damaged microflora and remaining in the environment of the large intestine, which is most optimal for them.

As they progress, beneficial bacteria attach to the mucous membranes and begin to multiply, forming colonies of beneficial microorganisms, as a result of which enzymes and amino acids are formed, as well as substances with antibiotic properties.

Developing on mucous membranes, beneficial bacteria actively suppress pathogens, restore the correct balance of microflora, bring intestinal motility to normal and activate the production of substances and vitamins necessary to strengthen the immune system.

Probiotics for newborns

The neonatal period is considered to be the first 28 days of a baby’s life. At this time, the body adapts to new living conditions. The birth process deprives the baby of his usual sterile environment, and the first people he encounters in the new world are a variety of microorganisms.

Bacteria are invisible to the naked eye, but they are the ones who begin to actively settle in the baby’s body, on its mucous membranes, skin, and in the intestines already during birth, and, further, upon contact with people, the mother, and when consuming mother’s milk.

Some bacteria are beneficial and necessary; they form the correct intestinal microflora, strengthening the immune system and suppressing the impact of the second part of bacteria, which are harmful.

During this period, the main probiotics are bifidobacteria and lactobacilli, which are found in large quantities in mother's milk. When bottle-fed, babies are deprived of this natural protection, so they need additional nutrients.

Special milk formulas enriched with probiotics are commercially available, but you can also use pharmaceuticals for lactose-free newborns, which include Normoflorin-L, Narine, Normoflorin-B, Bifiform Baby, Liveo Baby.

Probiotics during antibiotic treatment

When using antibiotics, there is always a danger of dysbacteriosis, since active substances drugs are aimed at destroying bacteria and are not selective, killing both harmful and beneficial microorganisms, destroying the natural intestinal microflora.

In children, as a result of treatment with antibiotics, disorders in the gastrointestinal tract very often appear, expressed in flatulence, diarrhea, bloating, intestinal colic, constipation.

Probiotics during antibiotic treatment are necessary substances, the purpose of which is to balance the state of the microflora and restore it.

During this period, it is recommended to take drugs that are resistant to antibiotics, for example, Hilak Forte, which is a prebiotic and approved for use in children from the first day of life. Of the probiotics, Linex has proven itself to be excellent.

Probiotics – biologically active drugs, which contain live bacteria of normal intestinal microflora. Probiotics for children prevent the development of dysbiosis and have a therapeutic effect when the disease manifests itself. Timely administration of probiotics in children of the first year of life contributes to the formation of the body’s protective reactions against aggressive factors pathogenic microflora.

The first probiotic that humanity began to use for preparation medicinal products food, is considered Lactobacillus bolgaricus. The only microorganism whose name mentions the territory where it was isolated from cells of plant origin.

The discovery of the Bulgarian lactobacilli became the basis for the production of lactic acid products endowed with healing and excellent taste. And although their preparation was first started more than 8 thousand years ago, the technology for the production of feta cheese and yoghurt is still used in certain territories of Central Asia, Russia and Ukraine.

In the 80s of the twentieth century, microorganisms capable of normalizing intestinal flora were given the name “probiotics”. It fully reflects the purpose of the drugs – “for life”. By restoring the balance between beneficial and harmful bacteria, probiotics exhibit best qualities to protect the body from infections and cancer, normalize digestion, relieve skin manifestations and synthesize vitamins.

Dosage forms

Dry

The very first probiotics were represented exclusively by dry cultures of microorganisms. For drying, the lyophilization method is used. First, the biomaterial is severely frozen, and then dried in a vacuum chamber with the evaporation of all liquid. The bacteria do not die, but go into a state of suspended animation - suspension of vital activity, which will resume under more favorable conditions.

The advantage of dry probiotics is: long term storage (in ampoules, tablets, capsules or vials), which reaches 2 years. However, there are also disadvantages. Lyophilization weakens useful qualities bacteria, reduces their ability to attach to the intestinal epithelium. To get out of suspended animation and start active work bacteria, it will take about 8 hours - the time during which some of them will leave the body.

Liquid

The production of liquid forms of probiotic preparations preserves their viability in an environment where metabolic products of microorganisms are also located. The bacteria begin to show their activity within a couple of hours after ingestion. Liquid forms of probiotics are easily dosed in drops and are widely used in pediatric practice to treat children under one year of age.

These drugs have another advantage. Various ingredients can be added to their composition. For example, prebiotics. They provide food for beneficial microorganisms, increase their reproduction, colonization and effective properties to normalize the biological environment of the intestine.

Assortment by groups

Russian epidemiologists, pediatricians and biologists have approved more than a hundred types of medicinal preparations containing beneficial bacteria for any child’s body age category. They can be:

• monocomponent, that is, contain only one type of microorganisms: “Bifidumbacterin”, “Lactobacterin”, “Colibacterin”, “Bactisporin”;
• multicomponent, which include several types of beneficial microorganisms: “Bifiform” (enterococci and bifidobacteria), “Bifikol” (Escherichia coli and bifidobacteria), “Linex” (lacto- and bifidobacteria, enterococci), “Bifiform Malysh” (lacto- and bifidobacteria );
• combination drugs, including microorganisms and additives that enhance the effect of beneficial bacteria, that is, probiotics and prebiotics: “Acipol” (polysaccharide of kefir grains and lactobacilli), “Bifiliz” (lysozyme and bifidumbacteria);
• sorbed, represented by colonies of bacteria fixed on the sorbent: “Florin forte” (lacto- and bifidumbacteria adsorbed on activated carbon), “Bifidumbacterin forte” (bifidumbacteria on activated carbon).

Monocomponent preparations are indicated if an insufficient number of bacteria of a particular species is accurately identified. More effective in terms of activity against harmful microorganisms: multicomponent and combined probiotics.

Mechanism of action

After oral administration of probiotic preparations, having passed the entire digestive tract, are retained in the optimal environment of the large intestine.

Beneficial bacteria adhere (attach) to mucous membranes, forming colonies of cells of the same type. As a result of their vital activity, active substances with antibiotic properties, amino acids and enzymes are formed. By suppressing the growth of harmful microflora, they normalize intestinal motility, microflora balance, and synthesize vitamins and substances necessary to improve immunity.

For newborns

The neonatal period is 28 days, during which the baby’s body adapts to new living conditions. Gap amniotic sac, with which childbirth begins, forever deprives him of his sterile habitat and opens the way to a new world. The first things a newborn will encounter will be microorganisms.

Invisible bacteria will begin to actively settle on the skin, mucous membranes and in the intestines while the child is passing through the birth canal. They will continue to form their colony families with breast milk entering the intestines, and will take advantage of the opportunity during contact with the mother, medical personnel and care items.

Among the huge army of bacteria, both beneficial and potentially harmful representatives will form the intestinal microflora. The first are lacto- and bifidobacteria, as well as a type of Escherichia coli with normal enzymatic properties. From the first days of the baby’s life, they will take an active part in the digestion processes, will protect themselves from harmful microbes and external factors, and will begin to synthesize vitamins and substances for the formation of immunity.

Representatives of the second group do not show their harmful properties until the right conditions for aggression arise. And the main one is a decrease in the number of beneficial microorganisms. Their niche in the intestines will begin to be intensively occupied by conditionally harmful flora (staphylococcus, Klebsiella, Proteus, Citrobacter, fungi, E. coli with altered properties), causing dysbacteriosis.

The main probiotics in this important period of life will be lacto- and bifidobacteria, which are part of mother's milk. Natural feeding - natural spring useful biomaterial for building the baby’s immune system.

Artificial feeding deprives the child of important microorganisms in establishing the balance of the intestinal flora. These are children at risk, prone to frequent illnesses, and first of all – to dysbacteriosis. That is why all formulas for artificial feeding are enriched with lacto- and bifidobacteria, and the diet of a newborn baby, on the recommendation of a doctor, can be supplemented with fermented milk formulas.

If necessary, probiotic preparations without lactose and cow's milk protein are indicated from the first days of life:

• "Bifiform Baby";
• "Normoflorin-L" (lactobacteria);
• "Normoflorin-B" (bifidobacteria and prebiotic lactitol);
• "Narine";
• "Liveo Baby" (bifidobacteria, prebiotic fructooligosaccharide and triglyceride auxiliary component vegetable oil): to normalize stool.

During treatment with antibiotics

The need to prescribe antibiotics is always associated with the threat of dysbacteriosis. Antibiotics are not selective to microorganisms. By destroying pathogenic bacteria, they cause irreparable harm beneficial intestinal microflora. As a result, after treatment, signs of dysbiosis appear - loose stool or a tendency to constipation, bloating, flatulence, intestinal colic.

To maintain the balance of microflora while taking antibiotics, it is advisable to prevent dysbacteriosis with microorganisms resistant to antibacterial drugs. Good result provide probiotics and prebiotics for children.

“Hilak Forte” has proven itself better than others in pediatric practice, without contraindications for children from the first days of life. This prebiotic contains metabolic products that are produced by normal intestinal microflora, causes the death of pathogenic microbes and frees up space for the development of beneficial microorganisms.

Of the probiotics, Linex is the most effective. Its composition of lacto-, bifidobacteria and strains of enterococci has an antagonistic effect against pathogenic microbes and normalizes the quality and quantitative composition beneficial bacteria.

After taking antibiotics, a course of drugs is prescribed with beneficial effects on the intestinal flora. The duration of taking prebiotics, probiotics and synbiotics (a complex of prebiotics and probiotics in one preparation), vitamins with prebiotic components is from 3 to 4 weeks.

A good effect for children is given by the appointment of “Liveo” with 4 beneficial strains of bacteria in its composition, “Linex”. The list of prebiotics includes “Hilak Forte” and “Pikovit Prebiotic”.

Organizing your diet and its composition will help normalize your intestinal flora after antibiotics are prescribed. After suffering from illnesses, you should not give your baby fatty and high-calorie carbohydrate foods. Juices, fruits and vegetables in the diet will bring more benefit restoring strength to the body. Rich vegetable fiber, they will provide “food” for beneficial bacteria, accelerate their growth and help quickly balance normal composition microflora.

Efficiency

Comments and reviews from parents regarding the effectiveness of treatment of dysbiosis in children under one year old and several years old are ambiguous. The same drugs can have a miraculous effect after taking three times in one child and have no effect when long-term treatment from another.

The answer to this question is given by the “School of Doctor Komarovsky”. Popular for his well-founded conclusions, TV presenter, pediatrician and candidate of medical sciences Evgeniy Komarovsky clearly explains the problem.

In his opinion, there is no diagnosis of “intestinal dysbiosis” as such. This condition is the result of a specific cause affecting the digestive system. The most common factors that provoke an imbalance of intestinal microflora:

• infectious diseases;
• violation of the diet in qualitative and quantitative terms;
• change in living conditions;
• stress.

Until the cause is eliminated, no probiotics, prebiotics or vitamins will be able to normalize the intestinal microflora. In order to prevent dysbiosis, Komarovsky recommends, first of all, establishing a diet, eliminating feeding the child between timed meals, and introducing foods into the diet, the list of which is regulated by the age of the baby.

For digestive disorders and problems with intestinal microflora, the child is prescribed different medicines, one of which is prebiotics. How do they act on children's body, why are they used and what are they?

What is this?

The word “prebiotics” refers to various substances that, when ingested, colon create conditions that are favorable for normal intestinal microflora. They are not digested upper sections Gastrointestinal tract. Such substances are found in many foods and are also produced by the pharmaceutical industry in the form medicines(in drops, tablets and other forms).

Prebiotics normalize microflora and stimulate the proliferation of beneficial bacteria in the intestines

Prebiotic substances include:

• Inulin;
• Lactulose;
• Fiber (dietary fiber);
• Pectin and dextrin;
• Lactitol;
• PABC;
• Calcium pantothenate;
• Galacto-oligosaccharides;
• Chitosan;
• Glutathione, carotenoids, selenium, ubiquinone;
• Sorbitol and xylitol;
• Raffinose and other substances.

You can learn more about what prebiotics are in the following video.

Indications for use

The main indication for the use of prebiotics is intestinal dysbiosis. Such substances are prescribed for constipation, diarrhea, bloating, chronic diseases intestines, food poisoning, as well as after antibiotic therapy.

Prebiotics promote faster recovery of the body in case of intestinal problems and after taking antibiotics

• Hepatic encephalopathy;
• Bowel cancer;
• Hemorrhoids;
• Acute infections;
• Fatty liver degeneration.

They are prescribed with for preventive purposes to prevent constipation and systemic infections.

Contraindications

• Increased sensitivity.
• Intestinal obstruction.
• Galactosemia.
• Suspicion of appendicitis.
• Presence of blood in stool.

Prescription of prebiotic drugs for diabetes mellitus must be carried out very carefully.

You shouldn’t get too carried away with prebiotic drugs; moderation is important

Possible side effects

Due to the intake of prebiotics, an osmotic effect in the liver may occur. There are also disturbances in the functioning of enzymes in the large intestine.

Side effects of some drugs with prebiotic action include colic, diarrhea and flatulence, but these symptoms disappear after adjusting the dose of the drug. Allergic reactions are rarely possible.

Difference from probiotics

Which ones are better to choose?

If you are selecting a prebiotic for preventive purposes or changes in the microflora in the baby’s intestines are not too pronounced, you should focus on correcting the child’s diet. Include in your baby’s menu a sufficient amount of foods containing natural prebiotics, in particular, cereals, fruits, dairy and dairy products, vegetables.

When bright severe symptoms intestinal disorders, consult your doctor and ask to choose the best medications for your child

If you do not have the opportunity to enrich your baby’s diet with food with prebiotics or microflora disturbances are very pronounced, you should use pharmaceutical drugs with prebiotic substances. They are indicated for severe dysbiosis and complications of diseases of the digestive tract.

For more information about prebiotics and the foods that contain them, see the program “Live Healthy.”

• Probiotics
• With antibiotics
• Prebiotics

Probiotics are biologically active preparations that contain live bacteria from the intestinal microflora. Probiotics for infants are useful as a prevention of dysbiosis.

Why do babies need probiotics?

Probiotic preparations pass through the entire gastrointestinal tract and stop in the large intestine. Microorganisms attach to the mucous membrane, forming colonies of beneficial bacteria. Enzymes, aminocarboxylic acids, substances with antibiotic properties are the result of the vital activity of probiotics.

At the same time, they suppress the growth of harmful microflora, improve immunity, and promote the formation protective functions body. Probiotics begin to be given to children in the first years of life, if there is no lactose intolerance.

Probiotics for newborns can:

• Synthesize proteolytic enzymes, B vitamins, organic acids, as well as other substances that inhibit the growth of harmful microorganisms;
• Displace pathogenic flora;
• Strengthen the production of mucoproteins, cytokines and antibodies;
• Promote the absorption of carbohydrates and proteins;
• Reduce gastric permeability.

And this is not a complete list.

History of discovery

Bulgarian bacillus is the first probiotic that was used to prepare food products that have a therapeutic effect. This happened about 10 thousand years ago, but to this day similar technology is used in certain regions of our country and neighboring countries. The discovery of Lactobacillus bolgaricus changed the production of dairy products: from now on they became not only tasty, but also more healthy.

Microorganisms received their name “probiotics” only in the 80s of the last century. They restore the balance between harmful and beneficial bacteria. Thanks to probiotics, the body better resists the growth of tumors and infections, the functioning of the gastrointestinal tract is normalized, and the condition of the skin improves.

On a note. People are born without bacteria and acquire them gradually. The very first meeting with them occurs when passing through birth canal. This is why it is believed that natural childbirth better than a caesarean section.

Prebiotics and probiotics

Prebiotics and probiotics are different concepts, having only a similar name. Prebiotics complement the action of probiotics. Prebiotics normalize intestinal microflora. Prebiotics are prescribed for dysbiosis, painful sensations in the abdomen, stool disorders, increased gas formation.

Prebiotics are a chemical organic substance that promotes the reproduction of normal microflora. That is, probiotics are living bacteria and organisms, and prebiotics create conditions for their normal existence. Prebiotics are constantly confused with probiotics due to the identical name and similar applications.

Dosage forms of probiotics and types

Dry probiotics

Dried probiotics are cultures of the body that are in powder form. The dry form is formed by gentle drying, in which the biomaterial is first subjected to severe freezing and then placed in a vacuum. In an airless chamber, all liquid disappears, but the bacteria do not die, but only suspend their vital activity.

The shelf life of such drugs can reach 2 years, which is undoubtedly a big plus. But during lyophilization, the quality of bacteria deteriorates; they cannot attach to the intestinal epithelium. Coming out of suspended animation takes about 10 hours, during which time the probiotics will simply leave the human body.

Liquid release form

The liquid form better contributes to the preservation of the vital functions of organisms. Bacteria revive within 2 hours. Drug in liquid form It is convenient to dose; the composition can be supplemented with other ingredients, for example, prebiotics.

Types of drugs

Domestic pediatricians, epidemiologists and biologists have identified over a hundred medications enriched with probiotics. The list looks like this:

1. Monocomponent, consisting of one species, for example, Lactobacterin;
2. Multicomponent, consisting of several types, for example,;
3. Combined preparations consisting of prebiotics and probiotics, for example;
4. Sorbed, containing a sorbent, for example, Florin forte;

Monocomponent ones are prescribed in case of shortage of a specific type of bacteria; they are more effective in the fight against pathogenic flora are considered multicomponent probiotics. Your pediatrician will recommend which probiotics you should take in each individual case.

On a note. Probiotics are not able to fight diseases. It is believed that the therapeutic effect of probiotic preparations is exaggerated.

Probiotics for newborns

The neonatal period is one month. At this time, the baby’s body adapts to the new world. The child is deprived of the sterile environment that the mother’s body provided him with. When a baby is born, the first thing he encounters is harmful bacteria and microorganisms. They begin to settle on skin, mucous membranes and on the intestinal walls already during the baby’s passage through the birth canal.

Afterwards, the bacteria will enter the body along with mother's milk or when consuming formula, forming their own numerous colonies.

Contact between medical personnel and other people and objects - all this affects the formation of intestinal microflora.

The microflora consists of both beneficial (lactobacteria and bifidobacteria) and harmful microorganisms. The first will begin to protect the small organism from pathogenic factors environment, synthesize vitamins, and also contribute to the formation of the immune system.

The latter negatively affect the body only after certain conditions, for example, when the amount of beneficial ones is significantly reduced. They are replaced by conditionally pathogenic flora - Escherichia coli, Staphylococcus aureus, Klebsiella bacteria. This leads to the development of dysbiosis.

Mother's milk is a natural probiotic

Nature created best probiotic for babies it is mother's milk. Breastfeeding is the best way to build a healthy immune system for babies. Despite the achievements Food Industry, artificial mixtures They don’t give much to a growing body. For more benefits, they are enriched with lactobacilli and bifidobacteria.

Modern formulas are as close in composition as possible to breast milk. Unfortunately, many children are deprived natural feeding for one reason or another. Therefore, in Russia and in many European countries Every day the number of babies raised on formula increases.

Despite the fact that scientific and technological progress has come a long way, it is impossible to create mixtures that would be no different from natural milk impossible.

Nature cannot be deceived: children raised on artificial formula have poorer health. Today, biochemists, pediatric doctors and nutritionists are trying to create mixtures that can help the baby resist intestinal infections.

Scientists have already managed to create milk formulas to which prebiotics are added.

Probiotics after taking antibiotics

Dysbacteriosis almost always appears after taking antibiotics. After all, they indiscriminately destroy all microorganisms, thereby harming beneficial microflora. The stool becomes liquid or, conversely, the child cannot go to the toilet normally, bloating appears, increased gas formation, often the occurrence of intestinal colic.

To prevent dysbiosis and colic, babies are prescribed, which can be given from the first days of life. It contains metabolic products produced by healthy intestinal microflora. Hilak Forte destroys harmful bacteria and improves intestinal condition after antibiotics.

is one of the most effective probiotics with an antagonistic effect. This drug normalizes the qualitative and quantitative composition of beneficial bacteria.

After antibiotics, it is always necessary to give medications that have a beneficial effect on the condition of the intestines. For example, for young patients with constipation, they are prescribed biologically active supplement Liveo, which includes four useful strain bacteria. Taking prebiotics and probiotics lasts about one month. This time is enough for full recovery body.

In order for the body to recover faster after taking antibiotics, it is necessary to adjust the diet. It is worth excluding fried, high-calorie and fatty foods, which is difficult to digest and contributes to the formation of colic. Give the baby food rich in fiber, which has a beneficial effect on the intestines and is good for constipation.

On a note. In 1965, Lilly and Stillwell coined the term “probiotic.”

Probiotics for colic

A lot of sleepless nights caused by children starting to suffer from colic. Every fourth child suffers from this disease. Pain from colic lasts up to about four months.

The cause of its occurrence is still completely unknown, as well as one remedy suitable for everyone that would help in every case.

Previously, medicine claimed that it was better to take probiotics for colic. However, this view was refuted because it was based on a study in which children from only one group took part.

For example, the study did not take into account babies who grew up using formula. Australian and Canadian scientists have questioned the need to take probiotics for colic. To prove this point, they gave 150 colic babies a placebo and others probiotics for a month. Wherein Special attention was given general condition infants and the state of intestinal microflora. It turned out that the subjects who received the placebo cried and were capricious less than the children from the second group.

General health worsened only in children who ate artificial formula. Newborns who were fed naturally, still felt good. These Scientific research they say that probiotic preparations do not eliminate the problem of colic.

Do probiotics help?