Edgardo T. Saulog Jr.

02/16/2017
RLE 9.2 Maam Magpantay
Title of the Article: Use of Probiotics for Management of Acute Gastroenteritis: A Position
Paper by the ESPGHAN Working Group for Probiotics and Prebiotics.
Authors: Hania Szajewska, Alfredo Guarino, Iva Hojsak, Flavia Indrio, Sanja Kolacek, Raanan
Shamir, Yvan Vandenplas, and Zvi Weizman.
APA: Szajewska, H., Guarino, A., Hojsak, I., Indrio, F., Kolacek, S., Shamir, R., . . . Weizman,
Z. (2014). Use of Probiotics for Management of Acute Gastroenteritis. Journal of Pediatric
Gastroenterology and Nutrition, 58(4), 531-539.
Source of the Article: EBSCO
Key term used for the Search: Pediatric Diabetis KetoAcidosis

Guide Questions (Level 2)

1. What is the significance of the research article you have chosen in your Related Learning
Experience?
- The significance of the research article entitled" Use of Probiotics for
Management of Acute Gastroenteritis: A Position Paper by the ESPGHAN Working
Group for Probiotics and Prebiotics is that it can educate the students about the use of an
alternative namely Probiotics to manage Acute Gastroenteritis. Acute Gastroenteritis has
been a norm in San Alberto Ward. Pediatric patients usually complain and experience
watery stools and dehydration in some thus; this article can be utilized by students as
another tool in assessing and gathering facts about the disease proper. Probiotics has been
the main focus of management of this research article. Probiotic stains differ from effect
but overall it reduces the duration of diarrhea by approximately 1 day if adjunct to
rehydration therapy which can be helpful if applied to our clients. However, the article
also indicated that not all probiotic are with positive recommendation and some may
cause effect to the client.

2. What are the implications of the findings in your article to patient care?
- AGE requires rehydration therapy and should be applied as soon as possible.
With probiotic stains such as LGG, S boulardi, Lactobacillus reutari and Heat-Killed L
acidophilus LB (all Probiotic with positive recommendation) added to the rehydration
therapy, it can reduce diarrhea duration approx. 1 day. This now implies that it is
advantageous to help lessen chance of further complication, infection and dehydration.
As a nurse, you can easily achieve your goal which is to give complete wellness to the
client.

3. What intervention/innovation was used or implemented in the study reviewed?

- The intervention implemented was the use of Probiotics considering it is
positively recommended, to lessen the days of diarrhea of the patient and to easily restore
all the excreted fluids and electrolytes in the body. It uses LGG, S boulardi, Lactobacillus
 reutari and Heat-Killed L acidophilus LB probitic stains because there were absent of
AGE stain in stools after Prob. Stains has been applied. Other effects, however is quite
low than the other but is still positively recommended for it is safe to use.

4. Does the intervention support/contraindicate current nursing practice? Support your

answer by using other relevant sources.
- The intervention supports the current nursing practice. As millions bacteria live
in our intestines. Theyre essential to digestion. But diarrhea can throw the
microbes in your gut off balance. Probiotics, which are doses of helpful bacteria or yeasts,
may help get things back on track. Infection with C. difficile bacteria causes severe and
sometimes life-threatening diarrhea and inflammation in the colon, called colitis.
Probiotics may keep you from getting this germ. And theres some evidence they might
stop the condition from coming back. Thats important, since repeat infections
become hard to control.
Scientists have done many studies of Saccharomyces boulardii against this type of
bacteria. It appears to help, especially when combined with lactobacillus strains.

Reference: No Author. (2016).Retrieved from: http://www.webmd.com/digestive-

disorders/probiotics-diarrhea#1

5. Would this practice change/ improve process of patient care? Patient outcome?
- Yes, It can change the patient care by adding Probiotics to the rehydration
therapy. Its action will now lessen loss of electrolytes which what I said earlier will help
achieve wellness. After the intervention, the patient's diarrhea (if there is) will be reduced
approx. 1 day according to study, helping the patient recover faster from AGE.

6. Identify a nursing theory related to the article findings and discuss/describe how the
findings support or contraindicate your nursing theory.
- The nursing theory fit for the article is from Sister Callista Roy - "Adaptation
Theory". As it simply says, Adaptation is the key for the intervention of the article to be
implemented. The patient/ healthcare providers should be able to embrace this change
that will cause betterment in the part of the client. The intervention overall supports this
nursing theory the patient receiving the care which is the Probiotic stains added to
rehydration therapies and reaching for the goal which is adapting to change.