The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    Probiotics to prevent antibiotic-associated diarrhea

    √ā¬†Antibiotic-associated diarrhea (AAD) occurs in about 25% of patients receiving antibiotics, placing them at increased risk for infection and death.

    Probiotics given during antibiotic therapy lower this risk.

    5 meta-analyses of studies of probiotics for prevention of AAD have been performed.

    And, the results.

    • In the largest meta-analysis of 25 studies of probiotics to prevent AAD, more than half of the studies reported benefit from probiotics.
      • Lactobacillus GG, Saccharomyces boulardii, and the probiotic mixtures were effective.
    • A Cochrane Review calculated that to prevent 1 case of diarrhea, 10 patients would have to be treated.
      • Lactobacillus GG, Bacillus coagulans, and S. boulardii were most effective.

    The bottom line?
    The last time I was in the hospital, probiotics were part of my antibiotic therapy. So, the concept appears to be accepted, mainstream.

    They’re safe, but should be used with caution in the following patients.

    • Compromised immune system
    • Compromised integrity of the intestinal lining
    • In the presence of a central venous catheter

    10/8/08 12:56 JR

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