Adjunctive use of Saccharomyces boulardii versus bismuth subsalicylate in the management of non-Clostridioides difficile nosocomial diarrhea in severely ill patients: a three-arm randomized controlled trial

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Authors: Nutchanun Preechakawin, Mets Suttikulsombat, Pattarachai Kiratisin, Pubet Weeranawin, Monthira Maneerattanaporn
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Abstract

Background: ) versus BSS as an adjunctive treatment for nosocomial diarrhea. Methods: (Sb group) or BSS (BSS group), compared to standard care (SC group). Treatment outcomes including stool weight, frequency and consistency were compared between groups. Results: SC 0.2, P=0.95). No adverse event was reported. Conclusions: and BSS added no benefit in treatment of non-CDI nosocomial diarrhea. These were applicable across all outcomes including weight, frequency and consistency of stool. More studies are needed to ascertain a better treatment for nosocomial diarrhea. Trial Registration: Thai Clinical Trials Registry Identifier TCTR20250904004.

Fields of Study & Subjects

Clostridium difficile and Clostridium perfringens research Probiotics and Fermented Foods Gastrointestinal motility and disorders

Publication details

Journal / source
Translational Gastroenterology and Hepatology
Volume
11
Pages
17–17
Publication date
1 January 2026
Language
EN