Intestinal C. Difficile
Conditions
Keywords
elderly, probiotic, bowel function, pathogen, constipation, diarrhoea, Subclinical levels
Brief summary
The study objective is to evaluate the effect of probiotic on faecal Clostridium difficile levels of elderly subjects.
Detailed description
The study objective is to evaluate the effect of a probiotic Lactobacillus strain in lowering the levels of Clostridium difficile in the intestine of elderly subjects. In addition, the nutritional and general health status will be assessed using validated health related questionnaires. Bowel function and prevalence of infections will be followed throughout the intervention period. The study population consists of elderly home inhabitants. The study will be conducted as a double-blind placebo-controlled trial.
Interventions
4 month probiotic intervention with 1 month run-in and 1 month wash-out. Probiotic given once a day.
Sponsors
Study design
Eligibility
Inclusion criteria
* elderly subjects * no acute infection at recruitment
Exclusion criteria
* antibiotic treatment 1 month prior to beginning of study * less than 6 month life expectancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in level of faecal Clostridium difficile | 0 weeks, 8 weeks, 16 weeks | Quantification of C. difficile from faecal samples |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in nutritional status | 0 weeks, 16 weeks | Evaluated according to the Mini Nutritional Assessment (MNA®) questionnaire. |
| Change in quality of life | 0 weeks, 16 weeks | Evaluated according to the validated 15D© health related survey from adequately oriented subjects. |
| Change in levels of other intestinal pathogens than C. difficile | 0 weeks, 8 weeks, 16 weeks | Quantified from faecal samples |
| Change in bowel function | 0 weeks, 16 weeks | Assessed according to Bristol Stool Form Scale by health care personnel throughout the study |
Countries
Finland