PMID- 35001603 OWN - NLM STAT- MEDLINE DCOM- 20220913 LR - 20220913 IS - 2724-5365 (Electronic) IS - 2724-5985 (Linking) VI - 68 IP - 3 DP - 2022 Sep TI - Probiotics in the treatment of Helicobacter pylori infection: reality and perspective. PG - 277-288 LID - 10.23736/S2724-5985.21.02926-0 [doi] AB - Helicobacter pylori (H. pylori) infection is one of the most common in the world today, associated with the development of acute or chronic inflammatory diseases of the gastroduodenal tract. In order to eradicate the pathogen, various antibacterial therapy regimens have been proposed, based on the use of several chemotherapeutic drugs and a proton pump inhibitor (PPI). However, recent studies indicate a decrease in antibiotic effectiveness due to both the growth rate of H. pylori resistance and side effects, often due to the development of dysbiosis. One of the promising areas of investigation is the treatment with probiotic therapy of helicobacteriosis. The use of probiotics, in the context of H. pylori infection, has two main reasons. The first is related to the use of certain probiotics to reduce the frequency of undesirable gastrointestinal consequences during H. pylori eradication therapy. The second is associated with the antagonistic effect of individual probiotics on H. pylori and the potentiation of the eradication effect. The purpose of this review was to summarize the latest data on the use of probiotics to enhance H. pylori eradication and to restore the gastrointestinal microbiota. Many unresolved questions, about the choice of the specific composition of the probiotic cocktail, dosage, duration of therapy, mechanisms of the antimicrobial action of probiotics, as well as possible negative consequences of such therapy, remain. FAU - Isaeva, Guzel AU - Isaeva G AD - Kazan Research Institute of Epidemiology and Microbiology, Kazan, Russia - guisaeva@rambler.ru. AD - Kazan State Medical University, Kazan, Russia - guisaeva@rambler.ru. FAU - Isaeva, Regina AU - Isaeva R AD - I.M. Sechenov First Moscow State Medical University - Sechenov University, Moscow, Russia. LA - eng PT - Journal Article PT - Review DEP - 20220110 PL - Italy TA - Minerva Gastroenterol (Torino) JT - Minerva gastroenterology JID - 101777280 RN - 0 (Anti-Bacterial Agents) RN - 0 (Proton Pump Inhibitors) SB - IM MH - Anti-Bacterial Agents/pharmacology/therapeutic use MH - *Helicobacter Infections/drug therapy/microbiology MH - *Helicobacter pylori MH - Humans MH - *Probiotics/therapeutic use MH - Proton Pump Inhibitors/pharmacology/therapeutic use EDAT- 2022/01/11 06:00 MHDA- 2022/09/14 06:00 CRDT- 2022/01/10 08:22 PHST- 2022/01/11 06:00 [pubmed] PHST- 2022/09/14 06:00 [medline] PHST- 2022/01/10 08:22 [entrez] AID - S2724-5985.21.02926-0 [pii] AID - 10.23736/S2724-5985.21.02926-0 [doi] PST - ppublish SO - Minerva Gastroenterol (Torino). 2022 Sep;68(3):277-288. doi: 10.23736/S2724-5985.21.02926-0. Epub 2022 Jan 10.