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Saccharomyces Boulardii

¿Qué es?

Saccharomyces boulardii (S. boulardii) es un tipo de probiótico (organismo "amigable"). Es una levadura que en ralidad es una cepa de Saccharomyces cerevisiae.

Los organismos "amigables" como S. boulardii pueden ayudar a combatir los organismos "malos" que pueden causar enfermedades. S. boulardii es diferente de otras manchas de S. ceevisiae, comúnmente conocidas como levadura de cerveza y levadura de panadería.

Las personas comúnmente usan S. boulardii para tratar y prevenir la diarrea, incluida la diarrea por rotavirus en los niños. También se usa para otros tipos de diarrea, acné, una infección del tracto digestivo que puede provocar úlceras y muchas otras condiciones, pero no hay buena evidencia científica que respalde muchos de sus otros usos. Tampoco hay buena evidencia para apoyar el uso de S. boulardii para COVID-19.

No confunda S. boulardii con otros probióticos o con productos alimenticios fermentados como leche fermentada, kéfir o yogur. Estos no son lo mismo.

¿Qué tan efectivo es?

Natural Medicines Comprehensive Database (La Base Exhaustiva de Datos de Medicamentos Naturales) clasifica la eficacia, basada en evidencia científica, de acuerdo a la siguiente escala: Eficaz, Probablemente Eficaz, Posiblemente Eficaz, Posiblemente Ineficaz, Probablemente Ineficaz, Ineficaz, e Insuficiente Evidencia para Hacer una Determinación.

La clasificación de la eficacia para este producto es la siguiente:

Probablemente eficaz para...

  • Diarrea. La ingesta de S. boulardii puede reducir la duración de la diarrea en los niños. No está claro si ayuda a los niños con diarrea más prolongada o si ayuda a los adultos.

Posiblemente eficaz para...

  • Diarrea en personas que toman antibióticos (diarrea asociada a antibióticos). La ingesta de S. boulardii puede ayudar a prevenir la diarrea en adultos y niños que reciben tratamiento con antibióticos.
  • Infección del tracto gastrointestinal por bacterias llamada Clostridium difficile. La ingesta de S. boulardii parece ayudar a prevenir la diarrea causada por la infección por C. difficile.
  • Una infección del tracto digestivo que puede provocar úlceras (Helicobacter pylori o H. pylori). Tomar S. boulardii junto con el tratamiento estándar contra H. pylori ayuda a prevenir efectos secundarios como diarrea y náuseas que ocurren con el tratamiento estándar contra H. pylori. Pero no está claro si tomar S. boulardii ayuda a que estos tratamientos estándar funcionen mejor.
  • Una enfermedad intestinal grave en bebés prematuros (enterocolitis necrotizante o ECN). La mayoría de las investigaciones muestran que administrar S. boulardii por vía oral a bebés prematuros previene la ECN.
  • Diarrea causada por rotavirus. La ingesta de S. boulardii parece reducir la duración de la diarrea en niños con diarrea causada por rotavirus.
  • Diarrea del viajero. Tomar S. boulardii por vía oral parece reducir el riesgo de desarrollar diarrea mientras viaja.

Posiblemente ineficaz para...

  • Infección de la sangre (sepsis). La administración de S. boulardii a bebés prematuros por vía oral no previene la sepsis.
Existe interés en usar S. boulardii para otros propósitos, pero no hay suficiente información confiable para decir si podría ser útil.

¿Es seguro?

Cuando se toma por vía oral: S. boulardii es seguro cuando se usa hasta por 15 meses. Puede causar gases en algunas personas.

Advertencias y precauciones especiales:

Embarazo y lactancia: No hay suficiente información confiable para saber si S. boulardii es seguro de usar durante el embarazo o la lactancia. Manténgase en el lado seguro y evite su uso.

Niños: S. boulardii posiblemente sea seguro para la mayoría de los niños cuando se ingiere de manera adecuada. Pero, la diarrea en los niños debe ser evaluada por un profesional de la salud antes de usar S. boulardii. No hay suficiente información confiable para saber si S. boulardii es seguro para bebés prematuros muy pequeños.

Ancianos: Los alultos mayores pueden tener un mayor riesgo de infección por hongos cuando toman S.boulardii. Manténgase en el lado seguro y evite su uso.

Enfermedad del tracto digestivo: S. boulardii ha causado infecciones fúngicas en personas con enfermedades del tracto digestivo. Si tiene una enfermedad del tracto digestivo, hable con su proveedor de atención médica antes de tomar S. boulardii.

Sistema inmunológico debilitado: S. boulardii ha causado infecciones fúngicas en personas con sistemas inmunitarios debilitados. Si tiene un sistema inmunológico debilitado, hable con su proveedor de atención médica antes de tomar S. boulardii.

Alergia a las levaduras: Las personas con alergia a las levaduras pueden ser alérgicas a los productos que contienen S. boulardii. Manténgase en el lado seguro y evite estos productos.

¿Existen interacciones con medicamentos?

Menores
Preste atención a esta combinación
Medicamentos para las infecciones por hongos (antifúngicos)
S. boulardii es un hongo. Los medicamentos para las infecciones por hongos ayudan a reducir los hongos dentro y fuera del cuerpo. La ingesta de S. boulardii con medicamentos para las infecciones por hongos puede reducir los efectos de S. boulardii.

¿Existen interacciones con hierbas y suplementos?

No se conoce ninguna interacción con hierbas y suplementos.

¿Existen interacciones con alimentos?

No se conoce ninguna interacción con alimentos.

¿Como se usa normalmente?

En los adultos, S. boulardii se ha tomado con mayor frecuencia por vía oral en dosis de 500 a 1000 mg (alrededor de 10 a 20 mil millones de unidades formadoras de colonias) al día durante 4 semanas. En los niños, S. boulardii se ha tomado con mayor frecuencia por vía oral en dosis de 250 a 500 mg (alrededor de 5 a 10 mil millones de unidades formadoras de colonias) durante un máximo de 4 semanas. Hable con un proveedor de atención médica para averiguar qué dosis podría ser mejor para una condición específica.

Otros nombres

Probiotic, Probiotique, Saccharomyces, Saccharomyces Boulardii CNCM I-745, Saccharomyces Boulardii HANSEN CBS 5926, Saccharomyces Boulardii Lyo CNCM I-745, Saccharomyces Boulardius, Saccharomyces Cerevisiae Boulardii, Saccharomyces Cerevisiae (Boulardii), Saccharomyces Cerevisiae (Boulardii) HANSEN CBS 5926, Saccharomyces Cerevisiae HANSEN CBS 5926, Saccharomyces cerevisiae var boulardii, S. Boulardii, SCB.

Metodología

Para saber más sobre cómo este artículo fue escrito, refiérase a la metodología de la Base exhaustiva de datos de medicamentos naturales.

Referencias

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Documento revisado - 11/09/2023