J Yeungnam Med Sci.  2023 Jan;40(1):37-48. 10.12701/jyms.2022.00031.

Factors associated with the prescription of probiotics in patients with inflammatory bowel disease: a cross-sectional study

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea

Abstract

Background
Commensal bacteria play an important role in the pathogenesis of inflammatory bowel disease (IBD) and probiotics have been used as treatment options. We aimed to explore the current use of probiotics and factors associated with their prescription in patients with IBD.
Methods
This cross-sectional study was conducted on a single hospital-based cohort. Patients were eligible if they were ≥18 years old, visited the IBD clinic as an outpatient more than twice during the study period, and had a confirmed diagnosis of IBD. Patients were divided into two groups based on the prescription of probiotics. Clinical assessments were compared between the two groups.
Results
In total, 217 patients were enrolled in this study. In patients with Crohn disease (CD), moderate or severe abdominal pain; prior use of methotrexate (MTX), iron, thiopurines, or biologics; history of IBD-related surgery; and stool frequency were independently associated with the prescription of probiotics. In patients with ulcerative colitis (UC), moderate or severe abdominal pain, hematochezia, stool frequency, and moderate or severe physician global assessment score were independently associated with the prescription of probiotics.
Conclusion
Increased disease activity may be associated with fewer prescriptions of probiotics in patients with IBD. However, physicians prescribed probiotics to control symptoms, such as abdominal pain and increased stool frequency in patients with UC and CD, and hematochezia in patients with UC. Additionally, the use of MTX and iron, and a history of IBD-related surgeries were associated with more frequent probiotic prescriptions in patients with CD.

Keyword

Crohn disease; Inflammatory bowel diseases; Prescriptions; Probiotics; Ulcerative colitis

Figure

  • Fig. 1. Proportion of patients who maintained use of probiotics among those prescribed probiotics stratified by the type of inflammatory bowel disease. CD, Crohn disease; UC, ulcerative colitis.


Reference

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