{"id":253661,"date":"2022-05-16T09:00:00","date_gmt":"2022-05-16T08:00:00","guid":{"rendered":"https:\/\/eu.intelligentlabs.org\/probiotice-cand-luati-antibiotice-este-sigur-sa-le-luam\/"},"modified":"2022-05-16T09:00:00","modified_gmt":"2022-05-16T08:00:00","slug":"probiotice-cand-luati-antibiotice-este-sigur-sa-le-luam","status":"publish","type":"post","link":"https:\/\/eu.intelligentlabs.org\/ro-ro\/probiotice-cand-luati-antibiotice-este-sigur-sa-le-luam\/","title":{"rendered":"Probiotice C\u00e2nd Lua\u021bi Antibiotice \u2013 Este Sigur S\u0103 Le Lu\u0103m?"},"content":{"rendered":"\n\n\n<p class=\"wp-block-paragraph\">Dac\u0103 lua\u021bi antibiotice \u0219i v\u0103 \u00eentreba\u021bi dac\u0103 este sigur s\u0103 le lua\u021bi \u00eempreun\u0103 cu probioticele, a\u021bi ajuns la locul potrivit. \u00cen acest articol, vom vorbi despre luarea probioticelor cu antibiotice, c\u00e2nd s\u0103 le lua\u021bi \u0219i posibilele efecte secundare ale acestora \u00een timpul acelea\u0219i perioade.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.intelligentlabs.org\/probiotics-ultimate-supplement-guide\/\" target=\"_blank\" rel=\"noreferrer noopener\">Suplimentele probiotice<\/a> devin din ce \u00een ce mai populare, iar utilizarea lor, \u00een paralel cu antibioticele, este o practic\u0103 frecvent\u0103. Profesioni\u0219tii din domeniul medical s-au familiarizat cu conceptul de flor\u0103 intestinal\u0103 s\u0103n\u0103toas\u0103 \u0219i sunt din ce \u00een ce mai predispu\u0219i s\u0103 prescrie probiotice \u00eempreun\u0103 cu antibioticele.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pe de alt\u0103 parte, pacien\u021bii sunt, de asemenea, bine informa\u021bi cu privire la aspectele pozitive ale probioticelor. Ei \u0219tiu c\u0103 antibioticele ar putea afecta bacteriile bune din intestinele lor \u0219i doresc protec\u021bie. Per ansamblu, tratamentul cu antibiotice \u0219i utilizarea adiacent\u0103 a probioticelor a devenit o rutin\u0103 aplicat\u0103 de mul\u021bi medici. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">De Ce Este Necesar\u0103 Administrarea de Antibiotice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Antibioticele sunt medicamente capabile s\u0103 salveze vie\u021bi umane. Medicina \u00eenainte \u0219i dup\u0103 descoperirea lor nu a mai fost la fel. Milioane de oameni au evitat un sf\u00e2r\u0219it fatal doar datorit\u0103 antibioticelor. \u00cen mod paradoxal, sensul literal al cuv\u00e2ntului antibiotic este \u201e\u00eempotriva vie\u021bii\u201d. Numele este combina\u021bia dintre cuv\u00e2ntul latin \u201eanti\u201d care \u00eenseamn\u0103 \u00eempotriv\u0103, \u0219i cuv\u00e2ntul grec \u201ebios\u201d, care \u00eenseamn\u0103 \u201evia\u021b\u0103\u201d (<a href=\"http:\/\/(1) Brightman C. Antibiotics in general practice. Trends in Urology &amp; Men\u2018s Health. 2014;Nov\/Dec:39-43.\">1<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Antibioticele distrug bacteriile, ceea ce justific\u0103 denumirea lor din punct de vedere microbiologic. Antibioticele adecvate pot \u00eembun\u0103t\u0103\u021bi \u00een mod impresionant simptomele \u0219i pot aduce vindecarea la persoanele grav bolnave cu infec\u021bii periculoase. Nimic nu este perfect, iar acest lucru este valabil \u0219i pentru antibiotice. Pe l\u00e2ng\u0103 distrugerea bacteriilor patogene, acestea ar putea avea un impact negativ asupra florei noastre intestinale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Infec\u021biile bacteriene grave sunt motive clare pentru prescrierea de antibiotice. Cu toate acestea, aceste medicamente care salveaz\u0103 vie\u021bi sunt folosite mult mai mult dec\u00e2t este necesar. De exemplu, chiar dac\u0103 majoritatea infec\u021biilor tractului respirator superior (URTI) sunt de origine viral\u0103, multe dintre ele vor fi tratate cu antibiotice.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"558\" src=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-05-1024x558.jpg\" alt=\"administrarea de antibiotice este necesar\u0103 \u00een cazul infec\u021biilor bacteriene\" class=\"wp-image-143006\" srcset=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-05-1024x558.jpg 1024w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-05-300x164.jpg 300w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-05-768x419.jpg 768w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-05-600x327.jpg 600w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-05.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Teama de posibilele complica\u021bii bacteriene motiveaz\u0103 un medic s\u0103 de g\u00e2ndeasc\u0103 la toate cazurile \u00een care simptomele indic\u0103 u\u0219or o posibil\u0103 infec\u021bie bacterian\u0103. A\u0219tept\u0103rile pacien\u021bilor de a primi un medicament puternic \u0219i cu ac\u021biune rapid\u0103 \u00eenc\u0103 de la \u00eenceputul simptomelor reprezint\u0103 o mare presiune pentru cadrele medicale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La nivel global, avem o prescriere excesiv\u0103 de antibiotice. Consecin\u021ba utiliz\u0103rii excesive a antibioticelor la scar\u0103 global\u0103 este rezisten\u021ba la antibiotice. La nivel individual, posibilitatea apari\u021biei efectelor secundare ale antibioticelor cre\u0219te odat\u0103 cu utilizarea frecvent\u0103 a acestora.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">De Ce Sunt Importante Probioticele?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Denumirea de probiotic \u00eenseamn\u0103 \u201epentru via\u021b\u0103\u201d, ceea ce este opusul fa\u021b\u0103 de semnifica\u021bia cuv\u00e2ntului antibiotic. Probioticele, cunoscute \u0219i sub numele de \u201ebacterii bune\u201d, sunt microorganisme vii. Atunci c\u00e2nd sunt ingerate prin intermediul alimentelor sau al suplimentelor, aceste culturi vii aduc beneficii s\u0103n\u0103t\u0103\u021bii dvs. (<a href=\"http:\/\/(2) Williams NT. Probiotics. Am J Health-Syst Pharm. 2010; 67:449-458.\">2<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Antibioticele pot avea un impact asupra echilibrului florei intestinale, cu posibilitatea apari\u021biei unor efecte secundare grave. Tractul nostru nostru gastrointestinal g\u0103zduie\u0219te peste 500 de specii bacteriene diferite (<a href=\"http:\/\/(2) Williams NT. Probiotics. Am J Health-Syst Pharm. 2010; 67:449-458.\">2<\/a>). Aceste bacterii \u201ebune\u201d din probiotice creeaz\u0103 un mediu \u00een interiorul intestinelor care \u00eempiedic\u0103 avansarea microorganismelor patogene sau \u201erele\u201d. Exist\u0103 o baz\u0103 pentru probleme de s\u0103n\u0103tate dac\u0103 microbii no\u0219tri benefici nu sunt \u00een echilibru.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Probioticele sunt utilizate pentru a preveni dezechilibrul florei intestinale sau pentru a trata o compozi\u021bie modificat\u0103 a microbilor intestinali. Cele mai frecvente probiotice includ speciile <em>Lactobacillus<\/em> \u0219i <em>Bifidobacterium<\/em>. Probioticele nu sunt precum alte suplimente &#8211; sunt microorganisme vii. Atunci c\u00e2nd lumea noastr\u0103 microbiologic\u0103 intestinal\u0103 complex\u0103 este amenin\u021bat\u0103 sau afectat\u0103, probioticele sunt acolo pentru a ne ajuta.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consulta\u021bi <a href=\"https:\/\/eu.intelligentlabs.org\/ro-ro\/produs\/culturi-vii-si-fibre-pentru-adulti\/\">Suplimentul nostru de 50 de miliarde de UFC, 10 Tulpini de Probiotice \u0219i Prebiotice Cu Fibr\u0103 Sunfiber \u0219i FOS<\/a>. Fiecare flacon v\u0103 va dura 2 luni bune, astfel \u00eenc\u00e2t s\u0103 ave\u021bi suficient sprijin pentru s\u0103n\u0103tatea dvs. gastrointestinal\u0103. <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/2-10-1024x512.jpg\" alt=\"probioticele sunt importante pentru s\u0103n\u0103tatea noastr\u0103 gastrointestinal\u0103\" class=\"wp-image-149923\" srcset=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/2-10-1024x512.jpg 1024w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/2-10-300x150.jpg 300w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/2-10-768x384.jpg 768w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/2-10-600x300.jpg 600w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/2-10.jpg 1199w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">De Ce Este At\u00e2t de Important\u0103 Administrarea de Probiotice \u00cempreun\u0103 cu Antibioticele?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Asocierea probioticelor \u0219i a antibioticelor are sens doar dac\u0103 ne g\u00e2ndim la impactul acestora asupra florei intestinale. Doar atunci, medicamentele care salveaz\u0103 vie\u021bi, a\u0219a cum sunt antibioticele, ar putea fi asociate cu distrugerea unei forme de via\u021b\u0103. Ele ar putea \u00eentr-adev\u0103r s\u0103 d\u0103uneze \u201ebacteriilor bune\u201d din interiorul intestinelor noastre, cu o proliferare consecvent\u0103 a bacteriilor patogene. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cele dou\u0103 boli comune care ar putea ap\u0103rea ca urmare a terapiei cu antibiotice sau diareea asociat\u0103 cu antibiotice \u0219i infec\u021bia cu Clostridium difficile (<a href=\"http:\/\/(3) Rehman A, Heinsen FA, Koenen ME, Venema K, Knecht H, Hellmig S, et al. Effects of probiotics and antibiotics on the intestinal homeostasis in a computer controlled model of the large intestine. BMC Microbiology. 2012;12(47)\">3<\/a>). Ocazional, pot ap\u0103rea infec\u021bii care pun via\u021ba \u00een pericol. Schimbarea homeostaziei \u00een cadrul florei intestinale este poten\u021bial legat\u0103 de numeroase boli, iar aceste leg\u0103turi reprezint\u0103 subiecte de cercetare intensiv\u0103.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Probioticele Ajut\u0103 La Prevenirea Diareii Asociate cu Antibioticele<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Probioticele sunt considerate, de c\u0103tre mul\u021bi profesioni\u0219ti din domeniul medical, drept suplimente capabile s\u0103 previn\u0103 sau s\u0103 trateze efectele secundare ale antibioticelor la nivelul florei intestinale. Exist\u0103 numeroase studii \u0219tiin\u021bifice care sus\u021bin utilizarea probioticelor \u00een timpul administr\u0103rii de antibiotice. Probioticele au un rol pozitiv pentru prevenirea diareii asociate antibioticelor at\u00e2t la popula\u021bia adult\u0103, c\u00e2t \u0219i la cea pediatric\u0103 (<a href=\"http:\/\/(4) Videlock EJ, Cremonini F. Meta-analysis: probiotics in antibiotic-associated diarrhoea. Aliment Pharmacol Ther. 2012;35(12):1355-1369.\">4<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen plus, diverse formul\u0103ri de probiotice prezint\u0103 efecte benefice, iar rezultatele preventive se p\u0103streaz\u0103 \u00een cadrul diferitelor regimuri de antibiotice. De asemenea, probioticele sunt utilizate cu succes \u00een diverse indica\u021bii de tratament cu antibiotice (<a href=\"http:\/\/(4) Videlock EJ, Cremonini F. Meta-analysis: probiotics in antibiotic-associated diarrhoea. Aliment Pharmacol Ther. 2012;35(12):1355-1369.\">4<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Antibioticele sunt prescrise frecvent \u00een popula\u021bia pediatric\u0103 \u0219i, \u00een consecin\u021b\u0103, diareea asociat\u0103 cu antibiotice la copii este o problem\u0103 frecvent\u0103. Chiar \u0219i cele mai stricte revizuiri sistematice recunosc capacitatea antibioticelor de a modifica echilibrul microbian din cadrul tractului nostru gastrointestinal (<a href=\"http:\/\/(5) Johnston BC, Goldenberg JZ, Vandvik PO, Sun X, Guyatt GH. Probiotics for the prevention of pediatric antibiotic-associated diarrhea. Cochrane Database of Systematic. 2011;11:CD004827.\">5<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Copiii de toate v\u00e2rstele pot beneficia, de asemenea, de probiotice. <a href=\"https:\/\/eu.intelligentlabs.org\/ro-ro\/produs\/culturi-vii-si-fibre-pentru-copii\/\" target=\"_blank\" rel=\"noreferrer noopener\">Consulta\u021bi Suplimentul nostru de Prebiotice \u0219i Probiotice pentru Copii F\u0103r\u0103 Zah\u0103r<\/a>. Fiecare capsul\u0103 con\u021bine 6 miliarde de UFC \u0219i va func\u021biona non-stop pentru a proteja burtica copilului dvs.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Probioticele Ajut\u0103 la Restabilirea Echilibrului \u00cen Flora Intestinal\u0103<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Probioticele sunt, de asemenea, recunoscute ca suplimente capabile s\u0103 restabileasc\u0103 flora intestinal\u0103. Tulpinile cel mai frecvent utilizate \u00een probiotice, \u0219i anume <em>Lactobacillus <\/em>\u0219i <em>Bifidobacterium<\/em>, sunt eficiente \u00een prevenirea diareii asociate cu antibioticele datorate acidului amoxicilin\u0103-clavulanic, antibiotic utilizat frecvent (<a href=\"http:\/\/(6) Garc\u00eda Trallero O, Herrera Serrano L, Bibi\u00e1n Ingl\u00e9s M, Roche Vall\u00e9s D, Rodr\u00edguez AM. Effect of the administration of a probiotic with a combination of Lactobacillus and Bifidobacterium strains on antibiotic-associated diarrhea. Rev Esp Quimioter. 2019;32(3):268-272.\">6<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consecin\u021ba deosebit de \u00eensp\u0103im\u00e2nt\u0103toare a utiliz\u0103rii excesive de antibiotice este infec\u021bia cu <a href=\"https:\/\/en.wikipedia.org\/wiki\/Clostridioides_difficile_infection\" target=\"_blank\" rel=\"noreferrer noopener\">Clostridium difficile<\/a>. Acest tip de infec\u021bie ar putea pune \u00een pericol via\u021ba atunci c\u00e2nd este cauzat\u0103 de tulpini multi-rezistente ale acestui microorganism. Perturbarea florei intestinale de c\u0103tre antibiotice poate duce la sc\u0103derea rezisten\u021bei la microbii periculo\u0219i, cum ar fi Clostridium difficile (<a href=\"http:\/\/(7) Goldenberg_JZ, Yap_C, Lytvyn_L, Lo_CKF, Beardsley_J, Mertz_D, Johnston_BC. Probiotics for the prevention of Clostridium di_icile-associated diarrhea in adults and children. Cochrane Database of Systematic Reviews 2017;12:CD006095.\">7<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pe baza unei revizuiri sistematice \u0219i a unei metaanalize a 31 de studii  controlate randomizate care au inclus 8672 de pacien\u021bi, exist\u0103 elemente de prob\u0103 care indic\u0103 capacitatea probioticelor de a preveni diareea asociat\u0103 cu Clostridium difficile (<a href=\"http:\/\/(7) Goldenberg_JZ, Yap_C, Lytvyn_L, Lo_CKF, Beardsley_J, Mertz_D, Johnston_BC. Probiotics for the prevention of Clostridium di_icile-associated diarrhea in adults and children. Cochrane Database of Systematic Reviews 2017;12:CD006095.\">7<\/a>). ). Diareea asociat\u0103 cu Clostridium difficile prezint\u0103 cea mai grav\u0103 form\u0103 de diaree asociat\u0103 cu antibiotice \u0219i este legat\u0103 de morbiditate \u0219i mortalitate semnificative (<a href=\"http:\/\/(8) Selinger CP, Bell A, Cairns A, Lockett M, Sebastian S, Haslam N. Probiotic VSL#3 prevents antibiotic-associated diarrhoea in a double-blind, randomized, placebo-controlled clinical trial. J Hosp Infect. 2013;84(2):159-165.\">8<\/a>).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"565\" src=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/assumere-probiotici-con-antibiotici-e-sicuro-farlo-03-1024x565.jpg\" alt=\"probioticele ajut\u0103 la \u00eembun\u0103t\u0103\u021birea rezultatelor antibioticelor\" class=\"wp-image-158762\" srcset=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/assumere-probiotici-con-antibiotici-e-sicuro-farlo-03-1024x565.jpg 1024w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/assumere-probiotici-con-antibiotici-e-sicuro-farlo-03-300x166.jpg 300w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/assumere-probiotici-con-antibiotici-e-sicuro-farlo-03-768x424.jpg 768w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/assumere-probiotici-con-antibiotici-e-sicuro-farlo-03-600x331.jpg 600w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/assumere-probiotici-con-antibiotici-e-sicuro-farlo-03.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Probioticele Ajut\u0103 La \u00cembun\u0103t\u0103\u021birea Rezultatelor Antibioticelor<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen unele indica\u021bii, probioticele \u00eembun\u0103t\u0103\u021besc rezultatele antibioticelor. Atunci c\u00e2nd sunt utilizate \u00eempreun\u0103 cu antibioticele \u00een tratamentul vaginozei bacteriene recurente \u0219i al vaginitei aerobe, probioticele administrate pe cale oral\u0103 prelungesc timpul de remisiune (<a href=\"http:\/\/(9) Heczko PB, Tomusiak A, Adamski P, Jakimiuk AJ, Stefa\u0144ski G, Miko\u0142ajczyk-Cicho\u0144ska A, et al. Supplementation of standard antibiotic therapy with oral probiotics for bacterial vaginosis and aerobic vaginitis: a randomised, double-blind, placebo-controlled trial. BMC Womens Health. 2015;15:115.\">9<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Not\u0103:<\/em> <em>Dac\u0103 ave\u021bi aceste probleme feminine, <a href=\"https:\/\/eu.intelligentlabs.org\/ro-ro\/produs\/culturi-vii-si-fibre-pentru-femei\/\" target=\"_blank\" rel=\"noreferrer noopener\">suplimentul nostru Probiotice \u0219i Prebiotice pentru Femei <\/a>este conceput special pentru a v\u0103 ajuta. Fiecare capsul\u0103 con\u021bine 5 miliarde de UFC, Pulbere de Suc de Meri\u0219or Crantiva \u0219i D-Manoz\u0103.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen tratamentul infec\u021biei cu Helicobacter pylori, unul dintre regimurile terapeutice include utilizarea unui inhibitor al pompei de protoni, a bismutului \u0219i a dou\u0103 antibiotice timp de 14 zile. Atunci c\u00e2nd la aceast\u0103 cvadrupl\u0103 terapie se adaug\u0103 un probiotic, rezultatele finale sunt mai mult dec\u00e2t satisf\u0103c\u0103toare (<a href=\"http:\/\/(10) Poonyam P, Chotivitayatarakorn P, Vilaichone RK. High Effective of 14-Day High-Dose PPI- Bismuth-Containing Quadruple Therapy with Probiotics Supplement for Helicobacter Pylori Eradication: A Double Blinded-Randomized Placebo-Controlled Study. Asian Pac J Cancer Prev. 2019;20(9):2859-2864.\">10<\/a>). Aceast\u0103 terapie a prezentat rezultate bune \u00een diferite profiluri de rezisten\u021b\u0103 la antibiotice ale Helicobacter pylori.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consumul paralel de suplimente probiotice \u0219i antibiotice \u00een popula\u021bia pediatric\u0103 cu infec\u021bii recurente ale tractului urinar a ar\u0103tat mai mult\u0103 eficacitate comparativ cu cazurile de utilizare exclusiv\u0103 a antibioticelor (<a href=\"http:\/\/(11) Mohseni MJ, Aryan Z, Emamzadeh-Fard S, Paydary K, Mofid V, Joudaki H, et al. Combination of Probiotics and Antibiotics in the Prevention of Recurrent Urinary Tract Infection in Children. Iran J Pediatr. 2013;23(4): 430\u2013438.\">11<\/a>).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cel Mai Bun Moment Pentru Administrarea Probioticelor cu Antibiotice?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Exist\u0103 diferite forme de suplimente probiotice. De exemplu, avem probiotice sub form\u0103 de capsule sau tablete. B\u0103uturile care con\u021bin culturi probiotice, cum ar fi iaurtul \u0219i chefirul, sunt bine cunoscute \u00een \u00eentreaga lume. Aceste microorganisme benefice trebuie s\u0103 reziste mediului acid al stomacului pentru a ajunge \u00een intestine, unde \u00ee\u0219i exercit\u0103 poten\u021bialul terapeutic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen func\u021bie de forma probiotic\u0103, aceste <a href=\"https:\/\/www.intelligentlabs.org\/when-is-the-best-time-to-take-a-probiotic-and-with-food-or-on-an-empty-stomach\/\" target=\"_blank\" rel=\"noreferrer noopener\">suplimente trebuie luate pe stomacul gol sau cu ceva alimente<\/a>. Este foarte important s\u0103 citi\u021bi instruc\u021biunile pentru pacien\u021bi, deoarece nu exist\u0103 o regul\u0103 unic\u0103. Suplimentele probiotice cu \u00eenveli\u0219 non-enteric ar putea servi drept exemplu. Acestea ar trebui s\u0103 fie luate chiar \u00eenainte de mas\u0103 sau cu alimente care con\u021bin unele gr\u0103simi (<a href=\"http:\/\/(12) Tompkins TA, Mainville I, Arcand Y. The impact of meals on a probiotic during transit through a model of the human upper gastrointestinal tract. Benef Microbes. 2011;2(4):295-303.\">12<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Acela\u0219i lucru este valabil \u0219i pentru antibiotice. Acestea vin, de asemenea, sub diferite forme \u0219i trebuie s\u0103 poat\u0103 ajunge \u00een intestine. Unele dintre ele se iau pe stomacul gol, altele cu alimente. Din nou, instruc\u021biunile produc\u0103torului pentru pacien\u021bi sunt foarte importante \u0219i nu este posibil\u0103 generalizarea.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pe de alt\u0103 parte, pare logic c\u0103 administrarea probioticelor \u0219i a antibioticelor \u00een acela\u0219i timp nu este o idee bun\u0103. Pur \u0219i simplu pentru c\u0103 exist\u0103 posibilitatea ca antibioticele s\u0103 distrug\u0103 tulpinile probiotice odat\u0103 ce intr\u0103 \u00een contact \u00een interiorul intestinelor. <strong>Probioticele care con\u021bin bacterii bune ar trebui s\u0103 fie separate de antibiotice cu cel pu\u021bin dou\u0103 ore <\/strong>(<a href=\"http:\/\/(2) Williams NT. Probiotics. Am J Health-Syst Pharm. 2010; 67:449-458.\">2<\/a>). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De asemenea, dac\u0103 lua\u021bi suplimente de <em>Saccharomyces bulardii<\/em>, este important s\u0103 \u0219tim c\u0103 acestea sunt de fapt o drojdie \u0219i, prin urmare, sunt rezistente \u00een mod natural la antibioticele antibacteriene (<a href=\"http:\/\/(13) Czerucka D, Piche T, Rampal P. Review article: yeast as probiotics \u2013Saccharomyces boulardii. Alimentary Pharmacology and Therapeutics. 2007;26(6):767-778.\">13<\/a>). Acest tip de probiotic ar putea fi sensibil la antimicotice.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"541\" src=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-02-1024x541.jpg\" alt=\"administrarea de probiotice \u00eempreun\u0103 cu antibiotice este, \u00een general, sigur\u0103, dar unii pot avea efecte secundare\" class=\"wp-image-143027\" srcset=\"https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-02-1024x541.jpg 1024w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-02-300x159.jpg 300w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-02-768x406.jpg 768w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-02-600x317.jpg 600w, https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2025\/07\/tomar-probioticos-con-antibioticos-es-seguro-hacerlo-02.jpg 1199w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Pute\u021bi Lua Probiotice Cu Antibiotice F\u0103r\u0103 Efecte Secundare?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Toate medicamentele \u0219i suplimentele ar putea la evenimente adverse. Antibioticele \u0219i probioticele nu sunt o excep\u021bie. Administrarea a dou\u0103 substan\u021be \u00een aceea\u0219i perioad\u0103 cre\u0219te posibilitatea apari\u021biei efectelor secundare. Pe l\u00e2ng\u0103 diareea asociat\u0103 cu antibiotice \u0219i diareea asociat\u0103 cu Clostridium difficile, antibioticele pot produce reac\u021bii alergice grave.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Probioticele ar trebui evitate la pacien\u021bii afla\u021bi \u00een stare critic\u0103 \u00een unit\u0103\u021bile de terapie intensiv\u0103, la sugarii grav bolnavi \u0219i la toate persoanele al c\u0103ror sistem imunitar este grav compromis (<a href=\"http:\/\/(14) Didari T, Solki S, Mozaffari S, Nikfar S, Abdollahi M. A systematic review of the safety of probiotics. Expert Opin Drug Saf. 2014;13(2):227-239.\">14<\/a>).<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Este greu de g\u0103sit \u00een literatura medical\u0103 ceva specific cu privire la efectele secundare \u00een cazurile \u00een care antibioticele \u0219i probioticele sunt utilizate \u00eempreun\u0103. \u00cen plus, unele studii demonstreaz\u0103 o reducere a efectelor secundare legate de tratament \u0219i o mai bun\u0103 complian\u021b\u0103 a pacien\u021bilor atunci c\u00e2nd probioticele sunt ad\u0103ugate la antibiotice (<a href=\"http:\/\/(10) Poonyam P, Chotivitayatarakorn P, Vilaichone RK. High Effective of 14-Day High-Dose PPI- Bismuth-Containing Quadruple Therapy with Probiotics Supplement for Helicobacter Pylori Eradication: A Double Blinded-Randomized Placebo-Controlled Study. Asian Pac J Cancer Prev. 2019;20(9):2859-2864.\">10<\/a>).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bacteria probiotic\u0103 <em>Lactobacillus plantarum<\/em> este capabil\u0103 s\u0103 previn\u0103 unele simptome gastrointestinale mai u\u0219oare asociate cu utilizarea antibioticelor (<a href=\"http:\/\/(15) L\u00f6nnermark E, Friman V, Lappas G, Sandberg T, Berggren A, Adlerberth I. Intake of Lactobacillus plantarum reduces certain gastrointestinal symptoms during treatment with antibiotics. J Clin Gastroenterol. 2010;44(2):106-112.\">15<\/a>). Suplimentarea cu probiotice pentru eradicarea <em>Helicobacter pylori <\/em>poate fi eficient\u0103 \u00een diminuarea evenimentelor adverse legate de terapie (<a href=\"http:\/\/(16) Lv Z, Wang B, Zhou X, Wang F, Xie Y, Zheng H, et al. Efficacy and safety of probiotics as adjuvant agents for Helicobacter pylori infection: A meta\u2011analysis. Exp Ther Med. 2015;9(3):707-716.\">16<\/a>). Drojdia probiotic\u0103 <em>Saccharomyces bulardii<\/em>\u00a0este, de asemenea, capabil\u0103 s\u0103 reduc\u0103 inciden\u021ba efectelor secundare totale \u0219i a anumitor evenimente adverse gastrointestinale ale terapiei de eradicare a Helicobacter pylori (<a href=\"http:\/\/(17) Zhou BG, Chen LX, Li B, Wan LY, Ai YW. Saccharomyces boulardii as an adjuvant therapy for Helicobacter pylori eradication: A systematic review and meta-analysis with trial sequential analysis. Helicobacter. 2019;24(5):e12651.\">17<\/a>).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Administrarea de Probiotice \u00cempreun\u0103 cu Antibioticele Pe Termen Lung<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen unele situa\u021bii clinice, antibioticele sunt utilizate pentru o perioad\u0103 mult mai lung\u0103 dec\u00e2t o s\u0103pt\u0103m\u00e2n\u0103 sau dou\u0103. O utilizare mai \u00eendelungat\u0103 cre\u0219te probabilitatea apari\u021biei efectelor secundare, chiar dac\u0103 suplimentele sunt considerate, \u00een general suplimente sigure \u0219i bine tolerate (<a href=\"http:\/\/(1) Brightman C. Antibiotics in general practice. Trends in Urology &amp; Men\u2018s Health. 2014;Nov\/Dec:39-43.\">1<\/a>). Pentru multe indica\u021bii, acestea sunt administrate timp de luni de zile cu un profil de siguran\u021b\u0103 excelent.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Un exemplu relevant de utilizare paralel\u0103, pe termen lung, a antibioticelor \u0219i probioticelor este prezen\u021ba infec\u021biilor recurente ale tractului urinar la popula\u021bia pediatric\u0103. Unele studii subliniaz\u0103 siguran\u021ba \u0219i eficacitatea administr\u0103rii probioticelor \u00eempreun\u0103 cu antibioticele pe termen lung (<a href=\"http:\/\/(11) Mohseni MJ, Aryan Z, Emamzadeh-Fard S, Paydary K, Mofid V, Joudaki H, et al. Combination of Probiotics and Antibiotics in the Prevention of Recurrent Urinary Tract Infection in Children. Iran J Pediatr. 2013;23(4): 430\u2013438.\">11<\/a>). Acest lucru nu este o surpriz\u0103, deoarece numeroase articole \u0219tiin\u021bifice arat\u0103 c\u0103 probioticele repar\u0103 cu succes flora intestinal\u0103 atunci c\u00e2nd echilibrul acesteia este perturbat.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Concluzie<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dup\u0103 cum a\u021bi \u00eenv\u0103\u021bat \u00een acest articol, este \u00een general acceptabil s\u0103 lua\u021bi probiotice cu antibiotice. \u021aine\u021bi cont doar de regula celor 2 ore, adic\u0103 lua\u021bi probioticele la 2 ore dup\u0103 ce a\u021bi luat antibioticul (sau invers). \u00cen cele din urm\u0103, nu uita\u021bi s\u0103 citi\u021bi instruc\u021biunile produc\u0103torului at\u00e2t pentru antibiotice, c\u00e2t \u0219i pentru probiotice.<\/p>\n\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>Referin\u021be<\/summary>\n\n<p class=\"wp-block-paragraph\">(1) Brightman C. Antibiotics in general practice. Trends in Urology &amp; Men\u2018s Health. 2014;Nov\/Dec:39-43.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(2) Williams NT. Probiotics. Am J Health-Syst Pharm. 2010; 67:449-458.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(3) Rehman A, Heinsen FA, Koenen ME, Venema K, Knecht H, Hellmig S, et al. Effects of probiotics and antibiotics on the intestinal homeostasis in a computer controlled model of the large intestine. BMC Microbiology. 2012;12(47)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(4) Videlock EJ, Cremonini F. Meta-analysis: probiotics in antibiotic-associated diarrhoea. Aliment Pharmacol Ther. 2012;35(12):1355-1369.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(5) Johnston BC, Goldenberg JZ, Vandvik PO, Sun X, Guyatt GH. Probiotics for the prevention of pediatric antibiotic-associated diarrhea. Cochrane Database of Systematic. 2011;11:CD004827.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(6) Garc\u00eda Trallero O, Herrera Serrano L, Bibi\u00e1n Ingl\u00e9s M, Roche Vall\u00e9s D, Rodr\u00edguez AM. Effect of the administration of a probiotic with a combination of Lactobacillus and Bifidobacterium strains on antibiotic-associated diarrhea. Rev Esp Quimioter. 2019;32(3):268-272.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(7) Goldenberg_JZ, Yap_C, Lytvyn_L, Lo_CKF, Beardsley_J, Mertz_D, Johnston_BC. Probiotics for the prevention of Clostridium di_icile-associated diarrhea in adults and children. Cochrane Database of Systematic Reviews 2017;12:CD006095.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(8) Selinger CP, Bell A, Cairns A, Lockett M, Sebastian S, Haslam N. Probiotic VSL#3 prevents antibiotic-associated diarrhoea in a double-blind, randomized, placebo-controlled clinical trial. J Hosp Infect. 2013;84(2):159-165.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(9) Heczko PB, Tomusiak A, Adamski P, Jakimiuk AJ, Stefa\u0144ski G, Miko\u0142ajczyk-Cicho\u0144ska A, et al. Supplementation of standard antibiotic therapy with oral probiotics for bacterial vaginosis and aerobic vaginitis: a randomised, double-blind, placebo-controlled trial. BMC Womens Health. 2015;15:115.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(10) Poonyam P, Chotivitayatarakorn P, Vilaichone RK. High Effective of 14-Day High-Dose PPI- Bismuth-Containing Quadruple Therapy with Probiotics Supplement for Helicobacter Pylori Eradication: A Double Blinded-Randomized Placebo-Controlled Study. Asian Pac J Cancer Prev. 2019;20(9):2859-2864.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(11) Mohseni MJ, Aryan Z, Emamzadeh-Fard S, Paydary K, Mofid V, Joudaki H, et al. Combination of Probiotics and Antibiotics in the Prevention of Recurrent Urinary Tract Infection in Children. Iran J Pediatr. 2013;23(4): 430\u2013438.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(12) Tompkins TA, Mainville I, Arcand Y. The impact of meals on a probiotic during transit through a model of the human upper gastrointestinal tract. Benef Microbes. 2011;2(4):295-303.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(13) Czerucka D, Piche T, Rampal P. Review article: yeast as probiotics \u2013Saccharomyces boulardii. Alimentary Pharmacology and Therapeutics. 2007;26(6):767-778.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(14) Didari T, Solki S, Mozaffari S, Nikfar S, Abdollahi M. A systematic review of the safety of probiotics. Expert Opin Drug Saf. 2014;13(2):227-239.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(15) L\u00f6nnermark E, Friman V, Lappas G, Sandberg T, Berggren A, Adlerberth I. Intake of Lactobacillus plantarum reduces certain gastrointestinal symptoms during treatment with antibiotics. J Clin Gastroenterol. 2010;44(2):106-112.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(16) Lv Z, Wang B, Zhou X, Wang F, Xie Y, Zheng H, et al. Efficacy and safety of probiotics as adjuvant agents for Helicobacter pylori infection: A meta\u2011analysis. Exp Ther Med. 2015;9(3):707-716.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">(17) Zhou BG, Chen LX, Li B, Wan LY, Ai YW. Saccharomyces boulardii as an adjuvant therapy for Helicobacter pylori eradication: A systematic review and meta-analysis with trial sequential analysis. Helicobacter. 2019;24(5):e12651.<\/p>\n\n\n\n<\/details>\n\n<\/div>\n \n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dac\u0103 lua\u021bi antibiotice \u0219i v\u0103 \u00eentreba\u021bi dac\u0103 este sigur s\u0103 le lua\u021bi \u00eempreun\u0103 cu probioticele, a\u021bi ajuns la locul potrivit. \u00cen acest articol, vom vorbi despre luarea probioticelor cu antibiotice, c\u00e2nd s\u0103 le lua\u021bi \u0219i posibilele efecte secundare ale acestora \u00een timpul acelea\u0219i perioade. Suplimentele probiotice devin din ce \u00een ce mai populare, iar utilizarea&#8230;<\/p>\n","protected":false},"author":2,"featured_media":129467,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[3068],"tags":[],"coauthors":[],"class_list":["post-253661","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-ro-ro"],"taxonomy_info":{"category":[{"value":3068,"label":"Uncategorized @ro-ro"}]},"featured_image_src_large":["https:\/\/eu.intelligentlabs.org\/wp-content\/uploads\/2020\/06\/taking-probiotics-with-antibiotics-is-it-safe-to-do-so-01-1024x548.jpg",1024,548,true],"author_info":{"display_name":"David Pashley","author_link":"https:\/\/eu.intelligentlabs.org\/ro-ro\/author\/david\/"},"comment_info":0,"category_info":[{"term_id":3068,"name":"Uncategorized @ro-ro","slug":"uncategorized-ro-ro","term_group":0,"term_taxonomy_id":3068,"taxonomy":"category","description":"","parent":0,"count":65,"filter":"raw","cat_ID":3068,"category_count":65,"category_description":"","cat_name":"Uncategorized @ro-ro","category_nicename":"uncategorized-ro-ro","category_parent":0}],"tag_info":false,"wpml":{"language":"ro-ro","is_original":false,"original_post_id":131633,"translations":{"bg-bg":{"id":225794,"language":"bg-bg","is_original":false},"da-dk":{"id":222519,"language":"da-dk","is_original":false},"de-at":{"id":169262,"language":"de-at","is_original":false},"de-de":{"id":75372,"language":"de-de","is_original":false},"el-cy":{"id":229261,"language":"el-cy","is_original":false},"el-gr":{"id":228494,"language":"el-gr","is_original":false},"en-gb":{"id":131633,"language":"en-gb","is_original":true},"en-ie":{"id":166644,"language":"en-ie","is_original":false},"es-es":{"id":74935,"language":"es-es","is_original":false},"fi-fi":{"id":238671,"language":"fi-fi","is_original":false},"fr-fr":{"id":129466,"language":"fr-fr","is_original":false},"it-it":{"id":75137,"language":"it-it","is_original":false},"lt-lt":{"id":237081,"language":"lt-lt","is_original":false},"lv-lv":{"id":230626,"language":"lv-lv","is_original":false},"nl-be":{"id":217711,"language":"nl-be","is_original":false},"nl-nl":{"id":175635,"language":"nl-nl","is_original":false},"pt-pt":{"id":168918,"language":"pt-pt","is_original":false},"ro-ro":{"id":253661,"language":"ro-ro","is_original":false},"sk-sk":{"id":238863,"language":"sk-sk","is_original":false},"sl-si":{"id":239021,"language":"sl-si","is_original":false}}},"_links":{"self":[{"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/posts\/253661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/comments?post=253661"}],"version-history":[{"count":0,"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/posts\/253661\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/media\/129467"}],"wp:attachment":[{"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/media?parent=253661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/categories?post=253661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/tags?post=253661"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/eu.intelligentlabs.org\/ro-ro\/wp-json\/wp\/v2\/coauthors?post=253661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}