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2. Lactobacillus acidophilus and cecidomycosis
Some strains of L. acidophilus can produce cecal stools contaminated with Salmonella and Campylobacter spp. For children, they are a cause of diarrheal illness, with an estimated case-fatality rate of 25-35% in developing, semi- or post-industrialised nations, primarily in the developing world but also in North America, Europe and Australia.
On the whole, risk of salmonellosis in this population is small. A case-fatality rate of less than 0.1% has been reported in children. The only available data on relationship of Salmonella risk to consumption oat bran is a retrospective Dexamethasone cost uk
case-control study carried out in a North Korean camp with prevalence of Salmonella infections exceeding 50% in the immediate camp area and less than 10% in the entire population of camp (6). The study included 930 children, of whom 526 (46.7%) were reported as having diarrhoea within 6 h of meal intake. When compared with oat bran, flour and bran had the lowest risk of Salmonella Salmonellosis (1.0% and 0.7% respectively).
The risk of cecal stools contaminated with Salmonella is high when oat bran consumed. It is a strong precautionary measure. In children aged six months to years, the risk of Salmonella infection is 0.7-3.9% on cereal and 1.2-3.6% oat bran. The risk is highest when oat bran consumed in excess of four times a week. single serving of oat bran is enough for a child to contain ~60 mg of Salmonella, whereas a serving oat cereal contains 488 mg, twice as much the amount of Salmonella that a child would be expected to ingest if eating oat bran from its natural state.
Bacterial contamination of oat bran is due to various oat grain moulds and can also occur in the processing of oat bran, especially near and during cooking, but not baking. Yeast contamination is also possible, although, unlike in grains, it is not widespread in North American oat areas.
In addition to Salmonella, oat bran can also harbour Giardia lamblia. lamblia is a protozoan organism related to giardia. It is believed that at least 15% of healthy people carry Giardia on a daily basis. The infection causes acute gastrointestinal discomfort, with giardiasis commonly presenting as a single episode. The most common manifestations are abdominal cramps (eg, dyspepsia), bloating, pain along with fever, and nausea. At least 10% of cases resolve without treatment. These symptoms usually subside within a few days but can persist indefinitely only rarely are diagnosed as "intestinal infection". Giardia infections are sometimes suspected in people with a history of salmonella infection (1).
A 2009 paper by Wold et al describes six cases of Giardia lamblia infestation (7), along with 11 cases of human Giardia cheapest proguanil atovaquone tablets immunodeficiencies. In these six patients, the onset of diarrhea was after ingestion oat flour as well kernels but not oat bran. Four of the patients consumed oat, two received oat bran, and the remaining two patients ingested oat kernels. The most significant finding was that the patients had developed abnormal symptoms, without any known link between the consumption of oat kernels and their illness.
The risk of Giardia infestation in oat bran is unknown, because of the low prevalence Giardia infection. risk of infection from oat bran consumption depends on the presence and growth characteristics of such a germ. Giardia Lamblia infections reported from North American schools, have not been associated with oat bran production (2,4–5).
4. Bifidobacteria, Lactobacillus
The major organisms present in human and animal faeces may be classified according to whether they are Bifidobacteria species or Lactobacilli species.
Bifidobacterial (preparations which do not contain alcohol):
Bifidobacterial enzymes have a tendency to form toxins, which are subsequently degraded by normal gut bacteria. These toxins have negative effects on the intestinal mucosa, which can be exacerbated by the presence of antibiotics or with administered to alleviate diarrhoea.
Lactobacilli produce enzymes that digest other bacterial species.
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