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The Role of Probiotics in Diarrheal Management

Salfi, Salvatore F. BSN, RN, LCSW; Holt, Karyn PhD, CNM

doi: 10.1097/HNP.0b013e31824ef5a3

Current evidence demonstrates that probiotics reduce diarrheal duration from a number of etiologies. Professional nursing practice based on evidence and clinical expertise supports a diet-containing probiotics to manage acute diarrhea. Dietary limitations included in the BRAT (bananas, rice, applesauce, and toast) diet recommended by many nurses need to be reexamined in light of the newest evidence.

HIV Program, Christiana Care Health System, Smyrna, Delaware (Mr Salfi); and College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania (Dr Holt).

Correspondence: Salvatore F. Salfi, BSN, RN, LCSW, Christiana Care Health System/Kent Wellness Clinic, 100 Sunnyside Rd, Smyrna, DE 19977 (

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2012 Lippincott Williams & Wilkins, Inc.