A Pilot Study to Determine the Effectiveness of Probiotic Use in Elderly Patients with Antibiotic-Associated Diarrhea

Long-term care settings have the majority of their patients on multiple antibiotics, and outbreaks of antibiotic-associated diarrhea and Clostridium difficile are common. Probiotics have been used with these patients to reduce these side effects. Probiotics can re-establish the composition of intestinal microflora, enhance immune response, and clear pathogens from the host which may reduce the symptoms of antibiotic-associated diarrhea. Therefore, the goal of this study was to conduct a retrospective study of the effectiveness of using probiotic in elderly patients in a long-term care facility in a Midwestern city who suffered from antibiotic-associated diarrhea. The probiotic, CulturelleTM had been administered once a day to eight males and twelve female patients who were taking antibiotics and stool consistency and number were recorded. Out of the original group, seven of the patients receiving the probiotic appeared to have positive effects while two patients had negative effects on stools. Thirteen patients showed no change in stool consistency and number. It was difficult to determine the effects of the probiotic due to the use by the facility of a bowel movement protocol for preventing constipation and impaction, and the lack of dietary records. Published studies in patients in long-term facilities vary greatly in terms of trial design, type and dose of probiotic and duration of treatment, which may explain why probiotics work for some patients and not for others. Probiotic use is becoming more accepted with antibiotic-associated diarrhea but due to the lack of definitive evidence about efficacy and the safety of probiotic use, more studies need to be conducted. Advisors: Kaye Stanek Krogstrand and Julie Albrecht

Academic Library Websites in Bangalore City, India: An Evaluative Study

This study evaluates the content and quality of academic library websites. An evaluation checklist is used as a tool for evaluation of academic library websites. The checklist is divided into five main parts followed by Rating Table. The quantitative pointing system (ten point scale) and five point rating scales are used to evaluate and rank the websites. The study reveals that very few (16 percent) websites provide information about the date of last updating. Similarly very few (20 percent) websites provide links to other web reference sites and a moderate number (40 percent) have feedback forms for comments. On the other side, a good number of websites (76 percent) are efficient in loading images, icons, and graphics, and a large number (80 percent) have incorporated a web OPAC. The study is limited to the evaluation of websites of five academic libraries located in Bangalore, India.