<scp>A</scp>msterdam infant stool scale is more useful for assessing children who have not been toilet trained than <scp>B</scp>ristol stool scale

Ghanma, Abdallah; Puttemans, K.; Deneyer, Michel; Benninga, Marc A.; Vandenplas, Yvan

doi:10.1111/apa.12422

Cited by 40 publications

(44 citation statements)

References 3 publications

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“…To access stool consistency, the Bristol Stool Form Scale was used, which has a limited validation for the youngest children, although it offers a more objective form of assessing stool consistency rather than just relying on the perceptions of caregivers. 11 The duration of diarrhea was used as the primary endpoint, which is not considered optimal. However, there is a major reluctance of caregivers and healthcare providers to conduct the cumbersome stool collection.…”

Section: Discussionmentioning

confidence: 99%

Lactobacillus reuteri DSM 17938 shortens acute infectious diarrhea in a pediatric outpatient setting

Dinleyici

Dalgıç

Güven

et al. 2015

Jornal de Pediatria

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Section: Discussionmentioning

confidence: 99%

Lactobacillus reuteri DSM 17938 shortens acute infectious diarrhea in a pediatric outpatient setting

Dinleyici

Dalgıç

Güven

et al. 2015

Jornal de Pediatria

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“…Throughout the study period, healthcare providers and/or caregivers will record the number and consistency of stools in a standard stool diary. To record stool consistency, in children younger than 1 year, the Amsterdam Infant Stool Scale (AISS) will be used, and loose or watery stools will correspond to A-consistency 16. In children older than 1 year, the Bristol Stool Form (BSF) scale will be used, and loose or watery stools will correspond to scores of 5–7 17.…”

Section: Methods and Analysismentioning

confidence: 99%

Lactobacillus reuteriDSM 17938 in the prevention of antibiotic-associated diarrhoea in children: protocol of a randomised controlled trial

Kołodziej

Szajewska

2017

BMJ Open

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IntroductionAdministration of some probiotics appears to reduce the risk of antibiotic-associated diarrhoea (AAD). The effects of probiotics are strain-specific, thus, the efficacy and safety of each probiotic strain should be established separately. We aim to assess the effects of Lactobacillus reuteri DSM 17938 administration for the prevention of diarrhoea and AAD in children.Methods and analysisA total of 250 children younger than 18 years treated with antibiotics will be enrolled in a double-blind, randomised, placebo-controlled trial in which they will additionally receive L. reuteri DSM 17938 at a dose 108 colony-forming units or an identically appearing placebo, orally, twice daily, for the entire duration of antibiotic treatment. The primary outcome measures will be the frequencies of diarrhoea and AAD. Diarrhoea will be defined according to 1 of 3 definitions: (1) ≥3 loose or watery stools per day for a minimum of 48 hours during antibiotic treatment; (2) ≥3 loose or watery stools per day for a minimum of 24 hours during antibiotic treatment; or (3) ≥2 loose or watery stools per day for a minimum of 24 hours during antibiotic treatment. AAD will be diagnosed in cases of diarrhoea, defined clinically as above, caused by Clostridium difficile or for otherwise unexplained diarrhoea (ie, negative laboratory stool tests for infectious agents).Ethics and disseminationThe Bioethics Committee approved the study protocol. The findings of this trial will be submitted to a peer-reviewed paediatric journal. Abstracts will be submitted to relevant national and international conferences.Trial registration numberNCT02871908.

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“…Still, the Amsterdam Scale is not universally used; it is too complex and too complicated for routine use by parents, nurses and primary healthcare physicians. 7 A recent study showed that among parents of infants and toddlers only fair agreement existed between the BSS and parental report of stool consistency. 8 Moreover, it was documented that different methods of assessment of stool consistency did not result in a difference in the prevalence of functional constipation.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Development of the Brussels Infant and Toddler Stool Scale (‘BITSS’): protocol of the study

et al. 2017

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IntroductionThe Bristol Stool Form Scale (BSS) which consists of 7 photographs of different stool forms allows assessment of stool consistency (scale 1 for hard lumps to scale 7 for watery stools), in an objective manner in adults. The BSS is also sometimes used to characterise the stools of infants and young children. Despite its use, there is general agreement among paediatric gastroenterologists that the BSS is not adequate to be used in infants and young children who wear diapers; thus, a new scale specifically designed for this population is needed. Our aim is to develop a paediatric stool scale, the Brussels Infant and Toddler Stool Scale (‘BITSS’), and to evaluate the interobserver agreement of stool assessment with the BITSS between the patient's parent and healthcare providers (physicians and nurses).Methods and analysisThis study has two phases. In the first phase, 11 key-opinion leaders in the field of paediatric gastroenterology representing different areas of the world selected seven coloured photographs of infants and/or young children wearing diapers to match the original descriptors of the BSS. The selected photographs were used to create a new scale in which the drawings of stools of the BSS were replaced by infant/toddlers stool photographs. In phase II, we aim at demonstrating that parents, nurses and primary healthcare physicians interpret the stool-pictures of the BITSS with a high degree of consensus and that the agreement is independent of whether it is a parent or a healthcare provider. Interobserver variability of stool assessment with the BITSS between the patient's parent and healthcare providers will be assessed.Ethics and disseminationThe study will be approved by the Ethics Committee of the participating centres. The findings of this study will be submitted to a peer-reviewed journal. Abstracts will be submitted to national and international conferences.Trial registration numberNCT02913950.

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Amsterdam infant stool scale is more useful for assessing children who have not been toilet trained than Bristol stool scale

Cited by 40 publications

References 3 publications

Lactobacillus reuteri DSM 17938 shortens acute infectious diarrhea in a pediatric outpatient setting

Lactobacillus reuteri DSM 17938 shortens acute infectious diarrhea in a pediatric outpatient setting

Lactobacillus reuteriDSM 17938 in the prevention of antibiotic-associated diarrhoea in children: protocol of a randomised controlled trial

Development of the Brussels Infant and Toddler Stool Scale (‘BITSS’): protocol of the study

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