This study aims to evaluate the effect of co-administering the probiotic Saccharomyces boulardii CNCM I-745 with amoxicillin-clavulanic acid on the intestinal and nasopharyngeal microbiota in children diagnosed with acute otitis media or acute bacterial sinusitis. The trial will also assess the potential of the probiotic to reduce antibiotic-associated diarrhea (AAD), antibiotic associated microbiota perturbation, and the spread of antibiotic resistance genes (ARGs).
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Change in intestinal microbiota bacteria composition
Timeframe: 0, 10, 21 and 56 days
Potential changes in antibiotic resistant genes (ARGs)
Timeframe: 0, 10, 21, and 56 days of study