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HEALTH FACTS
Helping
You Learn More About Your Health
|
Autism
and Antibiotics
Autism
Autism
is a type of developmental disorder that affects the function of the brain in
areas of thought, perception, and attention. Symptoms usually develop by age
three. Children tend to have problems with communication (verbal and
non-verbal) and interaction with peers. Speech and language skills may be
delayed or absent. Some children develop unusual behavior patterns, such as
repetition of activities or routines, unusual attachment to objects, resistance
to change, or characteristic body movements (i.e., hand flapping, rocking,
etc.). The range of symptoms varies from person to person and can be mild to
severe.
The exact incidence of
autism is unknown. According to the Autism Society of America, it affects about
one out of every 500 children to some degree. It's four times more common in
boys than in girls. In many cases, children go through a seemingly
"normal" development until about 24 to 30 months, when they begin to
show signs of developmental delay.
There are no medical
tests for autism. Doctors make the diagnosis from observation of symptoms and
developmental tests. Once a diagnosis is confirmed, experts recommend intensive
early intervention programs. Depending upon the range of the child's symptoms,
that may include behavioral training, music therapy, occupational therapy,
physical therapy, speech/language therapy, sensory integration, and
medications. < of Cause the>Doctors don't know what
causes autism. In some cases it runs in families. Sibilings of children with
autism have up to an eight percent chance of also being diagnosed with the
condition. Ellen Bolte, a mother of an autistic child had a theory that
symptoms may be triggered by some type of bacteria that produces a
brain-damaging toxin. Her son had received intense antibiotic therapy for
chronic episodes of fluid in his ears. He also experienced digestive problems
and diarrhea. She theorized the antibiotics given for the ear problems
disrupted the healthy bacteria normally living in the stomach - allowing
toxin-producing bacteria to invade and colonize in the digestive tract. One
group of bacteria known to produce these neurotoxins (brain toxins) is Clostridium.
Treatment for the bacteria might improve symptoms of autism.
Several doctors turned
down her theory. A doctor at Rush Children's Hospital in Chicago agreed to test
the hypothesis. He prescribed the potent antibiotic, vancomycin, known to be
effective against the Clostridium bacteria. To everyone's surprise,
Bolte's son's symptoms dramatically improved. Sandler treated 11 more autistic
children who also suffered gastrointestinal problems as infants and may have
the bacteria. Nine of them experienced a clear improvement in autism symptoms.
But once treatment was stopped, the children regressed and symptoms returned to
the same point before antibiotic therapy.
Antibiotics are not a
cure for autism, nor can they considered a long-term treatment because bacteria
will eventually develop a resistance to the drugs, rendering them ineffective
for all kinds of infections. (For this reason, most doctors won't even consider
a trial therapy of vancomycin for autistic children.) However, the preliminary
results may provide some clues for a future direction in autism studies.
Researchers say about 25 percent of autistic children experience
gastointestinal problems.
More Information
Autism
Study Co-coordinator - Ellen Bolte, Rush Childrens Hospital, Rush Medical
College. Phone 312-563-2103, Fax 312-563-2131, E-mail rushstudy@aol.com.
For general information
on autism:
- Autism Society of America, 7910 Woodmont Avenue,
Suite 300, Bethesda, MD 20814-3015, http://www.autism-society.org.
- Autism-PDD Resources Network, http://www.autism-pdd.net/autism.htm.
- Developmental Disabilities Branch, Division of
Birth Defects, Child Development, and Disability and Health, Centers for
Disease Control and Prevention, 4770 Buford Highway, NE, Mailstop F-15,
Atlanta, GA 30341-3724, http://www.cdc.gov.
- National Institute of Child Health and Human
Development Clearinghouse, (800) 370-2943, http://www.nichd.nih.gov.
The information on this
factsheet is not meant to substitute for a consultation with your physician or
with another healthcare professional. Speak with your doctor if you have
questions about any medical problem.

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