OBJECTIVE: To observe therapeutic efficacy and safety of infantile infectious diarrhea treated with mezlocillin combined with Saccharomyces boulardii. METHODS: 96 patients with infantile infectious diarrhea were randomly divided into control group and observation group with 48 patients in each group. In control group, the patients were given mezlocillin, 75 mg/kg, tid. On this basis, the patients in observation group were given S. boulardii 250 mg, bid. Antidiarrheal time and healing time were compared between 2 group after 72 h, and bowel movement frequency ,clinical efficacy and security were observed before and after treatment. RESULTS: Antidiarrheal time and healing time of observation group were significantly shorter than those of control group, with statistical significance (P<0.05). 24 and 72 h after treatment, bowel movement frequency in 2 groups were reduced obviously; that of observation group was significantly less than control group 72 h after treatment, with statistical significance (P<0.05). The effective rate of observation group (95.8%) was significantly higher than that of control group (83.3%), with statistical significance(P<0.05). There was 1 case of constipation in observation group and 1 case of erythra in control group. Both groups were cured without special treatment. CONCLUSIONS: Mezlocillin combined with S. boulardii could cure infantile infectious diarrhea effectively and shorten the time of diarrhea and healing time, with good safety.