Gastroenteritis in Children: Part II. Prevention and Management

The treatment of gastroenteritis in children focuses on preventing dehydration. A child with minimal or no dehydration should be encouraged to continue his or her usual diet plus drink adequate fluids. Many studies have shown that a child's regular diet reduces the duration of diarrhea. Oral re...

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Veröffentlicht in:American family physician 2012-06, Vol.85 (11), p.1066-1070
Hauptverfasser: Churgay, Catherine A., MD, Aftab, Zahra, MD
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Aftab, Zahra, MD
description The treatment of gastroenteritis in children focuses on preventing dehydration. A child with minimal or no dehydration should be encouraged to continue his or her usual diet plus drink adequate fluids. Many studies have shown that a child's regular diet reduces the duration of diarrhea. Oral rehydration therapy with a rehydration solution can be used to treat diarrhea in children with mild to moderate dehydration. Ondansetron can decrease vomiting or help avoid the need for intravenous fluid, but it increases episodes of diarrhea. Probiotics can be used to shorten the course of diarrhea. Good handwashing reduces the incidence of acute gastroenteritis, but not rotavirus. The introduction of two rotavirus vaccines in the United States in 2006 significantly reduced the incidence of rotavirus gastroenteritis. The oral, live vaccines have strong safety records, despite a minimal incidence of intussusception.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Antidiarrheals - therapeutic use
Antigens
Caregivers
Child
Children & youth
Confidence intervals
Dehydration - etiology
Dehydration - prevention & control
Diarrhea
Diarrhea - drug therapy
Diarrhea - etiology
Diet
Electrolytes
Fluids
Gastroenteritis
Gastroenteritis - complications
Gastroenteritis - prevention & control
Gastroenteritis - therapy
Humans
Internal Medicine
Meta-analysis
Pediatrics
Probiotics
Probiotics - therapeutic use
Rehydration Solutions - therapeutic use
Rotavirus Vaccines - therapeutic use
Sodium
Vomiting
title Gastroenteritis in Children: Part II. Prevention and Management
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