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...
Gespeichert in:
Veröffentlicht in: | American family physician 2012-06, Vol.85 (11), p.1066-1070 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1070 |
---|---|
container_issue | 11 |
container_start_page | 1066 |
container_title | American family physician |
container_volume | 85 |
creator | Churgay, Catherine A., MD 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. |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1039200331</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0002838X12601920</els_id><sourcerecordid>2454246611</sourcerecordid><originalsourceid>FETCH-LOGICAL-e224t-13812fe11a1920d453c2681dbc7eaf151f3b939e7b4a4e4e573998551436a3c63</originalsourceid><addsrcrecordid>eNpdkE1Lw0AQhhdRbK3-BQl48RLZ7yQeFClaCxULKnhbNslEtyabupsU-u_d0OrB0zDDw8u8zwEaE8FojKXAh2iMMaZxytL3ETrxfhXWRJDsGI0ozSRNk3SMbmfad64F24EznfGRsdH009SlA3sdLbXrovn8Klo62ATGtDbStoyetNUf0ITLKTqqdO3hbD8n6O3h_nX6GC-eZ_Pp3SIGSnkXE5YSWgEhmmQUl1ywgsqUlHmRgK6IIBXLM5ZBknPNgYNIWJalQhDOpGaFZBN0uctdu_a7B9-pxvgC6lpbaHuvCGYhGDNGAnrxD121vbPhO0W54JRLSQbqfE_1eQOlWjvTaLdVv2oCcLMDINTaGHCqqI01ha6_YAv-L5MoTxVWL4PswTWhEg8l2Q_w_XKF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2454246611</pqid></control><display><type>article</type><title>Gastroenteritis in Children: Part II. Prevention and Management</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Churgay, Catherine A., MD ; Aftab, Zahra, MD</creator><creatorcontrib>Churgay, Catherine A., MD ; Aftab, Zahra, MD</creatorcontrib><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.</description><identifier>ISSN: 0002-838X</identifier><identifier>EISSN: 1532-0650</identifier><identifier>PMID: 22962878</identifier><language>eng</language><publisher>United States: American Academy of Family Physicians</publisher><subject>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</subject><ispartof>American family physician, 2012-06, Vol.85 (11), p.1066-1070</ispartof><rights>American Family Physician</rights><rights>Copyright American Academy of Family Physicians Jun 1, 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22962878$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Churgay, Catherine A., MD</creatorcontrib><creatorcontrib>Aftab, Zahra, MD</creatorcontrib><title>Gastroenteritis in Children: Part II. Prevention and Management</title><title>American family physician</title><addtitle>Am Fam Physician</addtitle><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.</description><subject>Antidiarrheals - therapeutic use</subject><subject>Antigens</subject><subject>Caregivers</subject><subject>Child</subject><subject>Children & youth</subject><subject>Confidence intervals</subject><subject>Dehydration - etiology</subject><subject>Dehydration - prevention & control</subject><subject>Diarrhea</subject><subject>Diarrhea - drug therapy</subject><subject>Diarrhea - etiology</subject><subject>Diet</subject><subject>Electrolytes</subject><subject>Fluids</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - complications</subject><subject>Gastroenteritis - prevention & control</subject><subject>Gastroenteritis - therapy</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Meta-analysis</subject><subject>Pediatrics</subject><subject>Probiotics</subject><subject>Probiotics - therapeutic use</subject><subject>Rehydration Solutions - therapeutic use</subject><subject>Rotavirus Vaccines - therapeutic use</subject><subject>Sodium</subject><subject>Vomiting</subject><issn>0002-838X</issn><issn>1532-0650</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkE1Lw0AQhhdRbK3-BQl48RLZ7yQeFClaCxULKnhbNslEtyabupsU-u_d0OrB0zDDw8u8zwEaE8FojKXAh2iMMaZxytL3ETrxfhXWRJDsGI0ozSRNk3SMbmfad64F24EznfGRsdH009SlA3sdLbXrovn8Klo62ATGtDbStoyetNUf0ITLKTqqdO3hbD8n6O3h_nX6GC-eZ_Pp3SIGSnkXE5YSWgEhmmQUl1ywgsqUlHmRgK6IIBXLM5ZBknPNgYNIWJalQhDOpGaFZBN0uctdu_a7B9-pxvgC6lpbaHuvCGYhGDNGAnrxD121vbPhO0W54JRLSQbqfE_1eQOlWjvTaLdVv2oCcLMDINTaGHCqqI01ha6_YAv-L5MoTxVWL4PswTWhEg8l2Q_w_XKF</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Churgay, Catherine A., MD</creator><creator>Aftab, Zahra, MD</creator><general>American Academy of Family Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Gastroenteritis in Children: Part II. Prevention and Management</title><author>Churgay, Catherine A., MD ; Aftab, Zahra, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e224t-13812fe11a1920d453c2681dbc7eaf151f3b939e7b4a4e4e573998551436a3c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Antidiarrheals - therapeutic use</topic><topic>Antigens</topic><topic>Caregivers</topic><topic>Child</topic><topic>Children & youth</topic><topic>Confidence intervals</topic><topic>Dehydration - etiology</topic><topic>Dehydration - prevention & control</topic><topic>Diarrhea</topic><topic>Diarrhea - drug therapy</topic><topic>Diarrhea - etiology</topic><topic>Diet</topic><topic>Electrolytes</topic><topic>Fluids</topic><topic>Gastroenteritis</topic><topic>Gastroenteritis - complications</topic><topic>Gastroenteritis - prevention & control</topic><topic>Gastroenteritis - therapy</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Meta-analysis</topic><topic>Pediatrics</topic><topic>Probiotics</topic><topic>Probiotics - therapeutic use</topic><topic>Rehydration Solutions - therapeutic use</topic><topic>Rotavirus Vaccines - therapeutic use</topic><topic>Sodium</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Churgay, Catherine A., MD</creatorcontrib><creatorcontrib>Aftab, Zahra, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>American family physician</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Churgay, Catherine A., MD</au><au>Aftab, Zahra, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastroenteritis in Children: Part II. Prevention and Management</atitle><jtitle>American family physician</jtitle><addtitle>Am Fam Physician</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>85</volume><issue>11</issue><spage>1066</spage><epage>1070</epage><pages>1066-1070</pages><issn>0002-838X</issn><eissn>1532-0650</eissn><abstract>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.</abstract><cop>United States</cop><pub>American Academy of Family Physicians</pub><pmid>22962878</pmid><tpages>5</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0002-838X |
ispartof | American family physician, 2012-06, Vol.85 (11), p.1066-1070 |
issn | 0002-838X 1532-0650 |
language | eng |
recordid | cdi_proquest_miscellaneous_1039200331 |
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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T12%3A43%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Gastroenteritis%20in%20Children:%20Part%20II.%20Prevention%20and%20Management&rft.jtitle=American%20family%20physician&rft.au=Churgay,%20Catherine%20A.,%20MD&rft.date=2012-06-01&rft.volume=85&rft.issue=11&rft.spage=1066&rft.epage=1070&rft.pages=1066-1070&rft.issn=0002-838X&rft.eissn=1532-0650&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E2454246611%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2454246611&rft_id=info:pmid/22962878&rft_els_id=1_s2_0_S0002838X12601920&rfr_iscdi=true |