Rice based oral rehydration therapy in acute diarrhoea: a superior therapy and a medium for calorie supplementation

1985 ◽  
pp. 65-70
Author(s):  
A. M. Molla ◽  
S. A. Sarker ◽  
A. Molla ◽  
M. Khatoon ◽  
W. B. Greenough
2017 ◽  
Vol 36 (3) ◽  
pp. 250-255 ◽  
Author(s):  
Dillip Kumar Dash ◽  
Mrutunjaya Dash ◽  
M.D. Mohanty ◽  
Naresh Acharya

Introduction: Administration of S. boulardii in addition to rehydration therapy in diarrhea found to be beneficial in many aspects owing to a variety of causes and importantly it is was not associated with any adverse effects.Material and Methods: We conducted a prospective study of children suffering from acute diarrhoea, at a private tertiary care hospital. Children were divided into 2 groups randomly as per odd(Group 1 ) and even (Group 2) bed allotted in indoor at the time of admission: Group 1 included children on oral rehydration therapy (ORT) + Zinc + Saccharomyces boulardii (Probiotic 5 billion CFU twice daily) and Group 2 comprised of children on ORT+ Zinc. Our objective was to systematically review data on the effect of S. boulardii on acute childhood diarrhoea.Results: Out of a total of 126 children less than 2 years, 2-6 years and 6-14 years were 72 (57.14%), 42(33.33%) and 12(09.52%) respectively. The duration of diarrhoea in Group 1 was 26.31 hours and Group 2 was 47.81 hours (p<0.01). The frequency of diarrhoea showed improvement within 24 and 72 hours in Group 1 and Group 2 respectively (p<0.01).Similarly, the mean duration of hospital stay was 2.68 days in Group 1 and 4.8 days in Group 2.The treatment cost was INR 850 and INR 1650 while social cost was INR 1250 and 2600 in Group 1 and 2 respectively.Conclusion:This study shows that S. boulardii reduced the duration, frequency and hospital stay of diarrhoea thereby reducing the treatment and social costs.J Nepal Paediatr Soc 2016;36(3):250-255


2019 ◽  
Vol 28 (3-4) ◽  
pp. 67-78 ◽  
Author(s):  
Sunoto Sunoto ◽  
Suharyono Suharyono ◽  
Aswitha D. Budiarso ◽  
Adnan S. Wiharta

Oral rehydration therapy (ORT) as an appropriate technology in the treatment of acute diarrhoeal diseases (ADD) has been accepted throughout the world. It has been proved that besides lifesaving, ORT has reduced about 70-80% of the use of intravenous solution and average cost of the treatment of ADD. If there is still problem, question or doubtfulness, is the use of WHO ORS in full concentration for the neonates and young infants less than 3 months of age. During one-year period it has been treated 72 cases of ADD in young infants less than 3 months of age with moderate dehydration. They were divided into 3 groups. The first group was treated with 100 mil kg bw of fluid consisting oftwothirds as WHO ORS in full concentration for 4 hours period and the rest, one-third, was given as plain water for 2 hours period. The second group was treated with kristalyte with the Na concentration of 51 mEq/L and the third group was treated with intravenous Ringer's lactate for 6 hours period. After the end of the study only 18 patients in each group could be matched and evaluated. From clinical observation and laboratory examinations, the result of the treatment in general, statistically shows no significant difference. Diarrhoea and vomiting stopped in all groups on the second day of treatment. Hyponatremia which occurred in 3 patients in Group I and 2 patients each in Group II and III improved  after 6 hours of treatment. Acidosis was corrected in all of the treatment groups in 6 hours period. Weight gain up to 6-9% of body weight on admission was achieved after 6 hours of treatment in all groups. No complication of hypernatremia, convulsion nor hypoglycaemia in all the treatment group. From this study it could be concluded that WHO ORS is quite safe and effective as ORS with low sodium concentration and intravenous treatment, as far as it is given slowly, little by little with a strict supervision.


1989 ◽  
Vol 21 (S10) ◽  
pp. 105-113 ◽  
Author(s):  
Hoda Rashad

A major Egyptian national programme for the control of diarrhoeal disease was launched in February 1984, with the aim of reducing the dehydration-specific mortality resulting from acute diarrhoea (52% of all infant deaths in 1979) and thus to reduce overall infant and childhood mortality.


Author(s):  
Daimler Linzy Jose ◽  
Punithakumary Purushothaman ◽  
Ravi Shankar Singanallur Lakshmanan

Background: Globally, acute diarrhoea claims around 1.5 million lives of under-five children. In India, ADD accounts for 8% of deaths in <5yrs age group. Child may be pushed into an irreversible outcome as stunting because of inadequate nutrition and repeated bouts of infection during the first 1000 days of life. Oral rehydration therapy is the most effective treatment intervention which can avert about 14% of deaths in under five children.Methods: A cross sectional study was done among 270 mothers of under five children from our urban health centre service area of PSGIMSR.Results: Among 270 mothers of under five children most of them belonged to the age group of ≤25 years. Only 10.7% of the mothers were aware that infection or germs cause diarrhea, signs of dehydration were not known by 80% of mothers. Mothers’ with more than one child and mothers with education more than 8th class were emerged as the factors affecting ORS preparation.Conclusions: The knowledge on diarrhoea was low. Although awareness regarding spread of diarrhoea and ORS was adequate in this community, knowledge regarding continuation of feeding and signs of dehydration were deficient. Thus educating the mothers of under-five children regarding correct practices of home management of diarrhoea is likely to further reduce diarrhoea morbidity and mortality. 


1991 ◽  
Vol 8 (1) ◽  
pp. 26-34 ◽  
Author(s):  
Yolanda Suarez de Balcazar ◽  
Fabricio E. Balcazar

About 4 million children die every year as a result of dehydration caused by acute diarrhoea. Oral rehydration therapy (ORT) is designed to prevent dehydration. In the past 10 years, several campaigns have been conducted throughout the world, mostly sponsored by the World Health Organization, to disseminate ORT, particularly in developing countries. This paper presents a review of 14 ORT campaigns categorising their components according to whether the researchers used antecedents, behaviours, and/or consequences. Only three campaigns manipulated all three components. Antecedent events were manipulated in all of the studies. A skills training component appears to influence the effectiveness of the campaign, since several new behaviours and complex discriminations need to be learned for people to use ORT correctly. The benefits of functionally analysing the components of current ORT campaigns are highlighted.


Curationis ◽  
1995 ◽  
Vol 18 (1) ◽  
Author(s):  
J. M. Huskisson ◽  
S. Feulbach

The demographic and health profile and anthropometry of 106 young children hospitalised with acute diarrhoea during winter at the Red Cross War Memorial Children's Hospital, Cape Town, is reported. Information regarding socio-economic status, feeding practices and mothers' knowledge/perceptions about the aetiology of diarrhoea and the use of Oral Rehydration Therapy (ORT) was collected on a predetermined questionnaire in English or Xhosa. The findings underline the need for an aggressive, well-targeted education programme to reduce the morbidity and mortality of vulnerable children as well as the financial drain on the hospital budget.


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