In Reply: Use and Misuse of Oral Therapy in Diarrhea
I appreciate the chance to clarify what may be a misconception of Dr Kepfer and also others who had read my recent article. The American Academy of Pediatrics Committee on Nutrition recommends that glucose electrolyte solutions be used for rehydration and maintenance therapy for children with acute diarrhea. One such solution is the oral rehydration salt (ORS) solution recommended by the World Health Organization and the United Nations International Children's Emergency Fund, but this solution is not readily available in the United States, as Dr Kepfer notes. However, as mentioned in the introduction to the paper, a number of successful clinical trials of other similar glucose electrolyte solutions have been reported in the United States.