To Improve the Household Management of Diarrhea

1996 ◽  
Vol 18 (3) ◽  
pp. 15-19
Author(s):  
Margaret Bentley ◽  
Elizabeth Herman
Keyword(s):  
Diarrheal Disease ◽  
Public Awareness ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration Salt ◽  
Simple Solution ◽  
Intravenous Therapy ◽  
Oral Rehydration ◽  
Child Morbidity ◽  
Sustained Use ◽  
The 1960S

Diarrheal disease is one of the leading causes of infant and child morbidity and mortality worldwide. Developed in the 1960s, oral rehydration salt solutions (ORS) were a major technological advance, offering a practical alternative to intravenous therapy for treatment of dehydration. Subsequently, ORS in prepacked sachets (or various home prepared solutions, such as sugar-salt solution or cereal-based solutions) have been promoted worldwide for home and clinic treatment of diarrhea. Yet early efforts to promote ORS, often through sophisticated social marketing and mass media programs, showed that increasing public awareness of diarrheal disease and the benefits of ORS did not necessarily lead to the desired behavior change—the effective and sustained use of ORS. (See, for example, M. K. Nations and L. A. Rebhun, "Mystification of a Simple Solution: Oral Rehydration Therapy in Northeast Brazil," Social Science and Medicine 27[1988]:25-38.) Apparently, the "simple solution" is not quite so simple.

scholarly journals Is knowledge and practice of oral rehydration therapy suboptimal? Assessment at Federal Medical Center, Asaba, South-South Nigeria

2017 ◽  
Vol 4 (8) ◽  
pp. 2658
Author(s):  
Bertilla U. Ezeonwu ◽  
Ayodeji Ayodele ◽  
Obinna C. Ajaegbu ◽  
Nkemjika E. Mbagwu ◽  
Odiri Ovemeso ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Diarrheal Disease ◽  
Medical Center ◽  
Kidney Injury ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration Salt ◽  
Survival Strategies ◽  
Mortality And Morbidity ◽  
Oral Rehydration ◽  
Knowledge And Practice

Background: Oral rehydration therapy (ORT) is a core component of the childhood survival strategies to reduce child mortality and morbidity due to diarrhoeal disease with its fatal dehydrating complication of acute kidney injury. This strategy is indispensable to the attainment of the International Society of Nephrology’s (ISN) aim to eliminate preventable deaths from acute kidney injury (AKI) by year 2025. Diarrheal disease is the second most common cause of morbidity and mortality in children at our centre. This interventional study assessed the knowledge and the practice of ORT among caregivers, educated and trained them on the management of diarrhoeal diseases and practice of ORT. Oral rehydration salt (ORS) and zinc tablets were also distributed. Methods: An interviewer-administered questionnaire was used following informed consent. Consented care givers of wards attendees of FMC Asaba were assessed on their knowledge and their practice of ORT, educated on childhood diarrheal diseases, trained on practice of ORT and had ORS and zinc tablets distributed to them. These assessments were done on the spot and 6 weeks after the health talk, from July 2015 to December 2015. Results: There were 266 respondents and 231 were mothers. The immediate impact of the health talk on the knowledge and the practice of ORT was laudable, p≤0.0001 and educational attainment of the respondent influenced the immediate post health talk knowledge of ORT, p=0.009. The age of the respondent predicted the long term impact of health talk on practice of ORT, p=0.020. Conclusions: Knowledge and practice of ORT are not optimal but can be improved by regular education.  

A study on oral rehydration therapy of diarrheal disease in Western Sicily

1987 ◽  
Vol 3 (2) ◽  
Author(s):  
A. Nastasi ◽  
M.F. Massenti ◽  
G. Scarlata ◽  
C. Mammina ◽  
V. Alestra ◽  
...  
Keyword(s):  
Diarrheal Disease ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration ◽  
Western Sicily

scholarly journals Educational Needs of Mothers about using Oral Rehydration Salt (ORS) at Home During Acute Diarrhea in Children under 5 at Urmia Population Research Center

2020 ◽  
Vol 2 (3) ◽  
pp. 1-6
Author(s):  
Baratali Rezapour
Keyword(s):  
Acute Diarrhea ◽  
Hospital Admissions ◽  
Health Workers ◽  
Oral Rehydration Therapy ◽  
Educational Needs ◽  
Oral Rehydration Salt ◽  
Low Literacy ◽  
Oral Rehydration ◽  
Children Under 5 ◽  
At Home

Preventable factors such as infectious diseases (pneumonia, diarrhea, and malaria), malnutrition and neonatal complications are still the leading cause of child mortality worldwide 1 In 2013, it is estimated that 6.3 million babies born worldwide died before the age of 5, and approximately 9.2% of these deaths were due to diarrheal diseases 2, 3 in simple, accessible ways, and effective treatment can reduce diarrhea-related mortality and make hospital admissions unnecessary, and the role of mothers is the most important 4. Since the presentation of Oral Rehydration Therapy (ORT) in 1979, mortality has reduced. Diarrhea has had a steady downward trend 5. If mothers who have children under 5 years of age, used correctly ORS, they could easily resolve the problem of dehydration in acute diarrhea 6. Mothers didn’t use correctly ORS because of their Low literacy and lack of knowledge and wrong attitude about ORT7. Some health care workers provide mothers’ required equipments, regardless of their educational needs, and mothers may not use ORS. In this study, health workers identified mothers' educational needs and subsequently they trained them about using ORS at home in acute diarrhea in children under 5 years of age

Use of Oral Fluids in Treatment of Diarrhea

1985 ◽  
Vol 7 (1) ◽  
pp. 27-30
Author(s):  
William J. Klish
Keyword(s):  
Fluid Intake ◽  
Diarrheal Disease ◽  
Medical Profession ◽  
Folk Medicine ◽  
Oral Rehydration Therapy ◽  
Early 19Th Century ◽  
Oral Rehydration ◽  
Oral Fluids ◽  
Folk Remedy ◽  
History Of

The practicing physician cannot help but be somewhat surprised by the current interest and publicity given to oral rehydration therapy for diarrheal disease. Indeed, oral rehydration therapy has been used to some extent by all physicians who deal with diarrhea, and the history of its use as a folk remedy is probably as long as the history of diarrheal illness. Why, then, has interest in this rather mundane therapy reemerged? Only recently have we begun to understand how oral fluids are absorbed, and this has resulted in changes in the composition and indications for use of these fluids. Even though the need for fluid intake during an episode of diarrhea has appeared always to have been a part of folk medicine, the medical profession did not consider this practice until the early 19th century. In 1832, after William O'Shoughnessy, an Irish physician, described the chemical composition of the stools in cholera, Thomas Latta of Scotland attempted to treat cholera by the intravenous infusion of water and salts. Of the 15 cases he reported in The Lancet, five patients survived. Latta was criticized severely for this therapy, but it was pointed out (in discussion in The Lancet) that these five patients were saved from almost certain death.

Oral rehydration therapy: the simple solution for saving lives

BMJ ◽  
2007 ◽  
Vol 334 (suppl_1) ◽  
pp. s14-s14 ◽  
Author(s):  
O. Fontaine ◽  
P. Garner ◽  
M K Bhan
Keyword(s):  
Oral Rehydration Therapy ◽  
Simple Solution ◽  
Oral Rehydration

scholarly journals Mothers’ perception and management preference of acute diarrheal disease

2020 ◽  
Vol 9 (4) ◽  
pp. 338
Author(s):  
Terefe Keto ◽  
Yalfal Alemu ◽  
Aklilu Mamo
Keyword(s):  
Diarrheal Disease ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Oral Rehydration Salt ◽  
Childhood Diarrhea ◽  
Cross Sectional ◽  
Oral Rehydration ◽  
Under Five ◽  
Care Givers ◽  
Study Participants

Globally, diarrheal disease is one of the leading causes of morbidity and mortality among under-five years of children. Every day, approximately 2195 children die due to diarrheal diseases, which accounts for 1 in 9 child deaths worldwide. Many interventions that attempt to reduce childhood diarrhea are often fail because they are programed without understanding the problem in the target community and are culturally unsuitable. Therefore, this study aimed to assess perception and management preference of acute diarrheal disease among mothers who attend under five clinics. An institution based descriptive cross sectional study was conducted from May 1-May 30/2019. A total of 276 respondents were included in the study and consecutive sampling technique was used to identify the study participants. The results show that 47% of respondents perceive childhood diarrhea is caused by teething, 47.8% of the respondents perceive that diarrhea cannot be transmitted from one child to other. Majority of care givers prefer to give home remedies to their child, and also a substantial proportion of mothers and caregivers were not adequately knowledgeable on the use of oral rehydration salt which resulted in many of them using traditional medicine. There is need for increased health education focused on increasing caregivers‟ knowledge about the cause of diarrhea and enhancing adoption of appropriate prevention practices of diarrhea among children under five years.

The impact of systematic use of oral rehydration therapy on outcome in acute diarrheal disease in children

1994 ◽  
Vol 10 (6) ◽  
pp. 326-329 ◽  
Author(s):  
FATMA OGUZ ◽  
MÜJGAN SIDAL ◽  
NEDRET UZEL ◽  
SERPIL UGUR ◽  
ÖZLEM SÜOGLU ◽  
...  
Keyword(s):  
Diarrheal Disease ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration ◽  
The Impact

Food based oral rehydration therapy for improved management of diarrheal disease

1991 ◽  
Vol 58 (6) ◽  
pp. 745-755 ◽  
Author(s):  
A. Majid Molla ◽  
A. Bari ◽  
W. B. Greenough
Keyword(s):  
Diarrheal Disease ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration

scholarly journals A qualitative study on experiences of mothers about control of diarrhoea of their children

2019 ◽  
Vol 6 (2) ◽  
pp. 615
Author(s):  
Kanai Lal Barik ◽  
Uttam Kumar Paul
Keyword(s):  
Salt Solution ◽  
Qualitative Data ◽  
Diarrheal Disease ◽  
Oral Rehydration Salt ◽  
Age Group ◽  
Oral Rehydration ◽  
Face To Face ◽  
Qualitative Descriptive ◽  
Depth Interviews ◽  
Take All

Background: Diarrheal disease poses a significant problem to the health, wellbeing and survival of children of less than five-year age group and is the second leading cause of mortality.  Most of the deaths are due to dehydration and it can be preventable by proper and timely use of oral rehydration salt solution (ORS). There is lack of awareness among the mothers about the appropriate use of ORS during diarrhea of children. So, authors have tried to find out the experiences of the mothers about the management of diarrhea of their children.Methods: The study is one of qualitative descriptive type involving 27 mothers of children who are suffering from diarrhoea in face to face in depth interviews (IDI).Results: The mothers of children were within the age group of 21 to 34 years of age group. On the basis of qualitative data analysis, the present study shows the data related to childhood diarrhea can be classified under six themes. The themes are : 'Perception of the participant mothers about the diarrhea of their babies', 'Measures taken by the mothers to combat diarrhea at home', 'How Oral rehydration salt solution is applied by the mothers', 'How Oral rehydration salt solution is beneficial', 'How Oral rehydration salt solution is causing undesirable effects on the baby' and 'What additional measures taken to control diarrhea of the baby'.Conclusions: There are several misconceptions and lack of awareness of the mothers about management of diarrhoea. However, it is possible to create awareness among them so that they can take all suitable measures to control diarrhoea.

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