scholarly journals Use of Zinc and Oral Rehydration Solution in Home Management of Diarrhea: Knowledge of Mothers of attending a Tertiary Care Hospital

2019 ◽  
Vol 8 (3) ◽  
pp. 135-140
Author(s):  
Noshina Riaz ◽  
Sidra Tul Muntaha ◽  
Maria Qibtia ◽  
Shugufta Sohail
Keyword(s):  
General Hospital ◽  
Oral Rehydration Solution ◽  
P Value ◽  
Care Hospital ◽  
Home Management ◽  
Oral Rehydration ◽  
Under Five ◽  
Knowledge Variable ◽  
Level Of Knowledge ◽  
Rehydration Solution

Background: Diarrhea is the second leading cause of mortality in children below 5 years of age in Pakistan. Use of Zinc and ORS has been proven in clinical trials to be beneficial in reducing morbidity and mortality. Poor knowledge regarding home management of diarrhea leads to mortality due to severe dehydration. The objective of this study was to assess the level of knowledge of mothers of under five-year-old children regarding, diarrheal home management in Cantonment General Hospital, Rawalpindi. Material and Methods: This was an observational cross-sectional study carried out at Department of Pediatrics, Cantonment General Hospital, Rawalpindi, from 1st August, 2017 to 31st January, 2018. About 400 mothers of under five-year-old children, coming to the outpatient department of the hospital were enrolled in this study. A self-designed structured and validated questionnaire was used to assess the level of knowledge of mothers regarding home management of diarrhea using Oral Rehydration Solution (ORS) and Zinc. Data was analyzed using SPSS version 23 with a p value < 0.05 considered statistically significant. Results: About 91% (n=364) of mothers had awareness regarding use of ORS as a means of diarrheal home management. Regarding level of knowledge variable results were found. A good percentage of mothers had knowledge of the purpose of ORS use (78.3%), administration (60%) and initiation of ORS (68%), but only 20.8% mothers rightly answered the timing of ORS administration. Mothers knowledge about the use of zinc, daily administration and duration of administration (10-14 days) was 38.8% ,20.5% and 17.3% respectively.  Mothers who were more educated especially secondary and above and of the age group 22-31, had better awareness of ORS than others, as P value is less than 0.05. Among mothers who were aware of the use of ORS, only 41.8% of them were also aware of the use of zinc. Conclusion: A high awareness level regarding ORS use in mothers was reflected fairly in terms of purpose, administration and initiation of ORS but the knowledge of mothers regarding use of zinc and timing of ORS administration, in home management of diarrhea is still lacking.

scholarly journals KNOWLEDGE AND MALPRACTICES IN PEDIATRICS DIARRHEA MANAGEMENT BY IRAQI MOTHERS

2018 ◽  
Vol 11 (8) ◽  
pp. 503
Author(s):  
Samer Imad Mohammed ◽  
Aya Thaer Sabry ◽  
Dania Thaer Sabry ◽  
Borooj Hassan Mohammed
Keyword(s):  
Developing Countries ◽  
Pilot Study ◽  
Data Collection ◽  
Oral Rehydration Solution ◽  
Cross Sectional ◽  
Oral Rehydration ◽  
Herbal Preparations ◽  
Validated Questionnaire ◽  
Level Of Knowledge ◽  
Rehydration Solution

Objectives: In developing countries like Iraq, diarrhea was responsible for 70% of deaths among pediatrics. This study was designed to determine Iraqi mothers’ knowledge and malpractices associated with diarrhea management in pediatrics.Methods: A cross-sectional pilot study was done on a convenient sample of mothers in Baghdad – Iraq. Data collection was done using a validated questionnaire specifically designed for this study.Result: Most participants preferred to consult physicians or pharmacists about pediatrics diarrhea management. Breastfeeding was stopped by 19% of participants, whereas 35% of mothers who depend on formulated milk discontinued it. Only 30% of participants use oral rehydration solution therapy always as a part of treatment. Although 54% of participated mothers certainly not used antibiotics for the diarrhea management before doctor consultation, however 52.5% of these mothers used antimotility suspensions without any consultation. 17% of participants used some herbal preparations in addition to 11% used some forms of traditional harmful preparations (Al-Sagwa) to manage diarrhea.Conclusions: This study indicates a good level of knowledge about diarrhea management for most participants, although there are some wrong concepts which followed by a small percentage of mothers, especially the most dangerous malpractices of using Al-Sagwa.

scholarly journals COMPARISON OF LOW OSMOLAR ORAL REHYDRATION SOLUTION VERSUS STANDARD ORAL REHYDRATION SOLUTION IN CHILDREN WITH ACUTE DIARRHOEA IN RELATION TO UNSCHEDULED INTRAVENOUS FLUID REQUIREMENT

2021 ◽  
Vol 71 (3) ◽  
pp. 1099-1102
Author(s):  
Sidra Tahir ◽  
Rabia Iqbal ◽  
Rabia Najam ◽  
Muneeba Kamran ◽  
Najwa Anwar
Keyword(s):  
Acute Diarrhea ◽  
Oral Rehydration Solution ◽  
Acute Diarrhoea ◽  
P Value ◽  
Chi Square ◽  
Oral Rehydration ◽  
Fluid Requirement ◽  
Group A ◽  
Rehydration Solution ◽  
Group B

Objective: To determine requirement of unscheduled I/V fluid in children treated with low osmolar oral rehydration solution as compare to standard oral rehydration solution. Study Design: Case control study. Place and Duration of Study: Department of Paediatrics, Lahore General Hospital, Lahore, from Sep 2018 to Feb 2019. Methodology: Sample size of 400 patients was calculated using WHO calculator. Patients were recruited through non probability consecutive sampling. Patients were randomly divided into two groups. For each patient detailed history was taken including demographic information. Group A patients (controls) receive standard oral rehydration solution and Group B patients will receive low osmolar oral rehydration solution (Cases). Each group was followed for 6 hours after the treatment. Data analysis was done using SPSS version 24. Chi-square test applied and p-value ≤0.05 found significant. Results: A total of 400 cases were enrolled in the study. There were 220 (55%) male and 180 (45%) female in our study. Mean weight of patients was 9.46 Kg ± 5.9 SD. In group A, 8 patients showed unscheduled fluid requirement while 192 did not showed unscheduled fluid requirement. In group B, 32 patients showed unscheduled fluid requirement while 168 did not showed unscheduled fluid requirement (p=0.000). Conclusions: Incidence of or need of, unscheduled I/V fluid in children treated with low osmolar oral rehydration solution is less as compare to standard oral rehydration solution for management of acute diarrhea with some dehydration. And hence low osmolar oral rehydration solution shows better acceptance in management of acute diarrhea.

scholarly journals Comparison between 200 ml and 1 liter packages of oral rehydration solution prepared by mothers of patients with diarrhea in the oral rehydration room

2019 ◽  
Vol 28 (11-12) ◽  
pp. 231-7
Author(s):  
Muhammad Suryanto ◽  
Renny Hariati ◽  
Yati Soenarto ◽  
Moenginah P. A.
Keyword(s):  
Oral Rehydration Solution ◽  
Sodium Concentration ◽  
Children Under Five ◽  
Oral Rehydration ◽  
Under Five ◽  
Group I ◽  
Significant Difference ◽  
Rehydration Solution ◽  
Group Ii ◽  
Hospital Group

To have a comparison between the preparation of oral rehydration solution (ORS) of 200 ml and 1 liter packages, a study had been done in 30 mothers of children under five years of age suffering from diarrhea who treated their children in oral rehydration room (group I) and 30 mothers of non diarrheal children under five years sampled in the out-patient Department of Child Health, Dr. Sardjito General Hospital (group II). No significant difference was found (p <0.05) concerning the sodium concentration in th ORS of 200 ml and in the 1 liter package (group I: 85.95 ± 16.07, and 81.52 ± 16.21, group II 98.11 ± 24.67 and 97.02 ± 21.87) (mEq/L, Mean ± SD). Of 30 mothers group 11, 5 mothers (19.23%) made mistakes in preparing the I liter packages of ORS and the sodium concentration in this package was higher compared to the concentration in the 200 ml package. There was no significant difference concerning diluted volume and the sodium concentration between group I and the recommended method, but there was a significant difference (p < 0.005) between group II and recommended method. A significant difference was also found (p ( 0.001) between group I and group 11 about the mothers knowledge of the effect of diarrhea, the use of ORS, the amount of ORS that must be given lo !he patients and !he indications to refer the patients to !he health center or hospital.

Are oral rehydration solutions optimized for treating diarrhea?

2021 ◽  
pp. 026010602199164
Author(s):  
Samuel N Cheuvront ◽  
Robert W Kenefick ◽  
Laura Luque ◽  
Katherine M Mitchell ◽  
Sadasivan Vidyasagar
Keyword(s):  
Water Absorption ◽  
Intestinal Absorption ◽  
Turning Point ◽  
Oral Rehydration Solution ◽  
Salt Water ◽  
Food Science ◽  
Oral Rehydration ◽  
Rehydration Solutions ◽  
Rehydration Solution ◽  
Stool Volume

Background: A historical turning point occurred in the treatment of diarrhea when it was discovered that glucose could enhance intestinal sodium and water absorption. Adding glucose to salt water (oral rehydration solution, ORS) more efficiently replaced intestinal water and salt losses. Aim: Provide a novel hypothesis to explain why mainstream use of ORS has been strongly recommended, but weakly adopted. Methods: Traditional (absorptive) and novel (secretory) physiological functions of glucose in an ORS were reviewed. Results: Small amounts of glucose can stimulate both intestinal absorption and secretion. Glucose can exacerbate a net secretory state and may aggravate pathogen-induced diarrhea, particularly for pathogens that affect glucose transport. Conclusion: A hypothesis is made to explain why glucose-based ORS does not appreciably reduce diarrheal stool volume and why modern food science initiatives should focus on ORS formulations that replace water and electrolytes while also reducing stool volume and duration of diarrhea.

Oral Rehydration Solution Therapy in the Management of Children with Rotavirus Diarrhea

2009 ◽  
Vol 58 (3) ◽  
pp. 80-87 ◽  
Author(s):  
Germain Nappert ◽  
Jose Miguel Barrios ◽  
Gordon A. Zello ◽  
Jonathan M. Naylor
Keyword(s):  
Oral Rehydration Solution ◽  
Oral Rehydration ◽  
Rehydration Solution ◽  
Rotavirus Diarrhea
Sign in / Sign up

Export Citation Format

Share Document