Oral Rehydration Therapy: Implementation Issues in Community-Based Distribution Programs

2019 ◽  
pp. 145-158
Author(s):  
Maria J. Wawer
Keyword(s):  
Oral Rehydration Therapy ◽  
Community Based ◽  
Oral Rehydration

scholarly journals Dealing with childhood illnesses

2019 ◽  
pp. 271-293
Author(s):  
Ted Lankester
Keyword(s):  
Health Workers ◽  
Integrated Management ◽  
Malaria Diagnosis ◽  
Oral Rehydration Therapy ◽  
Control Programme ◽  
Diagnosis And Treatment ◽  
Community Based ◽  
Oral Rehydration ◽  
Home Based ◽  
Set Up

This chapter discusses diseases that commonly kill children. It covers, causes, priorities, and community-based and clinic programmes, including immunization and the Integrated Management of Childhood Illness (IMCI). It emphasizes ways in which diarrhoea, pneumonia, and malaria can be managed at community and family level. It highlights the dangers and types of diarrhoea, its causes, and treatment. It includes a detailed section on dehydration and oral rehydration therapy (ORT and ORS), appropriate rehydrating foods, and how these can be embedded into use by families. It describes acute respiratory infection (ARI), its causes, prevention, diagnosis, and treatment. Importantly, it describes how community health workers (CHWs) and community members can assess ARI severity and how it can be best treated, including the careful use of community-based and home-based antibiotics in remoter areas. Finally, the chapter addresses malaria diagnosis and treatment, particularly how a community can set up a step-by-step control programme.

DIARRHŒAL MORTALITY IN TWO BANGLADESHI VILLAGES WITH AND WITHOUT COMMUNITY-BASED ORAL REHYDRATION THERAPY

The Lancet ◽  
1979 ◽  
Vol 314 (8147) ◽  
pp. 809-812 ◽  
Author(s):  
M. Mujibur Rahaman ◽  
Yakub Patwari ◽  
K.M.S. Aziz ◽  
M.H. Munshi
Keyword(s):  
Oral Rehydration Therapy ◽  
Community Based ◽  
Oral Rehydration

Evaluation of mothers' knowledge about oral rehydration therapy and sodium concentration in homemade sugar salt solutions

2001 ◽  
Vol 77 (6) ◽  
pp. 481-6
Author(s):  
Lauro Virgílio de Sena ◽  
Helcio de S. Maranhão ◽  
Mauro B. Morais
Keyword(s):  
Oral Rehydration Therapy ◽  
Sodium Concentration ◽  
Salt Solutions ◽  
Oral Rehydration

scholarly journals Issues and Controversies in the Evolution of Oral Rehydration Therapy (ORT)

2021 ◽  
Vol 6 (1) ◽  
pp. 34
Author(s):  
David Nalin
Keyword(s):  
Pediatric Patients ◽  
Oral Rehydration Therapy ◽  
Sodium Balance ◽  
Plain Water ◽  
Oral Glucose ◽  
Oral Rehydration ◽  
Low Sodium ◽  
Current Review ◽  
The Subject ◽  
Rehydration Solution

The original studies demonstrating the efficacy of oral glucose-electrolytes solutions in reducing or eliminating the need for intravenous therapy to correct dehydration caused by acute watery diarrheas (AWD) were focused chiefly on cholera patients. Later research adapted the oral therapy (ORT) methodology for treatment of non-cholera AWDs including for pediatric patients. These adaptations included the 2:1 regimen using 2 parts of the original WHO oral rehydration solution (ORS) formulation followed by 1 part additional plain water, and a “low sodium” packet formulation with similar average electrolyte and glucose concentrations when dissolved in the recommended volume of water. The programmatic desire for a single ORS packet formulation has led to controversy over use of the “low sodium” formulations to treat cholera patients. This is the subject of the current review, with the conclusion that use of the low-sodium ORS to treat cholera patients leads to negative sodium balance, leading to hyponatremia and, in severe cases, particularly in pediatric cholera, to seizures and other complications of sodium depletion. Therefore it is recommended that two separate ORS packet formulations be used, one for cholera therapy and the other for non-cholera pediatric AWD.

Oral rehydration therapy in diarrhea

1983 ◽  
Vol 74 (5) ◽  
pp. 335-341 ◽  
Author(s):  
Jay Swedberg ◽  
Joseph F. Steiner
Keyword(s):  
Oral Rehydration Therapy ◽  
Oral Rehydration

scholarly journals Efficacy of Probiotic Saccharomyces boulardii as an Adjuvant Therapy in Acute Childhood Diarrhoea

2017 ◽  
Vol 36 (3) ◽  
pp. 250-255 ◽  
Author(s):  
Dillip Kumar Dash ◽  
Mrutunjaya Dash ◽  
M.D. Mohanty ◽  
Naresh Acharya
Keyword(s):  
Hospital Stay ◽  
Tertiary Care ◽  
Acute Diarrhoea ◽  
Oral Rehydration Therapy ◽  
Saccharomyces Boulardii ◽  
Care Hospital ◽  
Oral Rehydration ◽  
Group 2 ◽  
A Prospective Study ◽  
Group 1

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

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