THE USE OF ORAL HYDRATION IN THE TREATMENT OF CHILDREN WITH ACUTE DIARRHEA IN PRIMARY CARE

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dc.contributor.authorDELUCCHI, MA
dc.contributor.authorGUIRALDES, E
dc.contributor.authorHIRSCH, T
dc.contributor.authorNUNEZ, N
dc.contributor.authorSCHELE, C
dc.contributor.authorGUTIERREZ, H
dc.contributor.authorTORRESPEREYRA, J
dc.date.accessioned2025-01-23T19:23:40Z
dc.date.available2025-01-23T19:23:40Z
dc.date.issued1989
dc.description.abstractThe use of oral rehydration solutions (ORSs) for treating children with diarrhea is spreading in hospitals in Chile, but it has not yet been incorporated into routine primary care programs. We sequentially compared the effectiveness of an ORS, with 60 mmol/L of Na+, with the standard treatment for diarrhea used in primary care centers, in a study with 285 diarrheal children under 2 years of age who consulted a health center in a low-income periurban neighborhood of Santiago. When compared with the control group, the patients treated with ORS showed a significantly higher percentage weight gain in the first few days after treatment was begun, required fewer medical visits for follow-up treatment at other facilities (8.4 vs. 15.5%; p < 0.05), and experienced fewer episodes of subsequent clinical dehydration that needed rehydration (oral or intravenous) in emergency services (2.8 vs. 10.6%; p < 0.01). In addition there were no metabolic complications in either group. Our results reinforce the feasibility, efficaciousness, and safety of programs that use ORS at the primary care level and indicate that this is an effective method of preventing metabolic complications and reducing hospitalizations of children with acute diarrhea.
dc.fuente.origenWOS
dc.identifier.eissn1536-4801
dc.identifier.issn0277-2116
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/99247
dc.identifier.wosidWOS:A1989AW85800011
dc.issue.numero3
dc.language.isoen
dc.pagina.final334
dc.pagina.inicio328
dc.revistaJournal of pediatric gastroenterology and nutrition
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleTHE USE OF ORAL HYDRATION IN THE TREATMENT OF CHILDREN WITH ACUTE DIARRHEA IN PRIMARY CARE
dc.typeartículo
dc.volumen9
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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