IAP GUIDELINES ON MANAGEMENT OF DIARRHEA
Indian Academy of Pediatrics National Task Force for framing Guidelines on Management of Diarrhea has made several recommendations from 2003-2006.
The focus has been on oral rehydration solutions, zinc and probiotics in acute diarrhea, drug treatment of dysentery and management of diarrhea in young infant and severely malnourished subjects.
The recommendations are largely based on pooled data or meta-analysis of randomized placebo controlled trials.
Oral Rehydration Solution (ORS)
WHO Task Force in July 2001 recommended that reduced ORS with 75 mEq/L of sodium and 75 mmol/L of glucose is effective in adults and children with cholera and that reduced osmolarity ORS solution with 60 mEq/L of sodium does not seem to be significantly better than reduced osmolarity ORS solution containing 75 mEq/L of sodium.
IAP Recommendations on ORS use in diarrhea
IAP recommendations are based on following pooled data:
Government of India Recommendation on ORS (2004)
A single universal ORS solution containing sodium 75 mmol/L and glucose 75 mmol/L, Osmolarity 245 mosm/L was acceptable for all ages and all types of diarrhea.
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