Acute Childhood Diarrhea - Management,Treatment Protocol

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Gastrointestinal Disorders in Children

Acute Childhood Diarrhea

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ACUTE CHILDHOOD DIARRHEA: A REVIEW OF RECENT ADVANCES IN THE STANDARD MANAGEMENT

Related topics

Diarrhea Introduction

Causes Of Childhood Diarrhea

Oral Rehydration Solution

Feeding During Diarrhea

Zinc Supplementation in Diarrhea

Antimicrobials and Antisecretory drugs

Cholera

SEEMA ALAM RAJEEV KHANNA UZMA FIRDAUS
Pediatric Gastroenterology Section, Department of Pediatrics, JNMC, AMU, Aligarh

Corresponding Author :

Dr Seema Alam, Reader, Department of Pediatrics, JN Medical College, AMU, Aligarh, UP. Email seema_alam@hotmail.com

Standard Management of Acute Childhood Diarrhea

WHO-ORS, feeding and zinc supplementation remain the standard management of all acute childhood diarrhea. The treatment protocols (Fig 1 & 2) have been developed at our centre as per the hydration and nutrition status of the child. Depending upon the hydration status the children are put under Plans A, B or C. If the child has severe malnutrition (Weight for age <60% and Weight for height <70 %) then intravenous systemic antibiotics are started at admission and the fluid replacement is done slowly under close monitoring to avoid fluid overload Protocol based standardized management of severely malnourished patients with diarrhea decreases the mortality by 47% 5 . For those with moderate malnutrition and children below 4 months 6 close watch should be kept for sepsis. It has been seen that in neonatal diarrhea metabolic acidosis may be the commonest cause for lethargy or refusal to feeds 7.

FIG 1: Treatment Protocol for management of acute childhood diarrhea.

* Antibiotics as per recommendations for those with bloody diarrhea and cholera

FIG 2: Treatment Protocol for management of acute childhood diarrhea in severely malnourished children

*Antibiotics as per recommendations for those with bloody diarrhea and cholera.

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