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| IAP Guidelines |
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Diarrhoea –Current Status*
Acute diarrhoeal diseases rank second amongst all infectious diseases as a killer in children below 5 years of age worldwide. Globally, 1.3 billion episodes occur annually, with an average of 2-3 episodes per child per year.
Pilot studies in several countries have shown that zinc supplementation during diarrhoea reduces the severity and duration of the disease as well as anti-diarrhoeal and antimicrobial use rate.
*J Indian Med Assoc. 2006 May;104(5):220-3
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2006 IAP Guidelines on Management of Acute Diarrhoea |
All cases of diarrhoea should receive zinc in addition to ORS.
A uniform dose of 20 mg of elemental zinc should be given to all children older than 6 months and should be started as soon as diarrhea starts and continued for a total period of 14 days. Children aged 2 months to 6 months should be advised 10 mg per day of elemental zinc for a total period of 14 days.
· Based on all the studies the group proposed that zinc salts e.g. sulphate, gluconate or acetate may be recommended.
· The industry should be encouraged to prepare dispersible tablets that are reasonably priced, can be stored and transported easily. They can be dissolved in breast milk or water before use.
· Iron containing formulations should not be used with zinc as iron interferes with zinc absorption.
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Recommendations by the Government of India, 2007 |
Based on the WHO/UNICEF and the IAP recommendations and the data available on the evaluation of
addition of zinc to current case management strategy in primary health setting and personal
communication of a larger study by Bhandari, et al the Ministry of Health, Government
of India has recommended that 20 mg of elemental zinc should be given to all children with diarrhoea,
older than 6 months, and should be started as soon as diarrhoea starts and continued for a total
period of 14 days. Children aged 2 months to 6 months should be advised 10 mg per day of elemental
zinc for a total period of 14 days.
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Last Updated On 12/7/2007
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