Clinical Practice Guideline for the Treatment of Pediatric Acute Gastroenteritis in the Outpatient Setting

Carson, Rebecca; Mudd, Shawna S.; Madati, P. Jamil

doi:10.1016/j.pedhc.2016.04.012

Cited by 12 publications

(4 citation statements)

References 17 publications

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“…26 In response to this situation, the Children's International Medical Center in Washington, DC, USA has designated the Outpatient Paediatric Acute Gastroenteritis Treatment Guidelines, which set forth the basic principles of disease assessment and management. 27 We hypothesised that the epidemic was partly controlled by the improvement in the AGE of children with primary family treatment. After reaching a low point in 2013, the prevalence of AGE fluctuated slightly again.…”

Section: Discussionmentioning

confidence: 99%

“…Although ORT is recommended as the primary treatment for children with mild or moderate dehydration, many children still receive unnecessary tests and intravenous fluids 26. In response to this situation, the Children’s International Medical Center in Washington, DC, USA has designated the Outpatient Paediatric Acute Gastroenteritis Treatment Guidelines, which set forth the basic principles of disease assessment and management 27. We hypothesised that the epidemic was partly controlled by the improvement in the AGE of children with primary family treatment.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and associated factors of acute gastroenteritis in children and adolescents aged from 6 to 17 years old: a cross-sectional study based on the National Health and Nutrition Examination Survey database 1999–2018

Cai

Shao

2023

BMJ Open

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ObjectiveTo explore the prevalence of acute gastroenteritis (AGE) and associated factors in children and adolescents in the USA from 1999 to 2018 using nationally representative data.DesignA retrospective cross-sectional study.SettingThe National Health and Nutrition Examination Survey (NHANES) database.Participants25 361 children and adolescents aged 6–17 years old.Primary and secondary outcome measuresWhether the patient suffered from AGE.ResultsTotally 1882 suffered from AGE. The overall monthly prevalence of AGE in children and adolescents was 7.69%. From 1999 to 2018, the prevalence of AGE in the USA had been decreasing over time. The decreasing trend was observed in all subgroups, including age, gender, body mass index (BMI), education level, poverty index and eating food at the restaurant. There were two small upticks from 2003 to 2007 and 2013 to 2015. AGE was negatively associated with male compared with female (OR=0.86, 95% CI: 0.73 to 0.99, p=0.035), Mexican American (OR=0.82, 95% CI: 0.70 to 0.97, p=0.018) and non-Hispanic Black (OR=0.80, 95% CI: 0.69 to 0.93, p=0.003) compared with non-Hispanic White. AGE was positively associated with obesity compared with underweight and normal weight (OR=1.37, 95% CI: 1.15 to 1.62, p<0.001).ConclusionThe monthly prevalence of AGE was 7.69% and showed a downward trend from 1999 to 2018 in the USA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of acute gastroenteritis in children and adolescents aged from 6 to 17 years old: a cross-sectional study based on the National Health and Nutrition Examination Survey database 1999–2018

Cai

Shao

2023

BMJ Open

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“…The literature revealed some strong responses to multiple complementary treatments. Complimentary treatments that are most commonly used for diarrhea are simple oral rehydration therapy (King et al, 2003;Carson et al, 2016) (using restorative fluids containing high levels of electrolytes) and, in poorer countries, a zinc mineral supplement (Shane et al, 2017). Both have been found to mitigate diarrhea symptoms significantly.…”

Section: Discussionmentioning

confidence: 99%

Current use of complementary and conventional medicine for treatment of pediatric patients with gastrointestinal disorders

Sayre

Yellepeddi²,

Job³

et al. 2023

Front. Pharmacol.

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Infants, children, and adolescents are at risk of experiencing a multitude of gastrointestinal disorders (GID). These disorders can adversely affect the quality of life or be life-threatening. Various interventions that span the conventional and complementary therapeutic categories have been developed. Nowadays, parents increasingly seek complementary options for their children to use concurrently with conventional therapies. Due to the high prevalence and morbidity of diarrhea, constipation, and irritable bowel syndrome (IBS) in children, in this review, we decided to focus on the current state of the evidence for conventional and complementary therapies used for the treatment of these diseases in children. Diarrhea treatment focuses on the identification of the cause and fluid management. Oral rehydration with supplementation of deficient micronutrients, especially zinc, is well established and recommended. Some probiotic strains have shown promise in reducing the duration of diarrhea. For the management of constipation, available clinical trials are insufficient for conclusive recommendations of dietary modifications, including increased use of fruit juice, fiber, and fluid. However, the role of laxatives as conventional treatment is becoming more established. Polyethylene glycol is the most studied, with lactulose, milk of magnesia, mineral oil, bisacodyl, and senna presenting as viable alternatives. Conventional treatments of the abdominal pain associated with IBS are poorly studied in children. Available studies investigating the effectiveness of antidepressants on abdominal pain in children with IBS were inconclusive. At the same time, probiotics and peppermint oil have a fair record of benefits and safety. The overall body of evidence indicates that a careful balance of conventional and complementary treatment strategies may be required to manage gastrointestinal conditions in children.

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“…Although the BRAT diet comprising bananas, rice, applesauce, and toast is no longer promoted because of its low energy density and lack of protein or fat content, these food items can be added to the diet that is gradually reintroduced in these children (to add bulk to the diarrheal stool) [24]. Inappropriate dietary changes in children hospitalized with AGE were associated with age, the number of diarrhea episodes, and episodes of vomiting [4].…”

Section: Discussionmentioning

confidence: 99%

Management of Acute Gastroenteritis in Children: A Survey among Members of the Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Seo

Shim

Choe

et al. 2019

Pediatr Gastroenterol Hepatol Nutr

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PurposeNo national survey has yet described the guidelines followed by Korean pediatricians to treat acute gastroenteritis (AGE). An online survey was performed to investigate the management of AGE followed by members of The Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition, and the results were compared between pediatric gastroenterologists (PG) and general pediatricians (GP).MethodsQuestionnaires were sent to pediatricians between June 2 and 4, 2018 regarding the type of hospital, indications for admission, antiemetic and antidiarrheal drugs and antibiotics prescribed, and dietary changes advised.ResultsAmong the 400 pediatricians approached, 141 pediatricians (35.3%) responded to the survey. PG comprised 39% of the respondents and 72.7% worked at a tertiary hospital. Both PG and GP considered diarrhea or vomiting to be the primary symptom. The most common indication for hospitalization was severe dehydration (98.8%). Most pediatricians managed dehydration with intravenous fluid infusions (PG 98.2%, GP 92.9%). Antiemetics were prescribed by 87.3% of PG and 96.6% of GP. Probiotics to manage diarrhea were prescribed by 89.1% of PG and 100.0% of GP. Antibiotics were used in children with blood in diarrheal stool or high fever. Dietary changes were more commonly recommended by GP (59.3%) than by PG (27.3%) (p<0.05). Tests to identify etiological agents were performed primarily in hospitalized children.ConclusionThis survey assessing the management of pediatric AGE showed that the indications for admission and rehydration were similar between GP and PG. Drug prescriptions for diarrhea and dietary changes were slightly commonly recommended by GP than by PG.

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Clinical Practice Guideline for the Treatment of Pediatric Acute Gastroenteritis in the Outpatient Setting

Cited by 12 publications

References 17 publications

Prevalence and associated factors of acute gastroenteritis in children and adolescents aged from 6 to 17 years old: a cross-sectional study based on the National Health and Nutrition Examination Survey database 1999–2018

Prevalence and associated factors of acute gastroenteritis in children and adolescents aged from 6 to 17 years old: a cross-sectional study based on the National Health and Nutrition Examination Survey database 1999–2018

Current use of complementary and conventional medicine for treatment of pediatric patients with gastrointestinal disorders

Management of Acute Gastroenteritis in Children: A Survey among Members of the Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition

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