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EVALUATION OF (WHO) ORAL REHYDRATION THERAPY IN CHILDREN WITH ACUTE INFECTIOUS DIARRHEA ADMITTED TO ALI-ASGHAR HOSPITAL IN TEHRAN, IRAN
  1. Kh Mahlouji1
  1. 1Ali-Asghar Hospital, Medical Science University of Iran, Tehran, Iran

Abstract

Background Diarrheal disorders in childhood account for a large proportion (18%) of childhood deaths, with an estimated 1.8 million deaths per year globally. The WHO suspects that there are >700 million episodes of diarrhea annually in children <5 yr of age in developing countries. While global mortality may be declining, the overall incidence of diarrhea remains unchanged at about 3.2 episodes per child per year.

Methods This study was done retrospectively by studying of case records of patients admitted with a diagnosis of acute infectious diarrhea during 1 year.

Results 191 cases were hospitalized with acute diarrhea. Of these 53.92% were male and 46.08% were female. The median age of patients was 17.13 mo. The most common age was between 6–11 mo. Most of them had symptoms of dehydration 45.2%. Risk factors were: high fever in 52 cases, convulsion in 11 cases, FTT in 24 cases, and electrolyte disturbances in 14 cases. The mortality rate was 1.4% in the age group 0–5 mo with severe dehydration and FTT.

Conclusion In our study the mortality rate was 1.4% in the age group <6 mo with FTT. The remaining 189 (98.95%) patients were cured without any complication. Children, especially infants with risk factors such as high fever, age<6 months, and FTT are more susceptible than adults to dehydration and the mortality rate is higher in this group so dehydration must be evaluated rapidly and corrected in 4–6 hr according to the degree of dehydration and estimated daily requirement.

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