Complete resumption of normal feeding after 4 hrs of rehydration with glucose ORS led to higher weight gain without adverse effects
A multicenter study on behalf of the European society of
paediatric gastroenterology and nutrition working group on acute diarrhoea.
Early feeding in childhood gastroenteritis
Sandhu BK et al
Journal of Paediatric
Gastroentrology & Nutrition 1997; 24:522-7
Three-part Clinical Question
In children with gastro-enteritis is
gradual introduction of feeding better than immediate normal feeding with
regards to symptom control and time to resolution?
Search Terms
Medline 1966-09/01 using ovid interface( exp
gastro-enteritis) AND ( exp bottle feeding OR breast feeding OR exp feeding
methods OR "feeding".mp) LIMIT to human AND (newborn infant OR infant
OR preschool child OR child).
The Study
Non-blinded randomised controlled trial with intention-to-treat.
The Study Patients
230 weaned European children under the age of three
admitted to hospital with acute diarrhoea
Control group
(N = 96; 88 analysed): rehydration with ORS over 24 hrs
then normal diet, breast fed children were fed throughout
Experimental group
(N = 134; 134 analysed): rehydration with ORS over 4
hrs then immediate normal diet
The Evidence
|
Non-Event Outcomes |
Time to outcome/s |
Control group |
Experimental group |
P-value |
|
Weight gain |
After rehydration |
2 gram |
95 gram |
0.01 |
Comments
No severely dehydrated children
Appraised by
Nico Grunenberg, Ravenswood surgery , New Road , Forfar, DD8
2AE; 20 November 2002
Email: peni.grunenberg@virgin.net