RT Journal Article SR Electronic T1 Management of acute diarrhoea with low osmolarity oral rehydration solutions and Lactobacillusstrain GG JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 157 OP 160 DO 10.1136/adc.79.2.157 VO 79 IS 2 A1 Rautanen, T A1 Isolauri, E A1 Salo, E A1 Vesikari, T YR 1998 UL http://adc.bmj.com/content/79/2/157.abstract AB Two hypotonic oral rehydration solutions with osmolarities of 224 mosmol/l (Na+ 60 mmol/l, glucose 84 mmol/l) and 204 mosmol/l (Na+ 60 mmol/l, glucose 64 mmol/l), respectively, and oral treatment withLactobacillus GG were evaluated in a double blind trial in children aged 6–36 months hospitalised for acute diarrhoea. Early administration ofLactobacillus GG at the start of oral rehydration resulted in the shortest duration of diarrhoea, best weight gain, and fastest correction of acidosis. A reduced osmolarity oral rehydration solution (224 mosmol/l) combined with early administration of Lactobacillus GG is an effective treatment for acute diarrhoea in young children; further reduction of osmolarity may not be beneficial.