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===[[Pediatric acute gastroenteritis]] treatment=== | ===[[Pediatric acute gastroenteritis]] treatment=== | ||
#Oral rehydration therapy | #[[Oral rehydration therapy]] | ||
#*Avoid IV fluids before doing a trial of oral rehydration therapy in uncomplicated cases of mild to moderate dehydration in children.<ref>[[Choosing wisely ACEP]]</ref> | #*Avoid IV fluids before doing a trial of oral rehydration therapy in uncomplicated cases of mild to moderate dehydration in children.<ref>[[Choosing wisely ACEP]]</ref> | ||
#If fails, oral [[ondansetron]] as a single dose PO (>6 months of age)<ref>Cheng A. Emergency department use of oral ondansetron for acute gastroenteritis-related vomiting in infants and children. Paediatrics & Child Health. 2011;16(3):177-179.</ref><ref>A Cheng; Canadian Paediatric Society, Acute Care Committee. Paediatr Child Health 2011;16(3):177-9</ref> | #If fails, oral [[ondansetron]] as a single dose PO (>6 months of age)<ref>Cheng A. Emergency department use of oral ondansetron for acute gastroenteritis-related vomiting in infants and children. Paediatrics & Child Health. 2011;16(3):177-179.</ref><ref>A Cheng; Canadian Paediatric Society, Acute Care Committee. Paediatr Child Health 2011;16(3):177-9</ref> | ||
#If fails, IV fluids (e.g. [[normal saline]]) | #If fails, IV fluids (e.g. [[normal saline]]) | ||
''Probiotics have NOT been shown to provide any benefit<ref>Freedman, et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. N Engl J Med 2018; 379:2015-2026 DOI: 10.1056/NEJMoa1802597</ref> | |||
Revisión actual - 18:36 29 sep 2019
Pediatric acute gastroenteritis treatment
- Oral rehydration therapy
- Avoid IV fluids before doing a trial of oral rehydration therapy in uncomplicated cases of mild to moderate dehydration in children.[1]
- If fails, oral ondansetron as a single dose PO (>6 months of age)[2][3]
- If fails, IV fluids (e.g. normal saline)
Probiotics have NOT been shown to provide any benefit[4]
- ↑ Choosing wisely ACEP
- ↑ Cheng A. Emergency department use of oral ondansetron for acute gastroenteritis-related vomiting in infants and children. Paediatrics & Child Health. 2011;16(3):177-179.
- ↑ A Cheng; Canadian Paediatric Society, Acute Care Committee. Paediatr Child Health 2011;16(3):177-9
- ↑ Freedman, et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. N Engl J Med 2018; 379:2015-2026 DOI: 10.1056/NEJMoa1802597