Universität zu Köln

Guarino, Alfredo ORCID: 0000-0003-0199-0336, Aguilar, Juliet, Berkley, James, Broekaert, Ilse, Vazquez-Frias, Rodrigo, Holtz, Lori, Lo Vecchio, Andrea ORCID: 0000-0003-4181-6842, Meskini, Toufik, Moore, Sean, Medina, Juan F. Rivera, Sandhu, Bhupinder, Smarrazzo, Andrea ORCID: 0000-0001-8947-4429, Szajewska, Hania and Treepongkaruna, Suporn (2020). Acute Gastroenteritis in Children of the World: What Needs to Be Done? J. Pediatr. Gastroenterol. Nutr., 70 (5). S. 694 - 702. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1536-4801

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Abstract

The incidence of gastroenteritis has greatly reduced due to improved hygiene conditions in developing countries and the use ofrotavirusvaccine. Still thousands of children, however, die from gastroenteritis, most of them in poor countries. Yet gastroenteritis management is simple, inexpensive, and effective and is largely the same all over the world. Universal guidelines for gastroenteritis guide the management and include simple interventions put forward early in the course of the disease. Treatment includes rehydration, continuing oral feeding, and anti-infective drugs in selected clinical conditions related to the symptoms or to host-related risk, and possible additional drug treatment to reduce the duration and severity of symptoms. There may be minor geographical differences in the treatment applied due to health care organizations that do not substantially change the standard universal recommendations. Prevention is recommended with sanitation interventions androtavirusuniversal immunization. Implementation of those interventions through educational initiatives and local programs in target areas are needed. A series of recommendations for interventions, education, and research priorities are included here with the aim of reducing the burden of gastroenteritis, to be pursued by scientists, physicians, policy makers, and stakeholders involved. They include the need of recommendations for the management of gastroenteritis in malnourished children, in those with chronic conditions, in neonates, and in emergency settings. A reference system to score dehydration, the definition of optimal composition of rehydration solution and the indications for anti-infective therapy are also included.Rotavirusimmunization should be actively promoted, and evidence-based guidelines should be universally implemented. Research priorities are also indicated.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Guarino, Alfredo UNSPECIFIED orcid.org/0000-0003-0199-0336 UNSPECIFIED Aguilar, Juliet UNSPECIFIED UNSPECIFIED UNSPECIFIED Berkley, James UNSPECIFIED UNSPECIFIED UNSPECIFIED Broekaert, Ilse UNSPECIFIED UNSPECIFIED UNSPECIFIED Vazquez-Frias, Rodrigo UNSPECIFIED UNSPECIFIED UNSPECIFIED Holtz, Lori UNSPECIFIED UNSPECIFIED UNSPECIFIED Lo Vecchio, Andrea UNSPECIFIED orcid.org/0000-0003-4181-6842 UNSPECIFIED Meskini, Toufik UNSPECIFIED UNSPECIFIED UNSPECIFIED Moore, Sean UNSPECIFIED UNSPECIFIED UNSPECIFIED Medina, Juan F. Rivera UNSPECIFIED UNSPECIFIED UNSPECIFIED Sandhu, Bhupinder UNSPECIFIED UNSPECIFIED UNSPECIFIED Smarrazzo, Andrea UNSPECIFIED orcid.org/0000-0001-8947-4429 UNSPECIFIED Szajewska, Hania UNSPECIFIED UNSPECIFIED UNSPECIFIED Treepongkaruna, Suporn UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-334653
DOI:	10.1097/MPG.0000000000002669
Journal or Publication Title:	J. Pediatr. Gastroenterol. Nutr.
Volume:	70
Number:	5
Page Range:	S. 694 - 702
Date:	2020
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1536-4801
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language UNDER-5 MORTALITY; EUROPEAN-SOCIETY; MANAGEMENT; DIARRHEA; RECOMMENDATIONS; GUIDELINES; INFECTIONS; COUNTRIES; ETIOLOGY; DISEASE Multiple languages Gastroenterology & Hepatology; Nutrition & Dietetics; Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33465