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Chinese clinical practice guidelines for acute infectious diarrhea in children
Alternative TitleChinese clinical practice guidelines for acute infectious diarrhea in children
Chen Jie1; Wan ChaoMin2; Gong SiTang3; Fang Feng4; Sun Mei5; Qian Yuan6; Huang Ying7; Wang BaoXi8; Xu ChunDi9; Ye LiYan10; Dong Mei11; Jin Yu12; Huang ZhiHua4; Wu QinBing13; Zhu ChaoMin14; Fang YouHong1; Zhu QiRong7; Dong YongSui3
2018
Source PublicationWORLD JOURNAL OF PEDIATRICS
ISSN1708-8569
Volume14Issue:5Pages:429-436
AbstractBackground The guidelines addressed the evidence-based indications for the management of children with acute infectious diarrhea in Chinese pediatric population.
Other AbstractBackground The guidelines addressed the evidence-based indications for the management of children with acute infectious diarrhea in Chinese pediatric population. Data sources The experts group of evidence development put forward clinical problems, collects evidence, forms preliminary recommendations, and then uses open-ended discussions to form recommendations. The literature review was done for developing this guideline in databases including PubMed, Cochrane, EMBASE, China Biomedical Database, and Chinese Journal Full-text Database up to June 2013. Search the topic “acute diarrhea” or “enteritis” and “adolescent” or “child” or “Pediatric patient” or “Baby” or “Infant”. Results For the treatment of mild, moderate dehydration, hypotonic oral rehydration solutions (ORS) are strongly recommended. Intravenous (IV) rehydration is recommended for severe dehydration, with a mixture of alkali-containing dextrose sodium solution. Nasogastric feeding tube rehydration is used for children with severe dehydration without IV infusion conditions with ORS solution. Regular feeding should resume as soon as possible after oral rehydration or IV rehydration. The lactose-free diet can shorten the diarrhea duration. Zinc supplements are recommended in children with acute infectious diarrhea. Saccharomyces boulardii and Lactobacillus Rhamnus are recommended to be used in acute watery diarrhea. Saccharomyces boulardii is recommended in children with antibiotic-associated diarrhea as well. Montmorillonite and Racecadotril (acetorphan) can improve the symptoms of diarrhea or shorten the course of acute watery diarrhea. Antibiotics are recommended with dysenteric-like diarrhea, suspected cholera with severe dehydration, immunodeficiency, and premature delivery children with chronic underlying disease; otherwise, antibiotics are not recommended. Conclusion The principles of the most controversial treatments with of acute infectious disease are reaching to a consensus in China.
KeywordACUTE GASTROENTERITIS RACECADOTRIL METAANALYSIS SMECTITE TRIAL Children Diarrhea Dehydration Infection Rehydration Treatment Probiotics
Indexed ByCSCD
Language英语
CSCD IDCSCD:6347883
Citation statistics
Cited Times:6[CSCD]   [CSCD Record]
Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/156502
Collection中国科学院金属研究所
Affiliation1.浙江大学
2.四川大学
3.中国科学院广州地球化学研究所
4.Huazhong University Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Pediat, Wuhan 430030, Hubei, Peoples R China
5.中国科学院金属研究所
6.Capital Institute Pediat, Beijing Key Lab Etiol Viral Dis Children, Lab Virol, Beijing 100020, Peoples R China
7.复旦大学
8.中国科学院地球环境研究所
9.上海交通大学
10.Fuzhou East Hosp, Department Pediat, Fuzhou 350025, Fujian, Peoples R China
11.Peking Union Med Coll Hosp, Department Pediat, Beijing 100730, Peoples R China
12.中国科学院南京地理与湖泊研究所
13.苏州大学
14.Chongqing Med University, Childrens Hosp, Dept Infect Dis, Chongqing 400014, Peoples R China
Recommended Citation
GB/T 7714
Chen Jie,Wan ChaoMin,Gong SiTang,et al. Chinese clinical practice guidelines for acute infectious diarrhea in children[J]. WORLD JOURNAL OF PEDIATRICS,2018,14(5):429-436.
APA Chen Jie.,Wan ChaoMin.,Gong SiTang.,Fang Feng.,Sun Mei.,...&Dong YongSui.(2018).Chinese clinical practice guidelines for acute infectious diarrhea in children.WORLD JOURNAL OF PEDIATRICS,14(5),429-436.
MLA Chen Jie,et al."Chinese clinical practice guidelines for acute infectious diarrhea in children".WORLD JOURNAL OF PEDIATRICS 14.5(2018):429-436.
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