Jan 01, 2005 · Overview . This fourth revision of the manual reflects recent clinical experience and research findings in diarrhoea case management. Compared to earlier versions, it includes revised guidelines on the management of children with acute diarrhoea using the new reduced (low) osmolarity ORS formulation and using zinc supplements, which have been shown to …
World Health Organization. (2005). The treatment of diarrhoea : a manual for physicians and other senior health workers, 4th rev. World Health Organization.
World Health Organization. The Treatment of diarrhoea : a manual for physicians and other senior health workers. -- 4th rev. 1.Diarrhea - therapy 2.Dehydration - prevention and control 3.Rehydration solutions 4.Child 5.Child I.Title. ISBN 92 4 159318 0 (NLM classification: WS 312)
In the prevention of adult and childhood diarrhea, there is only suggestive evidence that Lactobacillus GG, L. casei DN-114 001, and S. boulardii are effective in some specific settings (see Tables 8 and 9 in WGO's Guideline on probiotics at http://www.worldgastroenterology.org/probiotics-prebiotics.html ).
Worldwide, 780 million individuals lack access to improved drinking-water and 2.5 billion lack improved sanitation. Diarrhoea due to infection is widespread throughout developing countries.
Diarrhoea should be treated with oral rehydration solution (ORS), a solution of clean water, sugar and salt.
Infection is more common when there is a shortage of adequate sanitation and hygiene and safe water for drinking, cooking and cleaning .
Diarrhoea is usually a symptom of an infection in the intestinal tract, which can be caused by a variety of bacterial, viral and parasitic organisms. Infection is spread through contaminated food or drinking-water, or from person-to-person as a result of poor hygiene.
Mansoor, a 3-year-old girl is given intravenous fluids and a mango fruit juice drink by her brother, Answais on a ward at a hospital in Muzzafargarh (Pakistan). Mansoor and her family were evacuated from flooding that devastated their village. She was brought to the hospital today with symptoms of diarrhoea, vomiting and high fever.
Malnutrition: Children who die from diarrhoea often suffer from underlying malnutrition, which makes them more vulnerable to diarrhoea. Each diarrhoeal episode, in turn, makes their malnutrition even worse. Diarrhoea is a leading cause of malnutrition in children under five years old.
Source: Water contaminated with human faeces, for example, from sewage, septic tanks and latrines, is of particular concern. Animal faeces also contain microorganisms that can cause diarrhoea. Other causes: Diarrhoeal disease can also spread from person-to-person, aggravated by poor personal hygiene.
Zinc has been shown to play critical roles in metallo-enzymes, poly-. ribosomes, the cell membrane, and cellular function, leading to the belief that it also plays a central role in cellular . growth and in function of the immune system. Although the theoretical basis for a potential role of zinc has been .
hypertonic owing to their excessive content of sugar (e. g. soft drinks, commercial fruit drinks, too concentrated . infant formula) or salt. These draw water from the child's tissues and blood into the bowel, causing the concentration . A manual for physicians and other senior health workers .
5 . 2.4 Malnutrition2. Diarrhoea is, in reality, as much a nutritional disease as one of fluid and electrolyte loss. Children who die from . diarrhoea, despite good management of dehydration, are usually malnourished and often severely so.
This amounts to 18% of all the deaths of children under the age of five and means that more than 5000 children are dying every day as a result of diarrheal diseases. Of all child deaths from diarrhea, 78% occur in the African and South-East Asian regions.
A cascade is a hierarchical set of diagnostic or therapeutic techniques for the same disease, ranked by the resources available . Cascades for acute diarrhea are shown in Figs. 2–4.
None of these drugs addresses the underlying causes or effects of diarrhea (loss of water, electrolytes, and nutrients). Antiemetics are usually unnecessary in acute diarrhea management, and some that have sedative effects may make ORT difficult.
In antibiotic-associated diarrhea, there is strong evidence of efficacy for S. boulardii or L. rhamnosus GG in adults or children who are receiving antibiotic therapy. One study indicated that L. casei DN-114 001 is effective in hospitalized adult patients for preventing antibiotic-associated diarrhea and C. difficile diarrhea.