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Rice Solution and World Health Organization Solution by Gastric Infusion for High Stool Output Diarrhea

Rice Solution and World Health Organization Solution by Gastric Infusion for High Stool Output... Abstract • We sought to determine the efficacy of three different types of treatment in children with acute diarrhea who, during the oral rehydration period, had high stool output (>10 mL/kg per hour). Sixty-six children, aged 1 to 18 months, with an average stool output of 22.6 mL/kg per hour were randomly distributed into three groups: group 1 received a rice flour solution, group 2 received the World Health Organization rehydration solution by gastric infusion, and group 3 continued to receive this solution orally. In all three groups, a decrease in stool output was observed, with the higher decrease observed in group 1 patients. Such a decrease facilitated rehydration of all 22 patients in group 1 (100%) in 3.3±1.5 hours, 16 (73%) in group 2 in 4.3±2.1 hours, and 15 (69%) in group 3 in 4.9±2.0 hours. No complications were observed. These data indicate that the rice flour solution is effective in children with high stool output diarrhea. (AJDC. 1991;145:937-940) References 1. World Health Organization. A Manual for the Treatment of Acute Diarrhea: For Use by Physicians and Other Senior Health Workers . Geneva, Switzerland: Program for Control of Diarrhoeal Diseases, World Health Organization; 1984. WHO/CDD/SER/80.2, Rev 1. 2. Santosham M, Daum RS, Dillman L, et al. Oral rehydration therapy of infantile diarrhea . N Engl J Med . 1982;306:1070-1076.Crossref 3. Velásquez JL, Llausás ME, Mota HF, Quiroz RB. Tratamiento ambulatorio del ninõ deshidratado por diarrea aguda . Bol Med Hosp Infant Mex . 1985;42:220-225. 4. Pizarro D, Posada G, Mahalanabis D, Sandi L. Comparison of efficacy of a glucose/glycine/glycil-glycine electrolyte solution versus the standard WHO/ORS in diarrheic dehydrated children . J Pediatr Gastroenterol Nutr . 1988;7:882-888.Crossref 5. Mahalanabis D. Development of an Improved Formulation of Oral Rehydration Salts (ORS) With Antidiarrhoeal and Nutritional Properties: A 'Super ORS.' Geneva, Switzerland: World Health Organization; 1985. WHO/CDD/DDM/85.3. 6. Murtaza A, Zulbigan I, Khan S, Lindblod BS, Sahlgren BA, Aperia A. The benefits of the very early introduction of powdered rice and dried edible seeds (Dal moong) in the oral rehydration solution during the treatment of acute infectious diarrhoea of infancy . Acta Paediatr Scand . 1987;76:861-864.Crossref 7. Carpenter CH, Greenough WB, Pierce N. Oral-rehydration therapy: the role of polymeric substrates . N Engl J Med . 1988;319:1346-1348.Crossref 8. Velasquez JL. Nuevas soluciones de hidratación oral en diarrea aguda . Bol Med Hosp Infant Mex . 1988;45:781-786. 9. Wong HB. Rice water in the treatment of infantile infectious gastroenteritis . Lancet . 1981;2:102-103.Crossref 10. Molla AM, Sarker SA, Holssain M, Greenough WB. Rice powder electrolyte solution as oral therapy in diarrhea due to Vibrio cholerae and Escherichia coli . Lancet . 1982;1:1317-1319.Crossref 11. Mehta MN, Subramanian S. Comparison of rice water, rice eletrolyte solution, and glucose electrolyte solution in the management of infantile diarrhoea . Lancet . 1986;1:843-845.Crossref 12. Bhan MK, Ghut OP, Knoshoo V, et al. Efficacy of mungbean (lentil) and pop rice based rehydration solutions in comparison with the standard glucose electrolyte solution . J Pediatr Gastroenterol Nutr . 1987;6:392-399.Crossref 13. World Health Organization. Oral Rehydration Salts (ORS) Formulation Containing Trisodium Citrate . Geneva, Switzerland: Program for Control of Diarrhoeal Diseases, World Health Organization; 1984. World Health Organization/Control Diarrhoeal Diseases/SER/84.7. 14. Pocock SJ. Clinical trials: a practical approach . New York, NY: John Wiley & Sons Inc; 1983:123. 15. Mota HF. Diagnóstico en Pediatría: Interpretación Clínica de Exámenes de Laboratorio y Gabinete . México, D.F.: Ed. Méndez Cervantes; 1985. 16. Brown G. Sample size . AJDC . 1988;142:1213-1215. 17. Bradford H. Principios de Estadística Médica . 3rd ed. Buenos Aires, Argentina: Ed. El Ateneo; 1965. 18. Velásquez JL, Mota HF. Procedimientos médicos para la hidratación oral en ninõs con diarrea . Bol Med Hosp Infant Mex . 1984;41:505-511. 19. Velásquez JL, Mota HF, Kane QJ, Puente TME, Llausás ME. Frecuencia de vómitos en ninõs con diarrea hidratados por vía oral . Bol Med Hosp Infant Mex . 1986;43:353-358. 20. Lifshitz F, Wapnir RA. Oral hydration solutions: experimental optimization of water and sodium absorption . J Pediatr . 1985;106:383-386.Crossref 21. Rahman ASMM, Bari A, Molla AM, Greenough WB. Mothers can prepare rice and use rice-salt oral rehydration solution in rural Bangladesh . Lancet . 1985;2:539-541.Crossref 22. De Vizia B, Ciccimarra F, DeCicco N, Auricchio S. Digestibility of starches in infants and children . J Pediatr . 1975;86:50-55.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Rice Solution and World Health Organization Solution by Gastric Infusion for High Stool Output Diarrhea

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References (27)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1991.02160080115032
Publisher site
See Article on Publisher Site

Abstract

Abstract • We sought to determine the efficacy of three different types of treatment in children with acute diarrhea who, during the oral rehydration period, had high stool output (>10 mL/kg per hour). Sixty-six children, aged 1 to 18 months, with an average stool output of 22.6 mL/kg per hour were randomly distributed into three groups: group 1 received a rice flour solution, group 2 received the World Health Organization rehydration solution by gastric infusion, and group 3 continued to receive this solution orally. In all three groups, a decrease in stool output was observed, with the higher decrease observed in group 1 patients. Such a decrease facilitated rehydration of all 22 patients in group 1 (100%) in 3.3±1.5 hours, 16 (73%) in group 2 in 4.3±2.1 hours, and 15 (69%) in group 3 in 4.9±2.0 hours. No complications were observed. These data indicate that the rice flour solution is effective in children with high stool output diarrhea. (AJDC. 1991;145:937-940) References 1. World Health Organization. A Manual for the Treatment of Acute Diarrhea: For Use by Physicians and Other Senior Health Workers . Geneva, Switzerland: Program for Control of Diarrhoeal Diseases, World Health Organization; 1984. WHO/CDD/SER/80.2, Rev 1. 2. Santosham M, Daum RS, Dillman L, et al. Oral rehydration therapy of infantile diarrhea . N Engl J Med . 1982;306:1070-1076.Crossref 3. Velásquez JL, Llausás ME, Mota HF, Quiroz RB. Tratamiento ambulatorio del ninõ deshidratado por diarrea aguda . Bol Med Hosp Infant Mex . 1985;42:220-225. 4. Pizarro D, Posada G, Mahalanabis D, Sandi L. Comparison of efficacy of a glucose/glycine/glycil-glycine electrolyte solution versus the standard WHO/ORS in diarrheic dehydrated children . J Pediatr Gastroenterol Nutr . 1988;7:882-888.Crossref 5. Mahalanabis D. Development of an Improved Formulation of Oral Rehydration Salts (ORS) With Antidiarrhoeal and Nutritional Properties: A 'Super ORS.' Geneva, Switzerland: World Health Organization; 1985. WHO/CDD/DDM/85.3. 6. Murtaza A, Zulbigan I, Khan S, Lindblod BS, Sahlgren BA, Aperia A. The benefits of the very early introduction of powdered rice and dried edible seeds (Dal moong) in the oral rehydration solution during the treatment of acute infectious diarrhoea of infancy . Acta Paediatr Scand . 1987;76:861-864.Crossref 7. Carpenter CH, Greenough WB, Pierce N. Oral-rehydration therapy: the role of polymeric substrates . N Engl J Med . 1988;319:1346-1348.Crossref 8. Velasquez JL. Nuevas soluciones de hidratación oral en diarrea aguda . Bol Med Hosp Infant Mex . 1988;45:781-786. 9. Wong HB. Rice water in the treatment of infantile infectious gastroenteritis . Lancet . 1981;2:102-103.Crossref 10. Molla AM, Sarker SA, Holssain M, Greenough WB. Rice powder electrolyte solution as oral therapy in diarrhea due to Vibrio cholerae and Escherichia coli . Lancet . 1982;1:1317-1319.Crossref 11. Mehta MN, Subramanian S. Comparison of rice water, rice eletrolyte solution, and glucose electrolyte solution in the management of infantile diarrhoea . Lancet . 1986;1:843-845.Crossref 12. Bhan MK, Ghut OP, Knoshoo V, et al. Efficacy of mungbean (lentil) and pop rice based rehydration solutions in comparison with the standard glucose electrolyte solution . J Pediatr Gastroenterol Nutr . 1987;6:392-399.Crossref 13. World Health Organization. Oral Rehydration Salts (ORS) Formulation Containing Trisodium Citrate . Geneva, Switzerland: Program for Control of Diarrhoeal Diseases, World Health Organization; 1984. World Health Organization/Control Diarrhoeal Diseases/SER/84.7. 14. Pocock SJ. Clinical trials: a practical approach . New York, NY: John Wiley & Sons Inc; 1983:123. 15. Mota HF. Diagnóstico en Pediatría: Interpretación Clínica de Exámenes de Laboratorio y Gabinete . México, D.F.: Ed. Méndez Cervantes; 1985. 16. Brown G. Sample size . AJDC . 1988;142:1213-1215. 17. Bradford H. Principios de Estadística Médica . 3rd ed. Buenos Aires, Argentina: Ed. El Ateneo; 1965. 18. Velásquez JL, Mota HF. Procedimientos médicos para la hidratación oral en ninõs con diarrea . Bol Med Hosp Infant Mex . 1984;41:505-511. 19. Velásquez JL, Mota HF, Kane QJ, Puente TME, Llausás ME. Frecuencia de vómitos en ninõs con diarrea hidratados por vía oral . Bol Med Hosp Infant Mex . 1986;43:353-358. 20. Lifshitz F, Wapnir RA. Oral hydration solutions: experimental optimization of water and sodium absorption . J Pediatr . 1985;106:383-386.Crossref 21. Rahman ASMM, Bari A, Molla AM, Greenough WB. Mothers can prepare rice and use rice-salt oral rehydration solution in rural Bangladesh . Lancet . 1985;2:539-541.Crossref 22. De Vizia B, Ciccimarra F, DeCicco N, Auricchio S. Digestibility of starches in infants and children . J Pediatr . 1975;86:50-55.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Aug 1, 1991

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