Study of Saccharomyces boularii in acute watery diarrhea in children between 2 months to 5 years of age at a tertiary hospital

2021 ◽  
Vol 20 (2) ◽  
pp. 30-33
Author(s):  
Santosh Kulkarni ◽  
Keyword(s):  
Tertiary Hospital ◽  
Watery Diarrhea ◽  
Acute Watery Diarrhea

scholarly journals PREVALENCE AND PATTERNS OF ACUTE WATERY DIARRHOEAL ADMISSIONS PRESENTING TO A TERTIARY HOSPITAL IN SOUTH-EAST, NIGERIA

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Victoria Chikodili Ofora ◽  
Jacinta Chinyere Elo-Ilo ◽  
Chioma Pauline Mbachu ◽  
Ogochukwu Chioma Ofiaeli ◽  
Joy Chinelo Ebenebe ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
University Teaching ◽  
Watery Diarrhoea ◽  
Watery Diarrhea ◽  
Oral Rehydration ◽  
Anambra State ◽  
Economic Class ◽  
Childhood Morbidity ◽  
Duration Of Illness ◽  
Acute Watery Diarrhea

Background: Globally, acute watery diarrhea (AWD) is a major cause of childhood morbidity and mortality. It is the fourth leading cause of death in children contributing as high as 11% of all childhood deaths. In Nigeria, AWD causes 240,106 under five deaths per year despite the interventions aimed at preventing diarrhoea disease.  Objective: This work was to determine the prevalence and patterns of acute watery diarrhoeal admissions among children presenting to Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra state, Nigeria. Methods and Materials: This was an observational study. Children aged 6-36 months, admitted for acute watery diarrhea, who met inclusion criteria and whose caregivers gave informed consent. The caregivers of these children were interviewed using interviewer-administered questionnaire. Information obtained included socio-demography (age, gender, social class among others), symptoms of diarrhoea, duration of illness and medications given to these children at home. Data were analyzed using SPSS 21. Results: Of the159 study participants admitted for AWD, 103(65.0%) were males. Those of lower socio-economic class comprised 66.6%(106) while 49(30.6%) and 4(2.8%) belonged to the middle and upper socio-economic classes respectively. A total of 921 inpatients were admitted for the period of the study (January 2017 to October 2017), giving an AWD prevalence of 17.3%(159). The highest number of admissions occurred from January to March 2017, with highest prevalence in March. There is poor utilization of oral rehydration solution (40.3%; 64) with abuse of antibiotics in the home management of diarrhea. Conclusion and recommendations: The result of this study showed that the prevalence of AWD is still unacceptably high. Interventions aimed at prevention (such as promotion of exclusive breastfeeding, health education on hand and environmental hygiene, and inclusion of rota virus and cholera vaccine in our national program on immunisation etc) should be encouraged and strengthened by the policy makers and monitored for proper uptake by the populace. Key words: Prevalence, Acute watery diarrhoea, children, Admissions

scholarly journals Use of Drugs and Treatment Cost in Acute Watery Diarrhoea of Under-2 Children Attending a Tertiary Hospital of Bogra

2014 ◽  
Vol 14 (2) ◽  
pp. 149-152
Author(s):  
AKM Muraduzzaman ◽  
S M Rashed-Ul Islam ◽  
Md. Mahmudur Rahman Siddiqui
Keyword(s):  
Breast Feeding ◽  
Treatment Cost ◽  
Family Income ◽  
Educational Status ◽  
Tertiary Hospital ◽  
Watery Diarrhoea ◽  
Watery Diarrhea ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Acute Watery Diarrhea

A cross-sectional study was conducted in Mohammad Ali hospital (MAH) of Bogra from Bangladesh to evaluate the hand washing and exclusive breast feeding (EBF) practice and to explore the rational use of anti-diarrhoeal therapy in Acute Watery Diarrhea (AWD) and expenditure of the family in treatment. A total of 660 under-2 children attending at MAH with the complaints of AWD were selected for the study. The mean age (mean±SD) of the attended child was 11.75±5.16 months. About 80% of the respondents (mothers of under-2 child) were below SSC level in terms of educational status while about 9% were illiterate. About 85% of the respondent seek treatment from non-registered practitioners (NRP) while registered doctors contributed only among 12% which was found statistically significant in comparison to their family income (p<0.001). Azythromycin was the most prescribed drugs (22.4%) followed by ciprofloxacin (21.7%) and erythromycin (15.9%) which was mostly prescribed by  non-registered doctors (p <0.05). The families had to spend a mean cost of Tk. 209/- which was spend significantly high on NRP (p<0.05) as a direct treatment cost. Misuse of antibiotics was observed from NRP and a handsome amount was spending on them. Moreover, About 91% of the total respondent did not practice exclusive breast feeding and about 99% mother found to admit improper hand hygiene. To reduce unnecessary expenditure and ensure proper treatment of AWD, it was recommended to aware the community on quality management at government facility.DOI: http://dx.doi.org/10.3329/jom.v14i2.19665 J Medicine 2013, 14(2): 143-148

Clinical Trial of Glucose-Oral Rehydration Solution (ORS), Rice Dextrin-ORS, and Rice Flour-ORS for the Management of Children With Acute Diarrhea and Mild or Moderate Dehydration

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 191-197
Author(s):  
Susana Molina ◽  
Carolina Vettorazzi ◽  
Janet M. Peerson ◽  
Noel W. Solomons ◽  
Kenneth H. Brown
Keyword(s):  
Clinical Trial ◽  
Treatment Group ◽  
Acute Diarrhea ◽  
Oral Rehydration Solution ◽  
Rice Flour ◽  
Watery Diarrhea ◽  
Hydration Status ◽  
Oral Rehydration ◽  
Acute Watery Diarrhea ◽  
Rehydration Solution

Objective. To assess the effects of glucose (G)-oral rehydration solution (ORS), rice dextrin (RD)-ORS, and rice flour (RF)-ORS on fluid intake, rapidity of rehydration, and stool output of children with acute diarrhea and mild or moderate dehydration. Methods. The study was a randomized, double-masked clinical trial. One hundred forty-six male infants, ages 3 to 36 months, were randomly assigned to one of three treatment groups. Clinical evaluations and fluid balances were conducted every 2 to 4 hours for 48 hours. Principal outcome variables were ORS consumption, recovery of hydration status, and fecal output. Results. The groups were similar at admission with regard to age, nutritional status, history of the current episode, and clinical status. There were no differences in ORS consumption by treatment group during any period of study. During the first 6-hour period, patients in group RF had less stool output (16 ± 14 g/kg/body weight) than those in group G (22 ± 20 g/kg) or RD (21 ± 19 g/kg; P &lt; .05). After 12 hours of hospitalization, there were no differences by treatment group. Recovery of hydration status, changes in serum sodium and potassium, and duration of diarrhea in the hospital were similar in all three groups. Conclusion. There was a 24% to 27% reduction in stool output during the first 6 hours of treatment among children who received RF-ORS compared with those who received G-ORS or RD-ORS, but this effect did not persist after the first 12 hours of therapy. Because this difference was of small magnitude and limited duration, it has minor clinical importance. Thus, we conclude that the three solutions had similar efficacy for children with acute, watery diarrhea and mild or moderate dehydration.

Comparison of Regular and Probiotic Yogurts in Treatment of Acute Watery Diarrhea in Children

2017 ◽  
Vol 05 (01) ◽  
Author(s):  
Alireza Sharif ◽  
Davood Kheirkhah ◽  
Parisa Shams Esfandabadi ◽  
Seyed Behrooz Masoudi ◽  
Neda Mirbagher Ajorpaz ◽  
...  
Keyword(s):  
Watery Diarrhea ◽  
Acute Watery Diarrhea

scholarly journals Severe, Acute Watery Diarrhea in an Adult

2010 ◽  
Vol 4 (11) ◽  
pp. e898 ◽  
Author(s):  
Fahima Chowdhury ◽  
Ashraful Islam Khan ◽  
Abu Syed Golam Faruque ◽  
Edward T. Ryan
Keyword(s):  
Watery Diarrhea ◽  
Acute Watery Diarrhea

Emerging trends in the epidemiology of human astrovirus infection among infants, children and adults hospitalized with acute watery diarrhea in Kolkata, India

2012 ◽  
Vol 12 (8) ◽  
pp. 1685-1693 ◽  
Author(s):  
Madhusudhan Pativada ◽  
Seegekote Mariyappa Nataraju ◽  
Balasubramanian Ganesh ◽  
Krishnan Rajendran ◽  
Thandavarayan Ramamurthy ◽  
...  
Keyword(s):  
Watery Diarrhea ◽  
Emerging Trends ◽  
Acute Watery Diarrhea ◽  
Human Astrovirus

scholarly journals Disease Profile and Death Pattern Among Children Admitted in a Medical College Hospital

2012 ◽  
Vol 36 (2) ◽  
pp. 66-70
Author(s):  
M Shameem Hasan ◽  
Sanat Kumar Barua ◽  
M Nasiruddin Mahmud ◽  
AHM Kamal ◽  
M Enayetullah ◽  
...  
Keyword(s):  
Child Health ◽  
Case Fatality Rate ◽  
Causes Of Death ◽  
Case Fatality ◽  
Medical College Hospital ◽  
Watery Diarrhea ◽  
Fatality Rate ◽  
College Hospital ◽  
Medical College ◽  
Acute Watery Diarrhea

Background: An understanding of epidemiological trend in hospital admissions, including diseases and death pattern, is critical for health care planning, appropriate resource allocation & improving existing services facilities. Objectives: To evaluate the disease and death pattern of children admitted in the department of Child Health, Chittagong Medical College Hospital (CMCH), Chittagong. Materials and Methods: This was a retrospective study. The case records of all patients admitted in the department from Jan 1, 2008 to Dec 31, 2010 were analyzed. Result: Total 38,692 children were admitted during this study period; among them total 1897(4.9%) patient died. Infant and under five age groups constitute 45.2% and 75.9% respectively, total admission whereas deaths from the same groups were 43.7% & 79.3% respectively. Bronchopneumonia (22%), acute watery diarrhea (15%), hereditary hemolytic anemia (12%), and bronchiolitis (10%), topped the first four positions in each of the three years of admission. Septicemia and encephalitis, with a case fatality rate of 24% and 35% respectively, were found as top two causes of death. Highest case fatality rate was found in hepatic encephalopathy (54%). Other common causes of death include meningitis (19%), severe malaria (21%), leukemia (22%), severe malnutrition with complications (11%), and congenital heart diseases (12%) Conclusion: Comprehensive evaluation of admission and death related findings of this study will help to determine possible gaps in patient care and planning for more effective case-management strategies. DOI: http://dx.doi.org/10.3329/bjch.v36i2.13081 Bangladesh J Child Health 2012; VOL 36 (2) : 66-70

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