Acute and persistent diarrhea

Grimwood, Keith and Forbes, David A. (2009) Acute and persistent diarrhea. Pediatric Clinics of North America, 56 6: 1343-1361.


Author Grimwood, Keith
Forbes, David A.
Title Acute and persistent diarrhea
Journal name Pediatric Clinics of North America   Check publisher's open access policy
ISSN 0031-3955
1557-8240
Publication date 2009-12
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.pcl.2009.09.004
Volume 56
Issue 6
Start page 1343
End page 1361
Total pages 19
Place of publication Philadelphia, PA , United States
Publisher W. B. Saunders
Language eng
Subject 1114 Paediatrics and Reproductive Medicine
Abstract Socially disadvantaged Indigenous infants and children living in western industrialized countries experience high rates of infectious diarrhea, no more so than Aboriginal children from remote and rural regions of Northern Australia. Diarrheal disease, poor nutrition, and intestinal enteropathy reflect household crowding, inadequate water and poor sanitation and hygiene. Acute episodes of watery diarrhea are often best managed by oral glucose-electrolyte solutions with continuation of breastfeeding and early reintroduction of feeding. Selective use of lactose-free milk formula, short-term zinc supplementation and antibiotics may be necessary for ill children with poor nutrition, persistent symptoms, or dysentery. Education, high standards of environmental hygiene, breastfeeding, and immunization with newly licensed rotavirus vaccines are all needed to reduce the unacceptably high burden of diarrheal disease encountered in young children from Indigenous communities.
Keyword Diarrhea
Enteropathy
Indigenous
Aboriginal
Child
Management
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Health Issues in Indigenous Children: An Evidence Based Approach for the General Pediatrician

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
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Created: Wed, 15 Sep 2010, 12:49:56 EST by Thelma Whitbourne on behalf of Faculty Of Health Sciences