Management of acute gastroenteritis in Europe and the impact of the new recommendations: a multicenter study.

摘要: Background The European Society for Paediatric Gasteroenterology, Hepatology and Nutrition (ESPGHAN) issued two sets of recommendations the treatment infants with acute gastroenteritis (1992, 1997). purpose this multicentre study performed in 29 countries was to determine how closely current compares ESPGHAN recommendations. Methods outline based on a questionnaire that addressed management 6-month-old infant complicated by mild moderate dehydration. National coordinators circulated randomly selected primary care physicians hospital-based paediatricians. Results A total 2997 questionnaires were returned, which 1768 from Western Europe (WE) 1229 Central Eastern (CEE). Eighty-four percent responding said they would follow recommendation use oral rehydration solution (ORS) rehydration, 66% using an ORS containing 60 mmol/l sodium ORS. Only 16% (WE 15%, CEE 19%) guidelines rapid over 3 4 hours. Forty-five rehydrate 3- 6-hour period 35%, 60%), 17% 23%, 9%) extend 12 24 reintroduction normal feeding after hours be followed only 21% physicians, 43% 46%, 38%) start full-strength formula. However, guideline about continuation breast-feeding is widely (total 77%; WE 78%, 75%). Thirty-six 45%, 23%) lactose-containing formula successful rehydration. Contrary 35% 30%, 42%) lactose-free 19% 12%, 28%) lactose cow's milk protein-free 37% 46%) replace ongoing losses watery diarrhoea. Conclusions results survey suggest exception recommending during diarrhoea, minority optimal children gastroenteritis.