Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas

artículo (arbitrado) -- Universidad de Costa Rica. Instituto de Investigaciones en Salud (INISA), 1979

Bibliographic Details
Authors: Nalin, David R., Levine, Myron M., Mata Jiménez, Leonardo, de Céspedes Montealegre, Carlos, Vargas, William, Lizano, Cecilia, Loría, Alba Rosa, Simhon Edgar, Alberto, Mohs Villalta, Edgar
Format: article
Publication Date:1979
Country:Costa Rica
Institution:Universidad de Costa Rica
Repository:Kérwá
OAI Identifier:oai:kerwa.ucr.ac.cr:10669/11129
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2395823/
https://hdl.handle.net/10669/11129
Access Level:Open access
Keyword:Fluidoterapia
Niño
Diarrea Infantil
Salud
id CR_71941eecb77cbc8eb5abc759d759a54a
oai_identifier_str oai:kerwa.ucr.ac.cr:10669/11129
network_acronym_str CR
network_name_str Costa Rica
repository_id_str
dc.title.es_ES.fl_str_mv Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
dc.title.alternative.es_ES.fl_str_mv Rehydratation mr vole orale et maintien de l'equilibre chez les jeunes enfants atteints de diarrhee a rotavirus ou a bacteries
title Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
spellingShingle Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
Nalin, David R.
Fluidoterapia
Niño
Diarrea Infantil
Salud
title_short Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
title_full Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
title_fullStr Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
title_full_unstemmed Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
title_sort Oral rehydration and maintenance of children with rotavirus and bacterial diarrhoeas
dc.creator.none.fl_str_mv Nalin, David R.
Levine, Myron M.
Mata Jiménez, Leonardo
de Céspedes Montealegre, Carlos
Vargas, William
Lizano, Cecilia
Loría, Alba Rosa
Simhon Edgar, Alberto
Mohs Villalta, Edgar
author Nalin, David R.
author_facet Nalin, David R.
Levine, Myron M.
Mata Jiménez, Leonardo
de Céspedes Montealegre, Carlos
Vargas, William
Lizano, Cecilia
Loría, Alba Rosa
Simhon Edgar, Alberto
Mohs Villalta, Edgar
author_role author
author2 Levine, Myron M.
Mata Jiménez, Leonardo
de Céspedes Montealegre, Carlos
Vargas, William
Lizano, Cecilia
Loría, Alba Rosa
Simhon Edgar, Alberto
Mohs Villalta, Edgar
author2_role author
author
author
author
author
author
author
author
dc.subject.es_ES.fl_str_mv Fluidoterapia
Niño
Diarrea Infantil
Salud
topic Fluidoterapia
Niño
Diarrea Infantil
Salud
description artículo (arbitrado) -- Universidad de Costa Rica. Instituto de Investigaciones en Salud (INISA), 1979
publishDate 1979
dc.date.issued.none.fl_str_mv 1979
dc.date.accessioned.none.fl_str_mv 2014-09-30T21:31:36Z
dc.date.available.none.fl_str_mv 2014-09-30T21:31:36Z
dc.type.none.fl_str_mv artículo original
http://purl.org/coar/resource_type/c_2df8fbb1
info:eu-repo/semantics/article
format article
dc.identifier.citation.none.fl_str_mv http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2395823/
dc.identifier.issn.none.fl_str_mv 0042-9686
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10669/11129
url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2395823/
https://hdl.handle.net/10669/11129
identifier_str_mv 0042-9686
dc.language.iso.es_ES.fl_str_mv en_US
language_invalid_str_mv en_US
dc.rights.none.fl_str_mv acceso abierto
http://purl.org/coar/access_right/c_abf2
info:eu-repo/semantics/openAccess
rights_invalid_str_mv acceso abierto
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.publisher.es_ES.fl_str_mv Bull World Health Organ. 1979; 57(3): 453–459
dc.source.none.fl_str_mv reponame:Kérwá
instname:Universidad de Costa Rica
instacron:UCR
instname_str Universidad de Costa Rica
instacron_str UCR
institution UCR
reponame_str Kérwá
collection Kérwá
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spelling Nalin, David R.1628722b-8535-44d4-a8dd-168abfcec935-1Levine, Myron M.62bad33c-a71a-430b-a17a-620985e04814-1Mata Jiménez, Leonardo2b2fc10f-0241-4898-b200-a76a3b5c4dc2600de Céspedes Montealegre, Carlosf04248c1-d303-4f99-8f69-c8561f78e97c-1Vargas, William21261a5d-9293-477f-9e8a-da75324ecd5c600Lizano, Cecilia2b4e045a-9e3f-46ad-9574-f81a9579ff37-1Loría, Alba Rosaae3cdedd-7ed0-442a-accf-5f5902ffcf3f-1Simhon Edgar, Alberto45581132-1aa5-40ce-962f-8290641f1a2b600Mohs Villalta, Edgar966839e5-9df6-40f6-9117-80e056f92b816002014-09-30T21:31:36Z2014-09-30T21:31:36Z1979http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2395823/0042-9686https://hdl.handle.net/10669/11129artículo (arbitrado) -- Universidad de Costa Rica. Instituto de Investigaciones en Salud (INISA), 1979To determine whether oral glucose-electrolytes therapy could be adapted with equal success to infants with diarrhoea of bacterial and viral etiologies, oral glucose-electrolytes therapy was studied in a setting where all dehydrated infants with rotavirus or bacterial diarrhoeas routinely received intravenous fluids. Fifty-eight of 62 infants with acure diarrhoea and 5-10% dehydration who received a simple oral therapy regimen, were successfully rehydrated with oral therapy alone, without any intravenous fluids. The success rate of oral therapy was similar among diarrhoea patients infected with rotavirus or bacterial pathogens. Oral therapy is safe and effective for the treatment of viral and bacterial diarrhoea in infants with 5-10% dehydration. Rotaviruses are now recognized as a common cause of infant diarrhoea the world over (1-3) and recently a defect in glucose-coupled sodium absorption was reponed in piglets with rotavirus diarrhoea (4). In the present study we compared the clinical efficacy of oral glucose—electrolyte therapy in infants with diarrhoeas of different etiologies in order to determine whether the absorption defect induced by rotaviruses might reduce the efficacy of oral therapy in rotavirus patients as compared to patients with bacterial diarrhoeas.Pour apprécier l'efficacité de la thérapie orale scion le type de diarrhée (á rotavirus ou bactérienne), une etude a Eté faite sur 62 jeunes enfants costa-riciens présentant une deshydratation de 5 á 10 % provoquée par une diarrhée aigué et á qui une solution de glucose-electrolyte a été administrée par voie orale. Le liquide utilise avail la formule suivante (grammes par litre d' eau): NaC1: 3,5 ; KC1: 1,5; NaHCO3: 2,5; glucose: 20. La perte de liquide a Eté estimée en multipliant le poids de ]'enfant 8 l'admission par le pourcentage de déshydratation apprécié en fonetion de signes cliniques. Les liquides administres par voie buccale pouvant ne pas étrc entierement absorbes tans que dure la diarrhée, les bébés ont rev une quantité de solution orale et d' eau naturelle représentant au total le double de la pene de liquide estimée. Apres deux biberons de solution de 200 ml chacun, un biberon d'eau ordinaire de méme contenance (200 ml) ¿ tail administré et ainsi de suite. Le regain d'élasticite de la peau a permis d'apprécier empiriquement la réhydratation, et le regime thérapeutique décrit (2 + 1) a été maintenu jusqu'i ce que I'elasticité cutanée soit redeve-nue normale; on a alors censé d' administrer la solution et recommence á alimenter le nourrisson. Les données recueillies quant au bilan liquide administré/ liquide perdu et toute la serie de controles portan sur le poids, l'hématocrite, les protéines du plasma et les electrolytes sériques ont permis de constater que cette tres simple méthode d' administration orate de liquide avait tres rapidement remédié á la déshydratation dans 94 % des cas. Les résultats n'ont pas presenté de differences significatives selon que les nourrissons souffraient de diarrhée due a des rotavirus ou A des bactéries, si ce n'est un accroissement cliniquement peu important de l' excrétion de glucose dans les selles lorsqu'un rotavirus était en cause. Les bébés ont répondu également bien au traitement quels que soient leur état nutritionnel et les anomalies des electrolytes présen-tees lors de l'admission. Jusque-bk tout nourrisson chez qui était constatée une déshydratation du méme ordre que chez ceux soumis á l'étude faisaient]'objet d'un thérapie intraveineuse. En obtenant le résultat voulu chez 94%des sujeta sans avoir á recourir it cette derniére méthode, l'étude a montré clairement la valeur de la thérapie orale, qui permet de réduire A la fois le coat du traitement et ses effets traumatisants dans les cas de diarrhée infantile.Universidad de Costa RicaUCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias de la Salud::Instituto de Investigaciones en Salud (INISA)en_USBull World Health Organ. 1979; 57(3): 453–459acceso abiertohttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessFluidoterapiaNiñoDiarrea InfantilSaludOral rehydration and maintenance of children with rotavirus and bacterial diarrhoeasRehydratation mr vole orale et maintien de l'equilibre chez les jeunes enfants atteints de diarrhee a rotavirus ou a bacteriesartículo originalhttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlereponame:Kérwáinstname:Universidad de Costa Ricainstacron:UCRORIGINAL9. 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