ACUTE ENTEROCOLITIS IN CHILDREN - ASPECTS OF ORAL REHYDRATION
DOI:
https://doi.org/10.46793/PP180322007BKeywords:
enterocolitis, dehydration, oral rehydration of childrenAbstract
Acute enterocolitis (AE) is the most common childhood problem, especially in the first three years of life. Acute enterocolitis is defined as a decrease in the consistency of the feces and / or the increased frequency of the stool (≥ 3 in 24 hours) with or without increased temeperature and vomiting. The frequency of diarrhea is 0.5 to 2 episodes per child per year for children under the age of three years. Rota virus is the most common enteropatogen with the highest frequency from January to March. Estimation of degree of dehydration is a key parameter in the treatment of acute diarrhea in children. The best three are the individual parameters for assessing dehydration: prolonged filling of capillaries; abnormal skin turgor; respiratory symptoms. In general, dehydration is the main clinical indicator of the severity of the disease. The active treatment of acute anterocytosis with probiotics with the addition of oral rehydration solution (ORS) is a recommendation of the European Association for Pediatric Gastroenterohepatology and Nutrition (ESPGHAN). Probiotics of Lactobacillus rhamnosus (LGG) and Saccharomyces boulardii are recommended. Treatment of AE should be started at the house with oral rehydration solutions. Rehydration with "ESPGHAN" hypotone is recommended. Osmolar oral solution in children. Hospitalization is intended for those children who require intravenous rehydration and severe cases. Early rehydration can prevent complications and hospitalization. Regular daily diet is not interrupted and should be prolonged after initial rehydration. Prevention with anti-Rota virus vaccine is applied to Europe and a gradual decrease in the severity of AE disease and the prevention of the most severe form of the disease in children is expected.
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