Page 86 - GALENIKA MEDICAL JOURNAL
P. 86

Abstract

          Acute diarrhea is a common problem, especially in infants and young children. The most frequent causes are
          gastrointestinal infections, primarily viral and bacterial, with less common factors being involved. The main complications
          of the condition are dehydration and negative nutritional balance. The cornerstone of therapy for this condition is the
          prevention and correction of dehydration, as well as meeting nutritional needs. Depending on the severity of the disorder,
          fluid and electrolyte replacement is done either intravenously or with oral rehydration solutions, while the diet, except in
          certain cases, should remain the same as before the onset of the illness.

          Keywords: acute diarrhea, dehydration, children, rehydration





          Literatura                                         18.  Reisinger EC, Fritzsche C, Krause R, Krejs GJ. Diarrhea caused by
                                                                primarily non-gastrointestinal infections. Nat Clin Pract Gastroenterol
                                                                Hepatol. 2005 May;2(5):216-22.
          1.  Vega RM, Avva U. Pediatric Dehydration. [Updated 2023 Aug 13].   19.  Dop D, Marcu IR, Padureanu V, Caragea DC, Padureanu R, Niculescu
             In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.   SA, et al. Clostridium difficile infection in pediatric patients (Review).
             Available online: www.ncbi.nlm.nih.gov/books/NBK436022/         Biomed Rep. 2023 Dec 8;20(2):18.
          2.  Radlović N. Cystic fibrosis. Srp Arh Celok Lek. 2012 Mar-  20.  Meguro M, Nambu R, Hara T, Ebana R, Yoshida M, Yamamoto S, et
             Apr;140(3-4):244-9.                                al. Clostridioides difficile Infection in a Japanese Tertiary Children's
          3.  Powers KS. Dehydration: Isonatremic, Hyponatremic, and   Hospital. Pediatr Gastroenterol Hepatol Nutr. 2022 Sep;25(5):387-95.
             Hypernatremic Recognition and Management. Pediatr Rev. 2015   21.  World Health Organization. The treatment of diarrhoea: a manual
             Jul;36(7):274-83; quiz 284-5. doi: 10.1542/pir.36-7-274. Erratum in:   for physicians and other senior health workers. In: World Health
             Pediatr Rev. 2015 Sep;36(9):422.                   Organization. Geneva; 2005. 4th rev. edition, WHO, Geneva; 2005.
          4.  Meyers RS. Pediatric fluid and electrolyte therapy. J Pediatr Pharmacol   22.  Wolfheim C, Fontaine O, Merson M. Evolution of the World Health
             Ther. 2009 Oct;14(4):204-11.                       Organization's programmatic actions to control diarrheal diseases. J
          5.  Farthing M, Salam MA, Lindberg G, Dite P, Khalif I, Salazar-Lindo E, et   Glob Health. 2019 Dec;9(2):020802.
             al. Acute diarrhea in adults and children: a global perspective. J Clin   23.  Pieścik-Lech M, Shamir R, Guarino A, Szajewska H. Review article: the
             Gastroenterol. 2013 Jan;47(1):12-20.               management of acute gastroenteritis in children. Aliment Pharmacol
          6.  Granado-Villar D, Cunill-De Sautu B, Granados A. Acute gastroenteritis.   Ther. 2013 Feb;37(3):289-303.
             Pediatr Rev. 2012 Nov;33(11):487-94; quiz 495.  24.  Lo Vecchio A, Dias JA, Berkley JA, Boey C, Cohen MB, Cruchet S, et al.
          7.  Hartman S, Brown E, Loomis E, Russell HA. Gastroenteritis in Children.   Comparison of Recommendations in Clinical Practice Guidelines for
             Am Fam Physician. 2019 Feb 1;99(3):159-165. Erratum in: Am Fam   Acute Gastroenteritis in Children. J Pediatr Gastroenterol Nutr. 2016
             Physician. 2019 Jun 15;99(12):732.                 Aug;63(2):226-35.
          8.  Radlović N, Vuletić B, Perić M. Akutna dijareja. U: Bogdanović R, Radlović   25.  Kotlof KL. Acute gastroenteritis in children. In:Kliegman RM, Stanton
             N, urednici. Pedijatrija – udžbenik za poslediplomsko usavršavanje   BF, Geme JW, Blum NJ, ShahSS, Tasker RC, Wilson KM, Behrman RE,
             lekara, 2. izdanje. Beograd: Akademska misao; 2022. str. 862-7.     editors.Nelson Textbook of Pediatrics, 21st ed(e). Philadelphia: Elsevier-
                                                                Saunders; 2020. pp. 2012-33.
          9.  Guarino A, Ashkenazi S, Gendrel D, Lo Vecchio A, Shamir R, Szajewska
             H. European Society for Pediatric Gastroenterology, Hepatology, and   26.  Lewy JE. Nephrology: Fluid and electrolytes. In: Behrman RE, Kliegman
             Nutrition; European Society for Pediatric Infectious Diseases. European   RM, editors. Nelson Essentials of Pediatrics. 2nd ed. Philadelphia: WB
             Society for Pediatric Gastroenterology, Hepatology, and Nutrition/  Saunders Comp; 1994. pp.573-610.
             European Society for Pediatric Infectious Diseases evidence-based   27.  Radlović N, Leković Z. Dehidracija i osnovni principi rehidracije deteta.
             guidelines for the management of acute gastroenteritis in children in   U: Bogdanović R, Radlović N, urednici. Pedijatrija – udžbenik za
             Europe: update 2014. J Pediatr Gastroenterol Nutr. 2014 Jul;59(1):132-  poslediplomsko usavršavanje lekara, 2. izdanje. Beograd: Akademska
             52.                                                misao; 2022. str. 336-9.
          10.  Koletzko S, Osterrieder S. Acute infectious diarrhea in children. Dtsch   28.  Anigilaje EA. Management of Diarrhoeal Dehydration in Childhood: A
             Arztebl Int. 2009 Aug;106(33):539-47; quiz 548.    Review for Clinicians in Developing Countries. Front Pediatr. 2018 Feb
          11.  Elliott EJ. Acute gastroenteritis in children. BMJ. 2007 Jan 6;334(7583):35-  23;6:28.
             40.                                             29.  Chisti MJ, Ahmed T, Ahmed AM, Sarker SA, Faruque AS, Islam MM, et
          12.  Dalby-Payne JR, Elliott EJ. Gastroenteritis in children. BMJ Clin Evid. 2011   al. Hypernatremia in Children With Diarrhea: Presenting Features,
             Jul 26;2011:0314.                                  Management, Outcome, and Risk Factors for Death. Clin Pediatr (Phila).
                                                                2016 Jun;55(7):654-63.
          13.  Posovszky C, Buderus S, Classen M, Lawrenz B, Keller KM, Koletzko S.
             Acute Infectious Gastroenteritis in Infancy and Childhood. Dtsch Arztebl   30.  Whyte DA, Fine RN. Acute renal failure in children. Pediatr Rev. 2008
             Int. 2020 Sep 11;117(37):615-24.                   Sep;29(9):299-306; quiz 306-7.
          14.  Hemphill A, Müller N, Müller J. Comparative Pathobiology of the   31.  Recommendations for Management of Common Childhood Conditions:
             Intestinal Protozoan Parasites Giardia lamblia, Entamoeba histolytica,   Evidence for Technical Update of Pocket Book Recommendations:
             and Cryptosporidium parvum. Pathogens. 2019 Jul 29;8(3):116.   Newborn Conditions, Dysentery, Pneumonia, Oxygen Use and Delivery,
                                                                Common Causes of Fever, Severe Acute Malnutrition and Supportive
          15.  Guandalini S, Kahn SA. Acute diarrhea. In: Kleinman RE, Sanderson R,   Care. Geneva: World Health Organization; 2012.
             Goulet O, Sherman PM, Mieli-Vergani G, Shneider B, editors. Walker’s
             Pediatric Gastrointestinal Disease. 5th ed. Hamilton: BCDecker Inc;   32.  Finberg L. Dehydration in infancy and childhood. Pediatr Rev. 2002
             2008. pp.253-64.                                   Aug;23(8):277-82.
          16.  Argudín MÁ, Mendoza MC, Rodicio MR. Food poisoning and   33.  Greenbaum LA. Maintenance and replacement fluid therapy. In:
             Staphylococcus aureus enterotoxins. Toxins (Basel). 2010 Jul;2(7):1751-  Kliegman RM, Stanton BF, Schol NF, St Geme III JW, Behrman RE,
             73.                                                editors. Nelson Textbook of Pediatrics. 19th ed. Philadelphia: Elsevier;
                                                                2011. p.242-9.
          17.  Grass JE, Gould LH, Mahon BE. Epidemiology of foodborne disease
             outbreaks caused by Clostridium perfringens, United States, 1998-2010.   34.  Motoyama M, Ichiyama T, Matsushige T, Kajimoto M, Shiraishi M,
             Foodborne Pathog Dis. 2013 Feb;10(2):131-6.        Furukawa S. Clinical characteristics of benign convulsions with rotavirus
                                                                gastroenteritis. J Child Neurol. 2009 May;24(5):557-61.


          84     DOI: 10.5937/Galmed2411073R
   81   82   83   84   85   86   87   88   89   90   91