Abstract

MIRANDA CANDELARIO, Javier et al. Management of acute diarrhea in children hospitalized at the Hospital EsSalud Grau III. Acta méd. peruana [online]. 2011, vol.28, n.3, pp.146-149. ISSN 1728-5917.

Objetive: Evaluate the management of children hospitalized with acute diarrhea. Method: A retrospective observed and analyzed trial in hospitalized diarrhea during 2005, at Pediatric Service Grau Hospital. Results: 194 patients were enrolled, 57% males and 43% females. The most important group was major lactants 43% and pre-schoolchildren 42%. We had 84% well nutried. 61% received exclusively breast-feeding and 22% got antibiotic itself. They were hospitalized: 88%, with moderate, 10% mild and 2% severe dehydration. From 16 dysenteric diarrhea, 15 Received ATB. From 178 watery diarrhea, 80 were bacterial all of them got antibiotics, and 98 were viral: 73 without ATB and 25 with ATB for abrupt evolution. To decide ATB: value of fecal leukocytes, CBC and appearance clinical. It started with + 40 fecal leukocytes and some one with less than 20. All 194 patients received hydration EV, 19% started refeeding before 4° hours, 88% accepted ranitidina, 76% dimenhidrinato and 62% ATB, specially amikacina 61% and cloranfenicol 19%. Conclusions: There aren’t diagnostic tests fastest for rotavirus, and others like fecal lactoferrin. We noted sub utilization of oral dehydration therapy. We found excess intravenous therapy and other medicaments. Early Refereeing is not right. Excessive use of antibiotics. "This study reflexes the kind of work of most of Hospitals of our country".

Keywords : diarrhea; management; children.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )