Abstract
This chapter is a review of the ingredients of oral rehydration salt (ORS) solution and the use of ORS as first-line prevention and treatment of dehydration due to gastrointestinal fluid loss in children. It includes the physical assessment for degree of dehydration, the World Health Organization’s oral rehydration therapy (ORT) plan, and instructions for homemade ORS. Additionally, we review unique considerations when rehydrating a child with malnutrition and potential barriers to success in the treatment of dehydration with ORS.
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Abbreviations
- IVF:
-
Intravenous fluids
- ORS:
-
Oral rehydration salts
- ORT:
-
Oral rehydration therapy
- ReSoMal:
-
Rehydration Solution for Malnutrition
- SSS:
-
Sugar-salt solution
- UNICEF:
-
United Nations Children’s Fund
- WHO:
-
World Health Organization
References
Ofei SY, Fuchs GJ 3rd. Principles and practice of Oral rehydration. Curr Gastroenterol Rep. 2019;21(12):67.
Chen L, Tuo B, Dong H. Regulation of intestinal glucose absorption by ion channels and transporters. Nutrients. 2016;8(1):43.
Hirschhorn N. The treatment of acute diarrhea in children. An historical and physiological perspective. Am J Clin Nutr. 1980;33(3):637–63.
Binder HJ, et al. Oral rehydration therapy in the second decade of the twenty-first century. Curr Gastroenterol Rep. 2014;16(3):376.
WHO. The treatment of diarrhoea: a manual for physicians and other senior health workers, 4th rev. World Health Organization; 2005.
Boschi-Pinto C, Velebit L, Shibuya K. Estimating child mortality due to diarrhoea in developing countries. Bull World Health Organ. 2008;86(9):710–7.
Spandorfer PR, et al. Oral versus intravenous rehydration of moderately dehydrated children: a randomized, controlled trial. Pediatrics. 2005;115(2):295–301.
Hartman S, et al. Gastroenteritis in children. Am Fam Physician. 2019;99(3):159–65.
Hartling L, et al. Oral versus intravenous rehydration for treating dehydration due to gastroenteritis in children. Cochrane Database Syst Rev. 2006;3:CD004390.
WHO. Oral rehydration salts production of the new ORS. World Health Organization; 2006.
Houston KA, Gibb JG, Maitland K. Oral rehydration of malnourished children with diarrhoea and dehydration: a systematic review. Wellcome Open Res. 2017;2:66.
Santosham M, et al. A double-blind clinical trial comparing World Health Organization oral rehydration solution with a reduced osmolarity solution containing equal amounts of sodium and glucose. J Pediatr. 1996;128(1):45–51.
Walker CL, Black RE. Zinc for the treatment of diarrhoea: effect on diarrhoea morbidity, mortality and incidence of future episodes. Int J Epidemiol. 2010;39(Suppl 1):i63–9.
Dippenaar H, Joubert G, Nel R, Bantobetse ML, Opawole AA, Roshen KS. Homemade sugar-salt solution for oral rehydration: knowledge of mothers and caregivers. SA Fam Pract. 2005;47(2):51–3.
Focus of Diarrhea, Dehydration and Rehydration. [cited 2021 10/27/2021]; Available from: rehydrate.org.
CDC. Rehydration therapy. [2020 October 2, 2020 11/16/2021]; Available from: https://www.cdc.gov/cholera/treatment/rehydration-therapy.html.
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Howard, C., Gbadero, D.A. (2022). Oral Rehydration Therapy in a Low-Resource Setting. In: Slusher, T.M., Bjorklund, A.R., Lauden, S.M. (eds) Pediatric Procedural Adaptations for Low-Resource Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-99955-1_12
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DOI: https://doi.org/10.1007/978-3-030-99955-1_12
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