Admission to hospital with gastroenteritis. Issue 6 (June 1990)

• Record Type: Journal Article
• Authors: Conway, S P; Phillips, R R; Panday, S
• Is Part Of: Archives of disease in childhood. Volume 65:Issue 6(1990)
• Page Start: 579
• Page End: 584
• Publication Date: 1990-06
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/adc.65.6.579
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : A prospective study over a one year period examined preadmission illness and its treatment, social characteristics and referral patterns, and inpatient illness progression in 1148 children admitted with a primary diagnosis of gastroenteritis. Admissions were predominantly from socially disadvantaged families: 712 (62%) from social classes IV and V. Approximately a quarter were referred with minimal symptoms, only 12 (1%) with moderate to severe dehydration, and eight (less than 1%) with hypernatraemia. One hundred and ninety two of 1101 (17%) had not seen their general practitioner during the acute illness. One third had received no treatment and one third inappropriate antibiotics, antidiarrhoeals, antiemetics, or changes of milk. Gastroenteritis is a less severe illness than formerly but remains a significant cause of paediatric morbidity. Suboptimal treatment is common. Improved local district hospital and community based resources are needed.