688 Are the 2009 Espghan/Espid'S Recommendations in Acute Gastroenteritis used Correctly?. (October 2012)

• Record Type: Journal Article
• Authors: Antunes, H; Farinha, D; Baptista, V
• Is Part Of: Archives of disease in childhood. Volume 97(2012)Supplement 2
• Page Start: A198
• Page End: A199
• Publication Date: 2012-10
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2012-302724.0688
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Background: The ESPGHAN/ESPID acute gastroenteritis (AGE) recommendations management were published in 2009. Aim: Study these recommendations in a tertiary hospital ER during rotavirus (RV) season. Material and Methods: Retrospective, observational and analytical study, from January 1 to April 30, 2010, in younger than 18 years old, admitted at the ER with criteria for AGE(>3 stools in the last 24 hours). Results: From the 13 780 children admitted in ER, 770 had AGE (incidence 5.6%). Were male 57.1%, 93.5% came without prior referral and 91.5% didn't take Oral Rehydration Solution (ORS). Had fever 34.2%, 68.7% vomit and 10.9% dehydration. At the ER, the ORS was administered in 62.1%. Diagnostic tests were not performed in 63.8%; 4.4% were admitted at the observations room; 0.3% at the pediatric department. Age was significantly associated with use of ORS (ORS: 42.84±45.16 months vs "no ORS": 87.16±64.61, p <0, 001). The ORS was prescribed to 68.2%, "not recommended" drugs in 63 cases and more often in older children ("not recommended" 67.05±60.46 vs "no medication": 49.60±49.33 months, p =0, 038). Blood analyses were performed in 6.4% and in children significantly older (85.57±65.62 vs 51.89±54.49 months, p <0, 001). Similar results were observed for the urine dipstick (85.57±65.62 vs 54.14±49.51, p =0, 002), stool (85.57±65.62 vs 28.16±38.50, p =0, 008) and stool/blood (85.57±65.62 vs 13.45± 13.85, p <0, 001). At discharge, diet changes were recommended in 37% children. Conclusion: AGE incidence was 5.6%. Management was most based on ESPGHAN/ESPID's recommendations. There was still an inappropriate use of drugs and diet changes. The use of ORS before referral to the ER was rare.