Parental Management of Childhood Diarrhea
Parental Management of Childhood Diarrhea
复制标题
DOI：
10.1177/0009922808327057
复制
发表时间：
2009-04-01
影响因子：
1.6
通讯作者：
Denno, Donna M.
中科院分区：
文献类型：
--
作者：
Li, Su-Ting T.;Klein, Eileen J.;Denno, Donna M.
目的是确定父母用于治疗儿童急性腹泻的疗法的流行程度，并确定父母对现行管理指南和功能性食品使用的遵守程度。对三级儿科急诊科腹泻儿童的家长 (N = 623) 进行了调查。大多数 (53%) 使用适当的液体治疗孩子的腹泻，包括口服补液 (52%)，但 14% 使用当前指南中未推荐的治疗方法（止泻药，8%；单糖含量高的液体，6%）。此外，13%使用功能性食品（酸奶，11%；益生菌，4%）。父母不遵守指南的儿童年龄较大（OR 1.02；95% CI 1.01-1.02 岁）且为西班牙裔（OR 2.1；95% CI 1.1-3.9）。尽管大多数家长使用适当的液体来治疗孩子的腹泻，但也经常服用功能性食品和止泻药物。需要有关功能性食品有效性的进一步数据以及有关避免潜在有害药物的教育。
The objective was to determine the prevalence of therapies used by parents to manage acute diarrhea in their children and determine extent of parental adherence to Current management guidelines and utilization of functional foods. Parents (N = 623) of children with diarrhea were surveyed in a tertiary care pediatric emergency department. Most (53%) treated their child's diarrhea with appropriate fluids, including oral rehydration solution (52%), but 14% used treatments not recommended in current guidelines (antidiarrheals, 8%; fluids high in simple sugars, 6%). In addition, 13% used functional foods (yogurt, 11%; probiotics, 4%). Children whose parents did not adhere to guidelines were older (OR 1.02; 95% CI 1.01-1.02 years) and Hispanic (OR 2.1; 95% CI 1.1-3.9). Although most parents use appropriate fluids to treat their children's diarrhea, functional foods and antidiarrheal medications were also frequently administered. Further data on effectiveness of functional foods and education regarding avoidance of potentially harmful medications are needed.