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Am Fam Physician. 2019 Jun 15;99(12):732.

Incorrect amount listed in table. The article “Gastroenteritis in Children” (February 1, 2019, p. 159) contained an error in the last column of row two of Table 4 (page 162). The table incorrectly identified the amount of oral rehydration solution (ORS) to give in the first four hours for children weighing 5 to 7.9 kg (11 lb to 17 lb, 7 oz) as 200 to 400 mL rather than 400 to 600 mL. Table 4 is reprinted below and the online version of the article has been corrected.

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TABLE 4

WHO Guidelines for Administering ORS in Children

Weight*Age*Approximate amount of ORS (mL) to give in the first four hours

Less than 5 kg (11 lb)

Younger than four months

200 to 400

5 to 7.9 kg (11 lb to 17 lb, 7 oz)

Four to 11 months

400 to 600

8 to 10.9 kg (17 lb, 10 oz to 24 lb)

12 to 23 months

600 to 800

11 to 15.9 kg (24 lb, 4 oz to 35 lb)

Two to four years

800 to 1,200

16 to 29.9 kg (35 lb, 4 oz to 65 lb, 15 oz)

Five to 14 years

1,200 to 2,200

30 kg (66 lb, 2 oz) or more

15 years or older

2,200 to 4,000


Note: If the patient wants more ORS than shown, give more. Encourage breastfeeding mothers to continue breastfeeding the child. For infants younger than six months who are not breastfed: if using the old WHO ORS solution (90 mEq per L of sodium), add an extra 100 to 200 mL of clean water; this is not necessary if using the new reduced osmolarity ORS (75 mEq per L of sodium).

ORS = oral rehydration solution; WHO = World Health Organization.

*—Use the patient's age only if the weight is not known. The approximate amount of ORS required (in mL) can also be calculated by multiplying the patient's weight in kg by 75.

Adapted with permission from World Health Organization. The treatment of diarrhoea: a manual for physicians and other senior health workers. 2005. http://apps.who.int/iris/bitstream/10665/43209/1/9241593180.pdf. Accessed January 3, 2018.

TABLE 4

WHO Guidelines for Administering ORS in Children

Weight*Age*Approximate amount of ORS (mL) to give in the first four hours

Less than 5 kg (11 lb)

Younger than four months

200 to 400

5 to 7.9 kg (11 lb to 17 lb, 7 oz)

Four to 11 months

400 to 600

8 to 10.9 kg (17 lb, 10 oz to 24 lb)

12 to 23 months

600 to 800

11 to 15.9 kg (24 lb, 4 oz to 35 lb)

Two to four years

800 to 1,200

16 to 29.9 kg (35 lb, 4 oz to 65 lb, 15 oz)

Five to 14 years

1,200 to 2,200

30 kg (66 lb, 2 oz) or more

15 years or older

2,200 to 4,000


Note: If the patient wants more ORS than shown, give more. Encourage breastfeeding mothers to continue breastfeeding the child. For infants younger than six months who are not breastfed: if using the old WHO ORS solution (90 mEq per L of sodium), add an extra 100 to 200 mL of clean water; this is not necessary if using the new reduced osmolarity ORS (75 mEq per L of sodium).

ORS = oral rehydration solution; WHO = World Health Organization.

*—Use the patient's age only if the weight is not known. The approximate amount of ORS required (in mL) can also be calculated by multiplying the patient's weight in kg by 75.

Adapted with permission from World Health Organization. The treatment of diarrhoea: a manual for physicians and other senior health workers. 2005. http://apps.who.int/iris/bitstream/10665/43209/1/9241593180.pdf. Accessed January 3, 2018.

 

 

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