ITEMS IN AFP WITH KEYWORD:
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Physical examination is the best way to assess hydration in children with gastroenteritis. Depending on dehydration severity, treatment includes oral rehydration therapy, with half-strength apple juice or an oral rehydration solution, or intravenous rehydration therapy. An antiemetic may be added to increase the success rate of oral rehydration therapy. Handwashing, breastfeeding, and rotavirus vaccination can help prevent acute gastroenteritis in children.
Find out which medications are recommended for specific infections, when to begin empiric antibiotic therapy, and how to report suspected cases to local health authorities.
Apr 1, 2015 Issue
Ondansetron for Gastroenteritis in Children and Adolescents [Medicine by the Numbers]
Studies show vomiting stopped in 1 in 5 patients and diarrhea was a consistent adverse effect. Find out more.
Find out which neurotransmitter pathway is causing the patent’s nausea and vomiting, and learn which medications are most effective in specific clinical situations.
The popularity and increased availability of gluten-free foods allow patients with celiac disease to lead a more normal lifestyle. It is important to understand that in the absence of gluten-related symptoms, a gluten-free diet is not synonymous with healthy and may only add increased cost with no benefit.
In the absence of acute abdominal pain, significant headache, or recent initiation of certain medications, acute nausea and vomiting is usually the result of self-limited gastrointestinal infections. Nausea and vomiting is also a common adverse effect of radiation therapy, chemotherapy, and surgical...
Jun 1, 2012 Issue
Antiemetics for Acute Gastroenteritis–Related Vomiting in Children and Adolescents [Cochrane for Clinicians]
Ondansetron (Zofran) given orally can reduce rates of vomiting, improve short-term tolerance of oral fluids, and reduce short-term rates of hospital admission and the need for intravenous hydration. Metoclopramide (Reglan) and ondansetron can reduce episodes of vomiting when given intravenously. Dim...
Acute gastroenteritis in children is a major cause of morbidity in the United States. Viral infections, primarily from rotavirus, cause 75 to 90 percent of cases. The remaining infections are largely bacterial, with as many as 10 percent of cases secondary to diarrheagenic Escherichia coli. The hist...