Orta Derece Dehidrate Olan Çocukların Tedavisinde Kullanılan 4 Çeşit ORS'nin Retrospektif Değerlendirmesi
Özet
Diarrhea in children is world’s leading cause of morbidity and mortality of less
developed and the developing countries. Acute gastroenteritis, is very common in
infancy and early childhood, with children under the age of 5 in developing countries
have diarrhea an average of 3 times per year and about 1.9 million children die from
diarrhea per year. Although ORS play an important role in the treatment of children
with moderate dehydration, there are small number of studies comparing the
efficiency of all types of ORS in the world. There are no studies on this subject in
Turkey. In this study, files of 400 cases (100 from each group) were evaluated 4
types of ORS (1- Hipoosmolar ORS, 2-2:1 ORS, 3- Rice ORS, 4- Standard WHO
ORS) used in moderately dehydrated cases who admitted to Hacettepe University
İhsan Doğramacı Children Hospital Diarrheal Diseases Training and Treatment unit)
between 1993-2012 retrospectively analyzed.It is observed that prevalence was high
in spring and summer, male sex was more than female sex and the distribution of
average age ranges between 4-12 months. It was found that shortening of duration of
recovery time and frequency of diarrhea, unprogrammed IV treatment has been more
in hypotonic ORS. It is considered that the result we found for unprogrammed IV
treatment in hypotonic ORS was different from the literature because of the
treatment protocol applied in emergency clinic. When we scanned the laboratory
findings, it was observed that all types of ORS stabilized bicarbonate and pH
statistically to a great extend and help patients to gain an average weight. The rate of
hospitalization was more often in patients used rice ORS.
