Orta Derece Dehidrate Olan Çocukların Tedavisinde Kullanılan 4 Çeşit ORS'nin Retrospektif Değerlendirmesi

Abstract

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.