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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
ETIOLOGY AND MANAGEMENT OF ACUTE DIARRHOEAL DISEASES AMONG CHILDREN IN A TERTIARY CARE HOSPITAL, TIRUPATI
Author
Venkata Ramanaiah D1, Salam NMA2, Arumugam A2, Ravi Prabhu G3*
Email
raviprabhu1610@gmail.com
keyword
Etiology, Oral rehydration therapy, Exclusive breast feeding, Partial breast feeding, Management
Abstract
Globally there are nearly 1.7 billion cases of diarrhea every year. It is the second leading cause of death in under five children with 7.6 lakh deaths every year. Breast feeding has definite role in reducing the severity and duration of illness. This cross sectional study was conducted during Jan-Feb 2010 among 200 diarrhoeal cases in under five children admitted in a tertiary care hospital, Tirupati. The findings were analyzed using Epiinfo software 7 version. Overall, out of 3,055 admissions, there were 369 cases of acute diarrhoeal diseases in under five children giving the prevalence rate as 12.1%. Etiologically, majority of them are viral related (74.0%) while among the bacterial causes, E.coli was commonest with 20.0% and protozoans being found in 5.5% cases. Most of the cases were treated with both oral rehydration solution and intravenous fluids (68.5%). The proportion of severe dehydration was found to be higher in partially breast fed children (46.1%) compared to that of exclusively breast fed infants (18.7%). Partially breast fed infants significantly took higher time for recovery with 96.2% taking more than 3 days to recover compared to exclusively breast fed infants who took less than 3 days in majority of cases (97.5%). Thus the acute diarrhoeal diseases in under five children are mostly viral in origin. The use of intravenous fluids therapy is universal in all cases due to large public demand. This study has demonstrated the protective role of breast feeding in reducing the severity as well as the duration of the disease.
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