TY - JOUR
T1 - An international consensus report on a new algorithm for the management of infant diarrhoea
AU - Lo Vecchio, Andrea
AU - Vandenplas, Yvan
AU - Benninga, Marc
AU - Broekaert, Ilse
AU - Falconer, Jackie
AU - Gottrand, Frederic
AU - Lifschitz, Carlos
AU - Lionetti, Paolo
AU - Orel, Rok
AU - Papadopoulou, Alexandra
AU - Ribes-Koninckx, Carmen
AU - Salvatore, Silvia
AU - Shamir, Raanan
AU - Schäppi, Michela
AU - Staiano, Annamaria
AU - Szajewska, Hania
AU - Thapar, Nikhil
AU - Wilschanski, Michael
AU - Guarino, Alfredo
PY - 2016
Y1 - 2016
N2 - Implementing international guidelines guarantees high standards of clinical care. A group of experts developed an algorithm to drive the management of common gastrointestinal symptoms in infancy by paediatricians and general practitioners. The algorithm started from the evidence-based recommendations of the European Society of Gastroenterology, Hepatology and Nutrition and the European Society of Pediatric Infectious Diseases and an updated review of the literature. We used the structured quantitative method of nominal group technique to reach a consensus. A practical algorithm for the management of infants with acute diarrhoea was designed based on the consensus reached for each statement. The management of an infant with acute diarrhoea should include a sequence of actions: (i) a semiquantitative estimate of infant dehydration through validated clinical scores, (ii) rehydration therapy and early refeeding with breast milk or regular formula and (iii) effective agents to reduce the severity and duration of the diarrhoea. Finally, in children with prolonged diarrhoea, the search for aetiology should include persistent infections or reinfections, cows' milk protein allergy and coeliac diseases. Lactose should always be withdrawn. This algorithm provides an evidence-based sequence of interventions to optimise the management of infants with acute diarrhoea
AB - Implementing international guidelines guarantees high standards of clinical care. A group of experts developed an algorithm to drive the management of common gastrointestinal symptoms in infancy by paediatricians and general practitioners. The algorithm started from the evidence-based recommendations of the European Society of Gastroenterology, Hepatology and Nutrition and the European Society of Pediatric Infectious Diseases and an updated review of the literature. We used the structured quantitative method of nominal group technique to reach a consensus. A practical algorithm for the management of infants with acute diarrhoea was designed based on the consensus reached for each statement. The management of an infant with acute diarrhoea should include a sequence of actions: (i) a semiquantitative estimate of infant dehydration through validated clinical scores, (ii) rehydration therapy and early refeeding with breast milk or regular formula and (iii) effective agents to reduce the severity and duration of the diarrhoea. Finally, in children with prolonged diarrhoea, the search for aetiology should include persistent infections or reinfections, cows' milk protein allergy and coeliac diseases. Lactose should always be withdrawn. This algorithm provides an evidence-based sequence of interventions to optimise the management of infants with acute diarrhoea
U2 - https://doi.org/10.1111/apa.13432
DO - https://doi.org/10.1111/apa.13432
M3 - Article
C2 - 27101938
SN - 0803-5253
VL - 105
SP - e384-e389
JO - Acta paediatrica (Oslo, Norway
JF - Acta paediatrica (Oslo, Norway
IS - 8
ER -