Universität zu Köln

Lo Vecchio, Andrea ORCID: 0000-0003-4181-6842, Vandenplas, Yvan, Benninga, Marc, Broekaert, Ilse, Falconer, Jackie, Gottrand, Frederic, Lifschitz, Carlos, Lionetti, Paolo, Orel, Rok, Papadopoulou, Alexandra, Ribes-Koninckx, Carmen, Salvatore, Silvia, Shamir, Raanan, Schappi, Michela, Staiano, Annamaria, Szajewska, Hania ORCID: 0000-0002-4596-2874, Thapar, Nikhil, Wilschanski, Michael and Guarino, Alfredo ORCID: 0000-0003-0199-0336 (2016). An international consensus report on a new algorithm for the management of infant diarrhoea. Acta Paediatr., 105 (8). S. E384 - 6. HOBOKEN: WILEY. ISSN 1651-2227

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Abstract

Aim: 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. Methods: 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. Results: 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 Lactose should always be withdrawn. Conclusion: This algorithm provides an evidence-based sequence of interventions to optimise the management of infants with acute diarrhoea.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lo Vecchio, Andrea UNSPECIFIED orcid.org/0000-0003-4181-6842 UNSPECIFIED Vandenplas, Yvan UNSPECIFIED UNSPECIFIED UNSPECIFIED Benninga, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Broekaert, Ilse UNSPECIFIED UNSPECIFIED UNSPECIFIED Falconer, Jackie UNSPECIFIED UNSPECIFIED UNSPECIFIED Gottrand, Frederic UNSPECIFIED UNSPECIFIED UNSPECIFIED Lifschitz, Carlos UNSPECIFIED UNSPECIFIED UNSPECIFIED Lionetti, Paolo UNSPECIFIED UNSPECIFIED UNSPECIFIED Orel, Rok UNSPECIFIED UNSPECIFIED UNSPECIFIED Papadopoulou, Alexandra UNSPECIFIED UNSPECIFIED UNSPECIFIED Ribes-Koninckx, Carmen UNSPECIFIED UNSPECIFIED UNSPECIFIED Salvatore, Silvia UNSPECIFIED UNSPECIFIED UNSPECIFIED Shamir, Raanan UNSPECIFIED UNSPECIFIED UNSPECIFIED Schappi, Michela UNSPECIFIED UNSPECIFIED UNSPECIFIED Staiano, Annamaria UNSPECIFIED UNSPECIFIED UNSPECIFIED Szajewska, Hania UNSPECIFIED orcid.org/0000-0002-4596-2874 UNSPECIFIED Thapar, Nikhil UNSPECIFIED UNSPECIFIED UNSPECIFIED Wilschanski, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Guarino, Alfredo UNSPECIFIED orcid.org/0000-0003-0199-0336 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-268611
DOI:	10.1111/apa.13432
Journal or Publication Title:	Acta Paediatr.
Volume:	105
Number:	8
Page Range:	S. E384 - 6
Date:	2016
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1651-2227
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CLINICAL DEHYDRATION SCALE; PEDIATRIC GASTROENTEROLOGY; EUROPEAN-SOCIETY; CHILDREN; GUIDELINES; VALIDATION; HEPATOLOGY; PROBIOTICS; ADHERENCE; ESPGHAN Multiple languages Pediatrics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26861