engleski

Rationale for Early Feeding in Childhood Gastroenteritis

Historical review of the treatment of children with gastroenteritis makes interesting reading and suggests that until the 1930s children with diarrhea were not routinely starved. An 1893 Vade Mecum states, “diet should be given sparingly, consisting of non-irritating articles— gruel, rice, arrowroot, Neave's food prepared with extra quantity of milk, old rice well cooked with milk. Best diet is milk-and-limewater, iced if feverish” (1). This practice changed in 1926 when Powers (2) described the major procedures in the treatment of “intestinal intoxication” as fluid administration, blood transfusion, withholding food for a period of time, and feeding at the end of the period of starvation in gradually increasing amounts. Therapeutic starvation became the established practice in addition to intravenous fluid therapy

oral rehydration solution ; acute diarrhea ; dietary-management ; clinical-trials ; infants ; multicenter ; children ; milk ; recommendations ; permeability

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