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An oral electrolyte solution (Pedialyte) in the treatment of acute infantile gastroenteritis.


 During a 3-month period, 35 pediatric patients with infantile acute gastroenteritis were treated with a premixed oral glucose electrolyte solution. The study group consisted of 17 boys and 18 girls with a mean age of 12.4 months (range of 5.5-20 months). 13 patients (37%) had mild dehydration, 16 (46%) had moderate dehydration, and 6 (17%) had normal hydration. 29 (83%( had isotonic dehydration and only 6 (17%) presented with hypotonic dehydration. Almost all of the patients were admitted for a hospital stay of 3 days and on discharge, all were in good condition. None developed severe dehydration or needed intravenous fluid treatment. The mean weight gain during hospitalization was 147 gm with a range of 100-400 gm. Unexpectedly, pathogenic bacteria organisms were discovered in 24 (68.7%) of the total cases, but all the children recovered very well with the oral electrolyte solution only without the need for antibiotics. From clinical, chemical, and other observations, it could be concluded that this ready-to-feed oral electrolyte solution can be used safely and effectively for the treatment of acute infantile gastroenteritis both with or without mild or moderate dehydration. No complications were observed in this study.
