González CEA

Language: Spanish
References: 17
Page: 2047-2060
PDF size: 534.82 Kb.

ABSTRACT

On the base of 55 years experience in the treatment of children with acute diarrhea and the updating of the knowledge acquired in the last decades in the Control Program for the Diarrheal disease of World Health Organization, it was decided to review the definitions of the different clinical types of this disorder and its differentiation with chronic diarrhea. Thus, some important aspects are offered such as the factors which prolong the common acute diarrhea, the use of antibiotics, vaccination against rotavirus, the vicious circle diarrhea-malnutrition, the use of probiotic and biotherapeutic agents, the intestinal bacterial overgrowth and the traveler's diarrhea. It was concluded that it is necessary to identify early the prolonged diarrhea and to indicate an opportune treatment to avoid its course toward persistent diarrhea, as well as its the negative effect on the growth of small children, which occasionally can cause them death.

REFERENCES

1. Organización Mundial de la Salud, Organización Panamericana de la Salud. Enfermedades diarreicas: prevención y tratamiento. Ginebra: OMS; 1995.

2. González de Dios J. Utilidad de las revistas secundarias. FMC. 2007; 14(5): 279-300.

3. Organización Mundial de la Salud. Cause Specific Mortality. World Health Report. Geneva: WHO; 2003.

4. Organización Mundial de la Salud, Fondo de Naciones Unidas para la Infancia. Clinical Management of Acute Diarrhea. Joint statement. Ginebra: OMS; 2004.

5. Buttza ZA. Gastroenteritis en niños. En: Nelson WE, Vaughan VC, McKay RJ. Nelson. Tratado de pediatría. 19 ed. Barcelona: Elsevier; 2011. p. 1379-95.

6. Moore SR, Lima NL, Soares AM, Oriá RB, Pinkerton RC, Barrett LJ, et all. Prolonged episodes of acute diarrhea reduce growth and increase risk of persistent diarrhea in children. Gastroenterology. 2010; 139(4): 1156-64.

7. Organización Mundial de la Salud, Fondo de Naciones Unidas para la Infancia. Report on WHO/UNICEF. Meeting on CDD Strategies for the 1990´s. Distribution due to untreated diarrhea and estimate impact of ORT plus feeding and full case management, 1990. Ginebra: OMS; 1990.

8. Organización Mundial de la Salud. Persistent diarrhea in children in developing countries. Memorandum from WHO Meeting Bull WHO. 1988; 66: 709- 17.

9. Enfermedades Diarreicas Prevención y tratamiento. OPS.OMS. Unidad 6. Anexo 2,3. 1995.

10. Organización Mundial de la Salud. Who, the global burden of disease. 2004. Update. Geneva: OMS; 2008.

11. Fondo de Naciones Unidas para la Infancia, Organización Mundial de la Salud. Diarrhea. Why children are still dying and what can be done? Geneva: WHO; 2009.

12. Bhutta ZA, Nelson EA, Lee WS, Tarr PI, Zablah R, Phua KB, et all. Recent advances and evidence gaps in persistent diarrhea. J Pediatr Gastroenterol Nutr. 2008, 47(2): 260-65.

13. Penny ME, Paredes P, Brown KH. Clinical and nutritional consequences of lactose feeding during persistent gastroenteritis diarrhea. Pediatrics. 1989; 84(5): 835-44.

14. Organización Mundial de la Salud. Persistent Diarrhea and Severe Persistent diarrhea in Hospital care for children. Pocket Book. Ginebra: OMS; 2005. p. 122-7.

15. González Corona E, Cubil Romero S. Diagnóstico y tratamiento de la diarrea persistente en un servicio de enfermedades diarreicas agudas. MEDISAN. 2002 [citado 14 Jun 2017]; 6(2).

16. Tomkins A, Watson F. Malnutrition and infection: a review. Nutrition Policy Discussion Paper. 1989; (5): 1-5.

17. Checkley W, Buckley G RH, Gilman RH, Assis AM, Guerrant RL, Saul S Morris, et al. Multi-country analysis of the effects on childhood stunting. Int J Epidemiol. 2008; 37(4): 816-30.