Abstract
A representative survey was conducted to ascertain the extent to which the modifications in scientifically based therapeutic measures over the last 10-15 years have been utilized by pediatricians in private practice. In the first 6 months of 1990, 427 practising pediatricians selected by random sampling were asked to complete a detailed questionnaire entitled “Treatment of acute mild infant gastroenteritis in your practice”. The questionnaires of 350 pediatricians (83%) were suitable for evaluation.
Results: 97% of all pediatricians prescribe a tea period (ORT) of < 6 hours in 54% and 6-12 hours in 26% of cases. Only 65% recommend the use of any form of electrolyte solution additionally! A transitional diet based on rice or carrot soup is still recommended by 7 5% of all pediatricians for 6-48 hours or even longer. In 73% of cases re-feeding itself takes place in the form of “Heilnahrungen” for 3-6 days, which also contrasts with recent investigations, which indicate that direct transition from ORT to previous nutrition is adequate. Surprisingly, there have been very few changes in the treatment of acute infant gastroenteritis as compared with the findings of the survey conducted by Scharf and Schaub 15 years ago - apart from an increase in the use of OR solutions. Information on modern, targeted therapy through suitable counselling measures for practising pediatricians is meaningful and necessary.
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Exl, BM., Miebach, C. NUTRITIONAL THERAPY FOR ACUTE MILD GASTROENTERITIS AS EMPLOYED BY PRACTISING PEDIATRICIANS. Pediatr Res 32, 623 (1992). https://doi.org/10.1203/00006450-199211000-00109
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DOI: https://doi.org/10.1203/00006450-199211000-00109