Abstract
OBJECTIVE: To study fecal and urinary losses of nitrogen and fat, in milk fed infants admitted for acute diarrhea. MATERIALS AND METHODS: metabolic balances were performed in 31 male infants (2 to 11 mo), on days 1-2 and 6-7 after admission in the hospital. All had history of less than 3 days of diarrhea and dehydration. They were fed increasing volumes of diluted powdered cow's milk (8% w/v) plus 5% sucrose and 3% maltodextrine and rehydrated only with an oral solution (60mEqNa/l); no antibiotics were used.
In Balance I 13 out of 16 with rotavirus and 8/15 with E.Coli had negative N Balance (p < 0.05). In Balance II infants with diarrhea due to E.Coli presented higher N fecal excretion (*p < 0.025). CONCLUSIONS: Fecal losses of nitrogen and fat are similar in rotavirus or E.Coli diarrhea during the first stage. Fecal N losses are higher with E.Coli during the recovery of the illness. In the first stages of acute diarrhea nitrogen balance is more frequently negative with rotavirus than with E.Coli, with increase of both fecal and urinary N losses.
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Venegas, G., Castillo-Durán, C., Henríquez, M. et al. MACRONUTRIENT BALANCE IN ACUTE DIARRHEA OF INFANTS. Pediatr Res 32, 739 (1992). https://doi.org/10.1203/00006450-199212000-00036
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DOI: https://doi.org/10.1203/00006450-199212000-00036