PMID: 29479086Feb 27, 2018Paper

Assessment of severity of acute gastroenteritis in the paediatric Pakistani population by Modified Vesikari Score

JPMA. the Journal of the Pakistan Medical Association
Muhammad Ashraf Sultan, Zeeshan Hassan

Abstract

To assess the severity of acute gastroenteritis in paediatric population. This observational cross-sectional study was conducted at 93 randomly selected outpatient centres with paediatric practice across Pakistan between July 2014 and January 2015, involving children between 3 to 48 months of age suffering from acute gastroenteritis. The severity of acute gastroenteritis was measured using Modified Vesikari Score. SPSS 18 was used for data analysis. There were 1,756subjects having a mean age of 18.6±12.0 months. There were 220(12.52%) children ?6 months out of whom 73(33%) were exclusively breastfed. Most children had moderate 1,041(59.3%) and severe 403(22.9%) acute gastroenteritis. Overall 1,401(79.8%) carers were females, of whom 1,080(77.1%) were mothers with a mean age of 29.7±6.7 years. Oral rehydration solution 1,357(77.3%), plain water 1,083(61.7%), antipyretics 783(44.6%) and anti-diarrhoeals 645(36.7%) were most common medicines administered at home by the carers. Mean duration between gastroenteritis onset and seeking consultation was 2.7±1.7 days. Most common treatment provided by physicians were oral rehydration solution 1,451(82.6%), antibiotic 1,294(73.7%) and probiotic 1,105(62.9%). Worsening of symptoms 1,152(6...Continue Reading

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