Gastroenteritis in Alice Springs.

The Medical Journal of Australia
A J Gardiner

Abstract

One hundred and thirty admissions to Alice Springs Hospital of full-blood Aboriginal children with acute gastroenteritis during a six-months period in 1975-1976 were examined retrospectively. Sixty-two (48%) of the children were malnourished, including seven (5.4%) who were marasmic. An accelerated weight gain was demonstrated during the recovery phase, averaging 418% of that expected for age. Hypokalaemia occurred in 77 of 117 children (66%); it was severe (serum potassium levels being less than or equal to 2.5 mmol/l.) in 15 (13%), and did not correlate with dehydration as assessed by initial weight gain, or with nutritional status. Hyponatraemia occurred in 32 of 123 children (26%) and was severe (serum sodium levels being less than or equal to 130 mmol/l.) in 11 (9%). Hypoalbuminaemia (serum albumin levels below 35 g/l.) and anaemia (haemoglobin values below 10 g/100 ml) occurred in 15% and 22% respectively. Potential faecal pathogens were isolated during 80 of the 130 admissions (62%). Multiple pathogens were common. Interrelationships of nutrition, infection and immune response are discussed, and measures for reducing morbidity and mortality are outlined.

References

Feb 19, 1977·The Medical Journal of Australia·R D SchnaglF Dickinson-Jones
Aug 1, 1976·Australian and New Zealand Journal of Medicine·G W FordD K Kirke
Apr 1, 1974·The American Journal of Clinical Nutrition·M Gracey Sunoto
Jun 1, 1973·Australian and New Zealand Journal of Medicine·M Gracey, G Bower
Dec 1, 1973·Australian and New Zealand Journal of Medicine·M Gracey
Aug 1, 1972·Australian and New Zealand Journal of Medicine·M Gracey, D E Stone
Feb 12, 1972·The Medical Journal of Australia·J Walker-Smith
Apr 29, 1972·The Medical Journal of Australia·A C Walker, J G Harry
Oct 16, 1971·The Medical Journal of Australia·J A Keipert, D S Nurse
Nov 15, 1969·The Medical Journal of Australia·D K Kirke
Jan 25, 1969·The Medical Journal of Australia·P M Moodie
Jun 1, 1969·The American Journal of Clinical Nutrition·G M Maxwell, R B Elliott

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Citations

Oct 1, 1982·Journal of Biosocial Science·F Yusuf, A Hamilton
Dec 1, 1988·European Journal of Epidemiology·R N RatnaikeA Gibbs

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