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TITLE:

ACUTE DIARRHEAL MANAGEMENT ACCORDING TO WHO CRITERIA IN CHILDREN IN A PUBLIC SECTOR HOSPITAL

AUTHORS:

Dr. Sidra Riaz, Dr Shaista Razzaq, Dr. Mahpara Zahid

ABSTRACT:

Diarrhea is the passage of 3 or more loose or liquid stools per day, or more frequently than is normal for the individual. Objectives: To find out the frequency and percentage of acute diarrheal management according to WHO criteria in Pediatric Department Jinnah Hospital Lahore in Pakistan from 2nd Feb to 25th May 2018. Design: Descriptive cross sectional study. Place: Pediatric Department Jinnah Hospital Lahore. Study Period: 4 months. Subjects and Methods: A descriptive cross sectional study was conducted. A total of 100 subjects were recruited in study. Selection was made on laid down criteria after taking due consent. Data was collected through a pretested proforma. Data was compiled and analyzed through SPSS version 20. Results: Out of 100 subjects, diarrhea was found to be more common in children below 2 years [81%]. It was more common in females [57%] as compared to males [43%] .Acute diarrheal management according to WHO criteria was followed in 88% children [mean .88+0.327SD]. Cases of No Dehydration [10%], Mild Dehydration [56%], and Severe Dehydration [34%] were found. 55% children were Breastfed. ORS was given in 89%, Clean water 77%, Food based fluids 38%, Zinc supplements 96%, IV Ringer lactate/Normal saline 97%, Potassium supplements 97%, Dextrose 97%, Antibiotics 97% and follow up was done in 97%. Conclusion: The study showed that acute diarrheal management according to WHO criteria in children in public sector hospital was followed. The treatment of acute diarrhea has proven that oral therapy, with a fluid-electrolyte solution for rehydration and maintenance, is simple and effective. The combination of oral rehydration and early nutritional support guides a patient through an episode of diarrhea safely and effectively. Key Words: Acute Diarrhea, Management, WHO Criteria.

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