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MINERVA PEDIATRICA

A Journal on Pediatrics, Neonatology, Adolescent Medicine,
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Minerva Pediatrica 1999 June;51(6):221-6

language: Italian

Practice guidelines to manage children admitted in a general pediatric department with very mild or mild acute infective diarrhoea

Colombo M., Porrati T., Magni L. A.


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A clinical-anamnestic card is proposed to gather the main minimal parameters which allow to monitor the course of children with severe or mild acute infective diarrhoea admitted to a pediatric department. This method has been verified through a back-evaluation of the data collected in our clinical-anamnestic cards throughout a period of seven months, and found it useful and appropriate. This case-record includes very mild or mild acute infective diarrhoea (corresponding to a loss lower than 10% of total body weight) in pediatric age children hospitalized in a general pediatric department. The clinical-anamnestic card is divided into five parts coinciding to five different clinical stages of the disease; during each stage, the essential anamnestic and/or clinical data necessary to a correct medical and nursing approach to the children affected with infective acute diarrhoea are recorded. The use of this card is also a good way to engage physicians, nurses and children's parents too, to pay attention to the substantial factors necessary for a correct management of the disease. The evaluation of these clinical-anamnestic cards led to the following general conclusions: ‹ to keep body weight unmodified from the day of admission to the day of discharge ‹ to use very seldom milk without lactose ‹ to keep children on a very short term diet in order to quickly restore intestinal function, to increase body weight and to discharge children in few days.

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