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Published on: December 27, 2024
Parental management of childhood diarrhea
Su-Ting T Li1, Eileen J Klein, Phillip I Tarr
1Department of Pediatrics, University of California Davis, Sacramento, California 95817, USA. su-ting.li@ucdmc.ucdavis.edu
Insights
Most parents use appropriate fluids for childhood diarrhea, but some use unproven functional foods or medications. Education is needed to improve adherence to pediatric diarrhea management guidelines.
Area of Science:
- Pediatrics
- Gastroenterology
- Public Health
Background:
- Acute diarrhea is a common childhood illness.
- Management guidelines exist to ensure safe and effective treatment.
- Parental practices may not always align with recommended guidelines.
Purpose of the Study:
- To assess the prevalence of therapies parents use for childhood acute diarrhea.
- To evaluate parental adherence to current diarrhea management guidelines.
- To determine the utilization of functional foods in managing pediatric diarrhea.
Main Methods:
- A survey was conducted with 623 parents of children presenting with diarrhea.
- Data collected included fluid therapies, non-recommended treatments, and functional food use.
- Statistical analysis identified factors associated with guideline non-adherence.
Main Results:
- 53% of parents used appropriate fluids, including oral rehydration solution (52%).
- 14% used non-recommended treatments (antidiarrheals 8%, sugary fluids 6%).
- 13% used functional foods (yogurt 11%, probiotics 4%); non-adherence was higher in older children and Hispanic families.
Conclusions:
- While many parents use appropriate fluids, non-recommended treatments and functional foods are common.
- Further research is needed on functional food efficacy in pediatric diarrhea.
- Enhanced parental education on guideline adherence and medication avoidance is crucial.
Abstract:
The objective was to determine the prevalence of therapies used by parents to manage acute diarrhea in their children and determine extent of parental adherence to current management guidelines and utilization of functional foods. Parents (N=623) of children with diarrhea were surveyed in a tertiary care pediatric emergency department. Most (53%) treated their child's diarrhea with appropriate fluids, including oral rehydration solution (52%), but 14% used treatments not recommended in current guidelines (antidiarrheals, 8%; fluids high in simple sugars, 6%). In addition, 13% used functional foods (yogurt, 11%; probiotics, 4%). Children whose parents did not adhere to guidelines were older (OR 1.02; 95% CI 1.01-1.02 years) and Hispanic (OR 2.1; 95% CI 1.1-3.9). Although most parents use appropriate fluids to treat their children's diarrhea, functional foods and antidiarrheal medications were also frequently administered. Further data on effectiveness of functional foods and education regarding avoidance of potentially harmful medications are needed.
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