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Early versus Delayed Refeeding for Children with Acute Diarrhoea.
Germana V Gregorio1, Leonila F Dans, Maria Asuncion Silvestre
1Department of Pediatrics, University of the Philippines College of Medicine, Philippine General Hospital, Taft Avenue, Manila, National Capital Region, Philippines, 1000.
The Cochrane Database of Systematic Reviews
|July 8, 2011
Summary
Early refeeding in children with acute diarrhoea is safe and does not increase complications. This study found no significant difference in intravenous fluid needs, vomiting, or persistent diarrhoea between early and late feeding groups.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Acute diarrhoea is a major cause of child mortality in low-income countries.
- Oral rehydration therapy and diet are key treatments, but feeding timing lacks data.
- Optimal dietary management during acute diarrhoea requires further investigation.
Purpose of the Study:
- To compare the safety and efficacy of early versus late reintroduction of feeding in children with acute diarrhoea.
- To evaluate the impact of feeding timing on treatment outcomes.
- To provide evidence-based recommendations for dietary management during childhood diarrhoea.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials.
- Searched multiple databases including Cochrane, MEDLINE, and EMBASE up to May 2011.
- Included children under 10 with acute diarrhoea, comparing early (within 12 hours) versus late (after 12 hours) refeeding.
Main Results:
- Twelve trials with 1283 participants were analyzed.
- No significant differences were found in the need for intravenous fluids, vomiting episodes, or persistent diarrhoea.
- Mean hospital stay was similar between early and late refeeding groups.
Conclusions:
- Early refeeding in children with acute diarrhoea is not associated with increased risks.
- The study found no evidence of harm from early refeeding practices.
- Further research is needed to determine optimal feeding strategies and their effect on diarrhoea duration.
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