doiSerbia

Acute diarrhea in children

Radlović Nedeljko (Academy of Medical Sciences of the Serbian Medical Society, Belgrade + School of Medicine, Belgrade + University Children’s Hospital, Belgrade)
Leković Zoran (University Children’s Hospital, Belgrade)
Vuletić Biljana (Faculty of Medical Sciences, Kragujevac)
Radlović Vladimir (University Children’s Hospital, Belgrade)
Simić Dušica (School of Medicine, Belgrade + University Children’s Hospital, Belgrade)

Acute diarrhea (AD) is the most frequent gastroenterological disorder, and the main cause of dehydration in childhood. It is manifested by a sudden occurrence of three or more watery or loose stools per day lasting for seven to 10 days, 14 days at most. It mainly occurs in children until five years of age and particularly in neonates in the second half-year and children until the age of three years. Its primary causes are gastrointestinal infections, viral and bacterial, and more rarely alimentary intoxications and other factors. As dehydration and negative nutritive balance are the main complications of AD, it is clear that the compensation of lost body fluids and adequate diet form the basis of the child’s treatment. Other therapeutic measures, except antipyretics in high febrility, antiparasitic drugs for intestinal lambliasis, anti-amebiasis and probiotics are rarely necessary. This primarily regards uncritical use of antibiotics and intestinal antiseptics in the therapy of bacterial diarrhea. The use of antiemetics, antidiarrhetics and spasmolytics is unnecessary and potentially risky, so that it is not recommended for children with AD.

Keywords: acute diarrhea, etiopathogenesis, diagnostics, therapy