Short term measures for controlling acute diarrhoeal diseases include appropriate clinical management, oral rehydration therapy (ORT), and home remedies. ORT involves replacing lost water and electrolytes and has been shown to treat 90-95% of cases. Improved ORT solutions have reduced osmolality and included additional ingredients like trisodium citrate to make the packet more stable. Guidelines are provided for assessing dehydration levels and administering ORT based on age. Homemade ORS and home available fluids like rice water or weak tea can also be used if commercial ORT is unavailable. Other nutritional support like continuing usual foods and breastfeeding are important along with ORT.

1. CONTROL OF ACUTE
DIARRHOEAL DISEASES
Dr .M.V.Sagar department of community medicine Subbaiah institute of medical
sciences shivamogga

2. CONTROL OF ACUTE DIARRHOEAL
DISEASES SHORT TERM MEASURES
Short term measures
1. Appropriate clinical management
2. Oral rehydration therapy
3. 90 to 95 % of cases can be treated by O R T
4. Based on following observation
5. Glucose given orally enhance the Intestinal absorption
of water and electrolytes and is capable of correcting
water and electrolytes deficit

3. IMPROVED ORT
•Inclusion of trisodium citrate in place of sodium
bicarbonate make ore packet more stable
•Improved O . R .S . By reducing the osmolality
(decreasing sodium to 75 mill moll )
•Total osmolality reduced to 275 m mole

4. GUIDELINES FOR ASSESSMENT OF
DEHYDRATION

5. Age Ors to be given
Within 4 hours
Maintence dose
For remaining
days
4 to11 months 200to 400 m l 75 m l per kg body
weight
1 to 2 years 600to 800 ml Same
2to 4 years 800to 1200 m l Same

6. HOME MADE O R S AND HOME
AVAILABLE FLUIDS
How to prepare home made O R S
One level teaspoon of salt(table salt) and 6level tea
spoon of sugar dissolved in one litter of water
Home available fluid

7. HOME MADE O R S AND HOME
AVAILABLE FLUIDS (H A F)
Rice water
Unsalted soup
Weak tea
Add 3 gram of salt for soup or rice water

8. FLUIDS NOT TO BE GIVEN
• Commercial Carbonated water
• Commercial fruit juice
• Sweetened tea

9. OTHER NUTRITIONAL SUPPORT ALONG WITH
O R S
• Infants usual food cereals and pulses and vegetables to
be continued
• FOOD SHOULD NEVER BE WITHHELD
• CHILD FOOD SHOULD NEVER BE DILUTED
• MULTI NUTRIENT RICH FOOD

10. OTHER NUTRITIONAL SUPPORT ALONG WITH
O R S
• BREAST FEEDING
• ZINC SUPPLEMENTATION

12. W H O PLAN A
TREATMENT FOR
DEHYDRATION
W H O PLAN
B TREATMENT
FOR
DEHYDRATIO
N
C
TREATMENT
PLAN FOR
DEHYDRATI
ON