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Management of diarrhoea  :- ,[object Object],[object Object],[object Object]
Introduction in brief  :- ,[object Object],[object Object]
Pathogen % of cases Viruses Rotavirus 15 to 25% Bacteria Enterotoxigenic Escherichia coli 10 to 20% shigella 5 to 15% Campylobacter jeijuni 10 to 15% Vibrio cholerae 5 to 10% salmonella 1 to 5% Protozoans Cryptosporidium 5 to 15% No  pathogen found - 20 to 30% Pathogens frequently identified in treatment centres in children
Principles of management:- ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rehydration :- ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],In 1 litre of water or glucose solution
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Rationale of ORS composition :- ,[object Object],[object Object],[object Object],[object Object],[object Object]
WHO recommends:- ,[object Object],[object Object],[object Object],[object Object],[object Object],(Total osmolarity of 310mOsm/L)
New formula of WHO–ORS:- ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Administration of ORS:- ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maintenance of nutrition :- ,[object Object],[object Object]
Drug therapy:- ,[object Object],[object Object]
Choice of drug for children in dehydration - Pathogen Drug given Enterotoxigenic Escherichia coli shigella Campylobacter jeijuni Vibrio cholerae salmonella Entamoeba histolytica L.giardia Nalidixic acid,cotromoxazole,ampicillin Nalidixic acid , cotromoxazole, ampicillin,inj. gentamicin Erythromycin, furazolidin,chloramphenicol,gentamycin Furazolidin,cotrimoxazole,tetracycline,erythromycin Metronidazole,tinidazole,secnidazole Metronidazole,tinidazole,secnidazole Ampicillin,chloramphenicol
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Diarrhoea Treatment

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  • 3. Pathogen % of cases Viruses Rotavirus 15 to 25% Bacteria Enterotoxigenic Escherichia coli 10 to 20% shigella 5 to 15% Campylobacter jeijuni 10 to 15% Vibrio cholerae 5 to 10% salmonella 1 to 5% Protozoans Cryptosporidium 5 to 15% No pathogen found - 20 to 30% Pathogens frequently identified in treatment centres in children
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  • 15. Choice of drug for children in dehydration - Pathogen Drug given Enterotoxigenic Escherichia coli shigella Campylobacter jeijuni Vibrio cholerae salmonella Entamoeba histolytica L.giardia Nalidixic acid,cotromoxazole,ampicillin Nalidixic acid , cotromoxazole, ampicillin,inj. gentamicin Erythromycin, furazolidin,chloramphenicol,gentamycin Furazolidin,cotrimoxazole,tetracycline,erythromycin Metronidazole,tinidazole,secnidazole Metronidazole,tinidazole,secnidazole Ampicillin,chloramphenicol