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Management of childhood diarrhoea at the household level: a population-based survey in north-east Brazil.
Barros, F C; Victora, C G; Forsberg, B; Maranhão, A G; Stegeman, M; Gonzalez-Richmond, A; Martins, R M; Neuman, Z A; McAuliffe, J; Branco, J A.
Afiliação
  • Barros FC; Department of Social Medicine, Universidade Federal de Pelotas, Brazil.
Bull World Health Organ ; 69(1): 59-65, 1991.
Article em En | MEDLINE | ID: mdl-2054921
The management of childhood diarrhoea at the household level was studied in a population-based survey in four states in north-east Brazil. Of a representative sample of 6524 children under 5 years of age, 982 (15.1%) had diarrhoea on the day of the interview or had had diarrhoea at some time during the previous 15 days. A total of 66% of the children were not taken for treatment, while government health services were used by 14%, private doctors by 1%, and traditional healers (rezadeiras) by 24%. Oral rehydration therapy was given to 24.3% of the children as follows: solutions of oral rehydration salts (ORS) were received by 6.8%, salt-and-sugar solutions by 14.7%, and solutions of commercial ORS brands by 4.3%. Although 95% of the caretakers knew about rehydration solutions, only 18% prepared them correctly, the most common error being the use of insufficient water. Of the rehydration solutions used, 39% had a sodium concentration that was potentially dangerous (greater than 120 mmol/l), and 8% had a sodium concentration that was very low. Of those solutions prepared using ORS, 38% had too high a sodium concentration, while 14% of the salt-and-sugar solutions prepared using either the "scoop-and-pinch" approach or a plastic spoon were too concentrated. However, potentially the most dangerous were the salt-and-sugar solutions prepared using nonstandard recipes. More than half of these had an unacceptably high sodium concentration or osmolarity.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diarreia Infantil / Hidratação / Assistência Domiciliar Tipo de estudo: Screening_studies Limite: Child, preschool / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: Bull World Health Organ Ano de publicação: 1991 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diarreia Infantil / Hidratação / Assistência Domiciliar Tipo de estudo: Screening_studies Limite: Child, preschool / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: Bull World Health Organ Ano de publicação: 1991 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça