Rawashdeh Mohammed, Al-Zoubi Basim, Aliwat Maha Barbar, Burayzat Salma, Alhindawi Esam, Al-Matti Ali Attia, Altamimi Eyad
Jordan University and Hospital, Amman, Jordan.
Prince Hamzah Hospital and AlBasheer Hospital, Amman, Jordan.
Int J Pediatr. 2022 Aug 30;2022:4456232. doi: 10.1155/2022/4456232. eCollection 2022.
Diarrhoeal diseases are one of the leading worldwide preventable causes of death among children under 5 years of age. Almost half of children do not receive optimal acute gastroenteritis (AGE) treatment in Jordan. With neither regional nor local guidelines available for AGE, consensus recommendations on the management of paediatric AGE in Jordan were developed by a panel of senior paediatricians and paediatric gastroenterologists and are endorsed by the Jordanian Paediatric Society. Recommendations are based on international guidelines and available relevant literature in relation to the AGE landscape and the healthcare system in Jordan. The prevention of diarrhoeal diseases should focus on the improvement of nutrition, hygiene, and sanitation, the introduction of routine vaccination against rotavirus, and the adoption of a standardised approach for AGE management (oral rehydration solution (ORS) use±adjunct therapies, continued feeding, and avoiding routine antibiotic use). Ondansetron, diosmectite, racecadotril, probiotics, and zinc can be considered adjunct to ORS, if needed. Local data gaps should be addressed. The clinical algorithm for the management of paediatric AGE could promote adherence to practice recommendations and by extension improve health outcomes in children.
腹泻病是全球5岁以下儿童主要的可预防死因之一。在约旦,近半数儿童未得到最佳的急性胃肠炎(AGE)治疗。由于既没有区域指南也没有本地指南可用于治疗AGE,约旦的一组资深儿科医生和儿科胃肠病学家制定了关于约旦儿科AGE管理的共识性建议,并得到了约旦儿科学会的认可。这些建议基于国际指南以及与约旦的AGE情况和医疗系统相关的现有文献。腹泻病的预防应侧重于改善营养、卫生和环境卫生,引入轮状病毒常规疫苗接种,以及采用标准化的AGE管理方法(使用口服补液盐(ORS)±辅助治疗、继续喂养并避免常规使用抗生素)。如有需要,昂丹司琼、蒙脱石、消旋卡多曲、益生菌和锌可被视为ORS的辅助药物。应填补本地的数据空白。儿科AGE管理的临床算法可促进对实践建议的遵循,进而改善儿童的健康结局。