ADMISSION TO HOSPITAL WITH GASTROENTERITIS

被引:37
作者
CONWAY, SP [1 ]
PHILLIPS, RR [1 ]
PANDAY, S [1 ]
机构
[1] UNIV LEEDS,ST JAMES HOSP,DEPT PAEDIAT & CHILD HLTH,LEEDS LS9 7TF,W YORKSHIRE,ENGLAND
关键词
D O I
10.1136/adc.65.6.579
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
A prospective study over a one year period examined preadmission illness and its treatment, social characteristics and referral patterns, and inpatient illness progression in 1148 children admitted with a primary diagnosis of gastroenteritis. Admissions were predominantly from socially disadvantaged families: 712 (62%) from social classes IV and V. Approximately a quarter were referred with minimal symptoms, only 12 (1%) with moderate to severe dehydration, and eight (<1%) with hypernatraemia. One hundred and ninety two of 1101 (17%) had not seen their general practitioner during the acute illness. One third had received no treatment and one third inappropriate antibiotics, antidiarrhoeals, antiemetics, or changes of milk. Gastroenteritis is a less severe illness than formerly but remains a significant cause of paediatric morbidity. Suboptimal treatment is common. Improved local district hospital and community based resources are needed.
引用
收藏
页码:579 / 584
页数:6
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