Diagnosis and treatment options for acute gastroenteritis in children

DOI: https://dx.doi.org/10.18565/pharmateca.2020.1.40-45

B.M. Blokhin, A.D. Prokhorova, A.S. Suyundukova, I.P. Lobushkova

Pirogov Russian National Research Medical University, Department of Outpatient and Emergency Pediatrics, Faculty of Pediatrics, Moscow, Russia
Currently, the problem of acute gastroenteritis remains quite significant in the clinical practice of primary care physicians (pediatricians). In Russia, acute intestinal infections take the second place after respiratory viral infections in the structure of morbidity. All variants of acute gastroenteritis are characterized by the development of certain pathogenetic stages, depending on the type of pathogen, hence the difference in the clinical manifestations of the disease. For primary care physicians, it is important to know the basic diagnostic algorithms approved by the standards of WHO and the European Society of Pediatric Gastroenterologists, Hepatologists and Nutritionists (ESPGHAN). In the treatment of acute gastroenteritis, the leading place is taken by control of dehydration and prevention of the development of associated critical conditions. Routine administration of antibacterial drugs is not recommended. Also, antiemetics and lopera-
mide should be administred with caution. At the same time, probiotic therapy has shown good results in the treatment of gastroenteritis.

About the Autors

Corresponding author: Boris M. Blokhin, MD, Professor, Head of the Department of Outpatient and Emergency Pediatrics, Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia; e-mail: blokhinb@gmail.com
Address: 1, Ostrovityanov Street, Moscow 117997, Russian Federation

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