Management of Acute Gastroenteritis in Children: A Survey among Members of the Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Ji Hyun Seo, Jung Ok Shim, Byung Ho Choe, Jin Su Moon, Ki Soo Kang, Ju Young Chung

Research output: Contribution to journalArticle

Abstract

Purpose: No national survey has yet described the guidelines followed by Korean pediatricians to treat acute gastroenteritis (AGE). An online survey was performed to investigate the management of AGE followed by members of The Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition, and the results were compared between pediatric gastroenterologists (PG) and general pediatricians (GP). Methods: Questionnaires were sent to pediatricians between June 2 and 4, 2018 regarding the type of hospital, indications for admission, antiemetic and antidiarrheal drugs and antibiotics prescribed, and dietary changes advised. Results: Among the 400 pediatricians approached, 141 pediatricians (35.3%) responded to the survey. PG comprised 39% of the respondents and 72.7% worked at a tertiary hospital. Both PG and GP considered diarrhea or vomiting to be the primary symptom. The most common indication for hospitalization was severe dehydration (98.8%). Most pediatricians managed dehydration with intravenous fluid infusions (PG 98.2%, GP 92.9%). Antiemetics were prescribed by 87.3% of PG and 96.6% of GP. Probiotics to manage diarrhea were prescribed by 89.1% of PG and 100.0% of GP. Antibiotics were used in children with blood in diarrheal stool or high fever. Dietary changes were more commonly recommended by GP (59.3%) than by PG (27.3%) (p<0.05). Tests to identify etiological agents were performed primarily in hospitalized children. Conclusion: This survey assessing the management of pediatric AGE showed that the indications for admission and rehydration were similar between GP and PG. Drug prescriptions for diarrhea and dietary changes were slightly commonly recommended by GP than by PG.

Original languageEnglish
Pages (from-to)431-440
Number of pages10
JournalPediatric Gastroenterology, Hepatology and Nutrition
Volume22
Issue number5
DOIs
Publication statusPublished - 2019 Jan 1

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Gastroenteritis
Gastroenterology
Pediatrics
Diarrhea
Antiemetics
Dehydration
Surveys and Questionnaires
Pediatricians
Antidiarrheals
Anti-Bacterial Agents
Gastroenterologists
Drug Prescriptions
Hospitalized Child
Fluid Therapy
Probiotics
Intravenous Infusions
Tertiary Care Centers
Vomiting
Hospitalization
Fever

Keywords

  • Child
  • Disease management
  • Gastroenteritis
  • Pediatricians
  • Surveys and questionnaires

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Hepatology
  • Gastroenterology

Cite this

Management of Acute Gastroenteritis in Children : A Survey among Members of the Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition. / Seo, Ji Hyun; Shim, Jung Ok; Choe, Byung Ho; Moon, Jin Su; Kang, Ki Soo; Chung, Ju Young.

In: Pediatric Gastroenterology, Hepatology and Nutrition, Vol. 22, No. 5, 01.01.2019, p. 431-440.

Research output: Contribution to journalArticle

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abstract = "Purpose: No national survey has yet described the guidelines followed by Korean pediatricians to treat acute gastroenteritis (AGE). An online survey was performed to investigate the management of AGE followed by members of The Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition, and the results were compared between pediatric gastroenterologists (PG) and general pediatricians (GP). Methods: Questionnaires were sent to pediatricians between June 2 and 4, 2018 regarding the type of hospital, indications for admission, antiemetic and antidiarrheal drugs and antibiotics prescribed, and dietary changes advised. Results: Among the 400 pediatricians approached, 141 pediatricians (35.3{\%}) responded to the survey. PG comprised 39{\%} of the respondents and 72.7{\%} worked at a tertiary hospital. Both PG and GP considered diarrhea or vomiting to be the primary symptom. The most common indication for hospitalization was severe dehydration (98.8{\%}). Most pediatricians managed dehydration with intravenous fluid infusions (PG 98.2{\%}, GP 92.9{\%}). Antiemetics were prescribed by 87.3{\%} of PG and 96.6{\%} of GP. Probiotics to manage diarrhea were prescribed by 89.1{\%} of PG and 100.0{\%} of GP. Antibiotics were used in children with blood in diarrheal stool or high fever. Dietary changes were more commonly recommended by GP (59.3{\%}) than by PG (27.3{\%}) (p<0.05). Tests to identify etiological agents were performed primarily in hospitalized children. Conclusion: This survey assessing the management of pediatric AGE showed that the indications for admission and rehydration were similar between GP and PG. Drug prescriptions for diarrhea and dietary changes were slightly commonly recommended by GP than by PG.",
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