Page 197 - 15Diarrhoeaandvomiting
P. 197

Diarrhoea and vomiting caused by gastroenteritis in children under 5 years




            parents                                          protocol, xviii
               guideline version available for, 4            protozoal infections
               inclusion in GDG, 3                              diarrhoea, 24
               information/advice for. see information/advice for   therapy, 102
                     parents/carers                             see also specific infections
            PCT. see primary care trust                      pseudomembranous colitis, 34, 102
            peer review, xvii                                pyloric stenosis, xviii
            pH, blood, ix
            phenothiazines, 104                              qualitative research, xviii, xix
               adverse effects, 104                          quality-adjusted life years (QALYs), xix
            phlebitis, xvii                                     IVT vs ORT in dehydration, 57
               costs, 147, 149, 151                             ORT vs IVT, costs, 148, 151
               risk, IVT vs ORT, 56                          quantitative research, xix
            photophobia, xvii                                quasi-random allocation, xix
            placebo, xi, xvii
            pneumonia, 26                                    racecadotril, 2, 109
            point estimate, xvii                                evidence overview (placebo trials), 112
            positive likelihood ratio, xviii                    evidence summary, 113
            positive predictive value, xviii                    GDG interpretation of evidence, 116
            potassium, in oral rehydration fluids, 60, 64       research recommendations, 117
            power. see statistical power                     random allocation, xix
            predictive value                                 randomisation, xix
               negative, xvi                                 randomised controlled trials (RCT), xii, xix
               positive, xviii                               range of advice for parents, 76
            prevalence, xviii                                ‘rapid dehydration’ strategies, 2
            primary care, xviii                              Rapolyte®, 64
            primary care trust (PCT), xviii                  receiver operating characteristic curve (ROC curve), xix
            primary outcome, xviii                           recommendations, xiv, 3
            probability, xviii                                  by GDG, background to, 3
               cost-effectiveness of ORT vs IVT model, 141      forming and grading, 8
            probiotics, xviii, 126                              formulation, importance of health economics, 7
               Escherichia coli Nissle 1917, 133                key priorities (recommendations), 9
                 evidence overview (multicentre RCT), 133       summary, 9
                 evidence summary, 133                            antibiotic therapy, 15
               GDG interpretation of evidences, 133               dehydration/shock assessment, 12
               Lactobacillus acidophilus LB, 130                  diagnosis, 11
                 evidence overview, 130                           escalation of care, 15
                 evidence summary, 130                            fluid management, 13
               Lactobacillus and Saccharomyces, 127               information/advice, 16
                 effect on diarrhoea duration, 128                nutritional management, 14
                 effect on stool frequency, 128                   therapy (antidiarrhoeal), 15
                 evidence overview, 127                      red flag symptoms and signs, xix, 12, 46, 135
                 evidence summary, 129                          dehydration, 45
                 meta-analysis, placebo vs, 128                 key recommendations, 9
                 placebo vs, 127                             re-feeding syndrome, 95
               Lactobacillus paracasei strain ST11, 130      referral, urgent, 135
                 evidence overview, 130                      regression analysis, xix
                 evidence summary, 131                       rehydration
               Lactobacillus rhamnosus GG, 129                  care at home recommendations after, 16, 138
                 evidence overview, 129                         dehydration recurrence. see dehydration
                 evidence summary, 130                          feeding after. see nutritional management
                 rotavirus diarrhoea duration, 129           rehydration failure
               Lactobacillus rhamnosus strains 573L/1, 573L/2,   definitions, 58
                     573L/3, 131                                ORT vs IVT, 56
                 evidence overview, 131                      relative risk (RR), xix
                 evidence summary, 131                       reliability, definition, xx
               potential benefits, 2                         remote assessment, xix, 134
               research recommendations, 18, 133                challenges, 134
               Saccharomyces boulardii, 131                     diagnosis recommendations, 12, 46
                 evidence overview (systematic review), 131     escalation of care. see care escalation
                 evidence summary, 132                          GDG interpretation on signs/symptoms, 135
            professionals, inclusion in GDG, 3                  healthcare professionals, 134
            prognostic factor, xviii                            recommendations for referral, 15, 136
            prospective study, xviii                            urgency and care level considerations, 134


            172
   192   193   194   195   196   197   198   199   200   201