Oral rehydration therapy in neonates and young infants with infectious diarrhoea.
The clinical response and changes in water and salt homeostasis during ORT was studied in 15 infants less than 2 months old (range 2-50 days) with acute diarrhoea. Eight patients were neonates and 7 were 1-2 months old. The oral rehydration solution contained 60 mmol sodium per litre. All patients except one were successfully rehydrated. The fluid retention was significantly higher in neonates and young infants than in infants above 3 months of age treated in the same way. One patient in the group of neonates who had a normal sodium level on admission developed hypernatremia with a sodium level of 162 mmol/l 36 hours after the start of ORT. The urinary sodium excretion was lower in the neonates than in the young infants. The results show that neonates and young infants have a lower capacity than older infants to excrete water and salt and therefore run a great risk of developing fluid and salt retention during ORT. The risk is most pronounced in neonates who, due to immaturity of the renal function, are unable to excrete excess fluid and salt.
Marin
L
L
Sanér
G
G
Sökücü
S
S
Günoz
H
H
Neyzi
O
O
Zetterström
R
R
D000208:Acute Disease; D003681:Dehydration / Q000628:therapy; D003968:Diarrhea, Infantile / Q000503:physiopathology / Q000628:therapy*; D004927:Escherichia coli Infections / Q000628:therapy; D005440:Fluid Therapy; D006706:Homeostasis; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012400:Rotavirus Infections / Q000628:therapy; D014882:Water-Electrolyte Balance