title: Controlled clinical trial on the efficacy of rice powder-based oral rehydration solution on the outcome of acute diarrhea in infants.
abstract: We report a controlled clinical trial of rice powder-based oral rehydration solution (ORS) versus glucose ORS on the outcome of acute diarrhea in infants. The rice ORS group (n = 30) received ORS containing 50 g rice powder instead of standard WHO solution (20 g glucose, n = 30). Formula-fed male infants were enrolled to enable calculation of milk intake and excretion of urine. Patient allocation to either group depended on the method of random permuted blocks. Both groups were comparable regarding age (4-18 months), duration of diarrhea, number of bowel movements or vomiting per 24 h, rectal temperature, dehydration score, and nutritional status. Results revealed that the rice ORS group had a shorter duration of diarrhea (28.4 +/- 5.1 vs 34.3 +/- 2.3 h) and greater mean weight gain in the first 24 h as percentage of recovery weight (5.7 +/- 0.5% vs 4.1 +/- 0.6%). Furthermore, the mean amount of ORS intake, mean stool output, and mean number of episodes of vomiting were lower in the rice-ORS group as compared with the glucose ORS group. All differences were statistically significant. Due to its observed superiority and low cost, the widespread use of rice ORS should be considered for treatment of acute diarrhea.
authors.affiliation: Diarrhoeal Disease Research and Rehydration Centre (DDRRC), Bab El Shar'reya University Hospital, Cairo, Egypt.
authors.forename: M
authors.initials: M
authors.lastname: el-Mougi
authors.forename: E
authors.initials: E
authors.lastname: Hegazi
authors.forename: O
authors.initials: O
authors.lastname: Galal
authors.forename: N
authors.initials: N
authors.lastname: el Akkad
authors.forename: A
authors.initials: A
authors.lastname: el-Abhar
authors.forename: N
authors.initials: N
authors.lastname: Nour
authors.forename: M
authors.initials: M
authors.lastname: el-Hadi Emam
authors.forename: A R
authors.initials: AR
authors.lastname: Ahmadi
mesh_terms: D002986:Clinical Trials as Topic; D003968:Diarrhea, Infantile / Q000628:therapy*; D004534:Egypt; D005440:Fluid Therapy; D005947:Glucose; D006801:Humans; D007223:Infant; D008297:Male; D012275:Oryza; D011897:Random Allocation; D013997:Time Factors
chemical_list: D005947:Glucose