title: [Oral rehydration by nasogastric tube using continuously sterilized water in infants with diarrhea in South Sudan (the Upper Nile area, Melut)].
abstract: In the Melut-area 120 infants and young children (100%) (average estimated age 6 months) suffering from acute gastroenteritis were treated according to degree of dehydration and state of consciousness. Comatous patients and patients with life-threatening dehydration (= 25% of the patients) were given physiological NaCl-solution (15 ml/kg b. w.) intravenously and subsequently 2 to 4 courses with glucose electrolyte solution administered as a continuous drip-infusion via a nasogastric tube (CNGI) until the patient shed urine. Moderately dehydrated patients (35%) were treated by one or several CNGI only and therapy was then continued at home. Patients with mild dehydration (40%) were usually treated at home. Because of the bad quality and the microbiological contamination of the drinking-water which was the only source available for preparing the rehydration solution a chlorine-free disinfectant based on silver was used for water disinfection and preservation. Only solutions prepared in such water were used for both home-treatment and CNGI. In the 120 patients with treated diarrhea during a 7 months period 4 died. The rate of relapses, however, could not be established.
mesh_terms: D000553:Ambulatory Care; D003681:Dehydration / Q000628:therapy*; D003968:Diarrhea, Infantile / Q000628:therapy*; D005440:Fluid Therapy / Q000379:methods*; D005950:Glucose Solution, Hypertonic; D006801:Humans; D007223:Infant; D007441:Intubation, Gastrointestinal; D012462:Saline Solution, Hypertonic; D013242:Sterilization / Q000379:methods*; D013397:Sudan; D014871:Water Microbiology
chemical_list: D005950:Glucose Solution, Hypertonic; D012462:Saline Solution, Hypertonic
vernacular_title: Orale Rehydration per Nasogastralsonde unter Verwendung dauerhaft entkeimten Wassers bei Säuglingen mit Durchfallserkrankung im Südsudan (Upper Nile Area, Melut).