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Archivos de Pediatría del Uruguay

versión impresa ISSN 0004-0584versión On-line ISSN 1688-1249

Resumen

VAZQUEZ, Martín; IGLESIAS, Soledad; IGLESIAS, Claudio  y  PEREZ, Walter. Use of probiotic, antisecretory drugs and zinc for acute gastroenteritis in Uruguayan pediatric patients. Arch. Pediatr. Urug. [online]. 2019, vol.90, n.3, pp.5-27. ISSN 0004-0584.  http://dx.doi.org/10.31134/ap.90.2.2.

Introduction:

there is an increasing interest regarding treatments that shorten the duration of acute gastroenteritis (AG) in children, although little is known about it in Uruguay.

Aim:

that Uruguayan pediatricians get acquainted with probiotics, antisecretory drugs and zinc treatments.

Methods:

online survey sent to pediatricians members of the Uruguayan Pediatrics Association.

Results:

n=245 surveys carried out by pediatricians at 17/19 departments in Uruguay (59% from Montevideo). 39.4% stated they had not used probiotics to treat AG, 5.8% had always used it and 49% used it depending on the situation (15.2% used it with inpatients and 21.2% with immune depressed children). The choice of probiotics was based: 13% on scientific evidence and 47.9% on availability. 32.2% of pediatricians knew the real impact of probiotics on the duration of AG. 61.4% did not use antisecretory drugs and 24.9% used them depending on the situation (56.7% <5 years old, 41.6% >5 years, 21.6% inpatients). 96.6% of them chose Racecadotril and 3.4% Loperamide. 22% were aware of the real impact of the duration of AG. 76.3% of pediatricians used zinc to treat GEA in some situations (64% malnourished children, 46% inpatients, 31% >6 months, 26% <6 months) and 6.9% always used it.

Conclusion:

while probiotics and zinc are widely used, antisecretory drugs are slightly used as AG treatments in Uruguay. Uruguayan pediatricians identify the potential useful role of these treatments for AG, although many of them are not aware of its real use, so it is necessary to offer permanent medical training programs in this respect.

Palabras clave : Acute gastroenteritis; Probiotics; Antisecretory; Zinc; Online survey.

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