Oral rehydration therapy (ORT) for acute gastroenteritis performed better in an urban pediatric emergency department than did intravenous therapy (IVT), according to the results of a randomized controlled trial published in the December issue of the Archives of Pediatric and Adolescent Medicine.
“The American Academy of Pediatrics and the Centers for Disease Control and Prevention recommend ORT for the treatment of mild or moderate dehydration secondary to acute gastroenteritis,” write Yvonne C. Atherly-John, MD, from the Jacobi Hospital in the Bronx, N.Y., and colleagues. “Despite these recommendations, recent surveys suggest that many emergency department and primary care physicians preferentially use IVT rather than ORT for children who are dehydrated. Some reasons cited for this practice include the belief that ORT requires a longer duration of therapy, is ineffective in the presence of moderate dehydration, and requires additional staff time for patient care and that parents prefer IVT.”
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