Coronel CC

Language: Spanish
References: 18
Page: 118-122
PDF size: 55.60 Kb.

ABSTRACT

Objective. Identify effectiveness of the coconut water in the oral rehydration therapy.
Material and methods. A cases-controls study was made, matched 1:1, in 170 children under 5 years, admitted to the hospital for acute diarrhea. They were divided in two groups: The group of cases was treated with coconut water and the control group with oral rehydration solutions recommended by OMS/UNICEF.
Results. The coconut water effectiveness was seen in 64.8% children under 1 year, while the OMS/UNICEF effectiveness was 62.3% in the controls. In 96.3% of the cases and 63.5% of the controls in the case group was effective in the dehydration prevention. In the treatment of the dehydration was effective in the 72.7% of cases and in the 81.8% of the controls. Had a coconut water good acceptation in the 87.3% of the cases and the OMS/ solution acceptation in the control group was in 50.8% 21.2% of the controls showed osmotic diarrhea.

REFERENCES

1. Gutiérrez CC, Posada NML, Mota FH. Hidratación en lactantes con choque hipovolémico por diarrea. Bol Med Hosp Infant Mex 1994; 51(6): 379- 83.

2. González EA, Seisdados G, Manfugaz M. Efecto económico de la racionalización de medicamentos y soluciones parenterales en las enfermedades diarreicas agudas. Rev Cubana Pediatr 1995; 67(3): 165-8.

3. OPS. Bases de la terapia de rehidratación oral. En: Manual de tratamiento de la diarrea: Washington; 1987: 120-42.

4. Martínez SH, Calva MJ, Mense DL. Uso de bebidas y alimentos en el hogar durante la enfermedad diarreica aguda en el niño. Bol Med Hosp Infant Mex 1991; 48(3): 235-42.

5. Adams W, Bratt E. Young coconut water for home rehidration in children with mild gastroenteritis. Trop Geogr Med 1992; 44(1): 149-55.

6. Palacio J. Corrección del desequilibrio hidroelectrolítico mediante la rehidratación por vía oral. Bol Med Hosp Infant Mex 1986; 39: 538-45.

7. Pizarro TD. El tratamiento y prevención de la enfermedad diarreica aguda. Bol Med Hosp Infant Mex 1991; 48: 699-09.

8. Fagundes U, Franco L, Tabacow K, Machado NL. Negative findings for use of coconut water as an oral rehydration solution. J Am Coll Nutr 1993; 12(2): 190-3.

9. Trapp JH, Harries JT. Oral rehidration of infant with gastroenteritis. Adv Biosci 1980; 47: 23-32.

10. Walker SH. Sodium and water content of a feeding for use in infant with diarrhea. Clin Pediatr 1981; 20: 199-04.

11. Adelman RD, Salhung MJ. Fisiopatología de los líquidos corporales y tratamiento con líquidos. En: Behrman RE, Kliegman RM, Arvin AM, eds. Nelson. Tratado de pediatría. 15a edición. La Habana: Editorial Ciencias Médicas; 1998: p.229-76.

12. Nalia DR. Comparison of the low and high sodium and potassium content in oral rehydration solutions. J Pediatr 1981; 97: 848-53.

13. Cohen M, Mezoff A, Laney W, Bezerra JA, Beane BM, Drazner D et al. Use of a single solution for oral rehydration and maintenance therapy of infants with diarrhea and mild and moderate dehydration. Pediatrics 1995; 5: 639-45.

14. Riveron R. Fisiopatología de la diarrea aguda. Rev Cubana Pediatr 1999; 71: 86-115.

15. Coronel C. Micronutrientes: una opción en el tratamiento de la enfermedad diarreica aguda. Rev Cubana Pediatr 2000; 72(4): 261-6.

16. Hirschon N. The treatment of the acute diarrhea in children. Am J Clin Nutr 1980; 33: 848-53.

17. Patofisiología de la diarrea: deshidratación y rehidratación. En: OMS, OPS. Enfermedades diarreicas: prevención y tratamiento. Washington DC: OPS; 1995: p.13-28.

18. Campbell-Falck D, Thomas T, Falck TM, Tutuo N, Clem K. The intravenous use of coconut water. Am J Emerg Med 2000; 18(1): 108-11.