Template:Pediatric Acute Gastroenteritis Treatment

Pediatric acute gastroenteritis treatment

  1. Oral rehydration therapy
    • Avoid IV fluids before doing a trial of oral rehydration therapy in uncomplicated cases of mild to moderate dehydration in children.[1]
  2. If fails, oral ondansetron as a single dose PO (>6 months of age)[2][3]
  3. If fails, IV fluids (e.g. normal saline)

Probiotics have NOT been shown to provide any benefit[4]

  1. Choosing wisely ACEP
  2. Cheng A. Emergency department use of oral ondansetron for acute gastroenteritis-related vomiting in infants and children. Paediatrics & Child Health. 2011;16(3):177-179.
  3. A Cheng; Canadian Paediatric Society, Acute Care Committee. Paediatr Child Health 2011;16(3):177-9
  4. Freedman, et al. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. N Engl J Med 2018; 379:2015-2026 DOI: 10.1056/NEJMoa1802597