Points and Pearls Digest | Acute Gastroenteritis Management
TOC Will Appear Here

Acute Gastroenteritis: Evidence-Based Management of Pediatric Patients

Below is a free preview. Log in or subscribe for full access. Or, get a free sample article ED Assessment and Management of Pediatric Acute Mild Traumatic Brain Injury and Concussion:
Please provide a valid email address.

Points & Pearls Excerpt

  • Both vomiting AND diarrhea must be present for the diagnosis of acute gastroenteritis (AGE).
  • Consider other etiologies in patients in whom vomiting has continued more than 24 to 48 hours without diarrhea or in patients with focal abdomi­nal tenderness.
  • Most cases of AGE are due to viral pathogens and require minimal medical intervention; however, the course of bacterial causes of AGE tend to be more severe.

Most Important References

  • Guarino A, Ashkenazi S, Gendrel D, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/ European Society for Pediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: update 2014. J Pediatr Gastroenterol Nutr. 2014;59(1):132-152. (Guideline) DOI: http://dx.doi.org/10.1097/MPG.0000000000000375
  • Colletti JE, Brown KM, Sharieff GQ, et al. The management of children with gastroenteritis and dehydration in the emergency department. J Emerg Med. 2010;38(5):686-698. (Re­view) DOI: http://dx.doi.org/10.1016/j.jemermed.2008.06.015
  • Bellemare S, Hartling L, Wiebe N, et al. Oral rehydration versus intravenous therapy for treating dehydration due to gastroenteritis in children: a meta-analysis of ran­domised controlled trials. BMC Med. 2004;2:11. (Meta-analy­sis; 14 studies) DOI: http://dx.doi.org/10.1186/1741-7015-2-11
  • Freedman SB, Willan AR, Boutis K, et al. Effect of dilute apple juice and preferred fluids vs electrolyte mainte­nance solution on treatment failure among children with mild gastroenteritis: a randomized clinical trial. JAMA. 2016;315(18):1966-1974. (Prospective noninferiority study; 647 subjects) DOI: http://dx.doi.org/10.1001/jama.2016.5352
  • Allen SJ, Martinez EG, Gregorio GV, et al. Probiotics for treat­ing acute infectious diarrhoea. Cochrane Database Syst Rev. 2010(11):CD003048. (Meta-analysis; 56 studies) DOI: http://dx.doi.org/10.1002/14651858.CD003048.pub3 
To Read The Companion Article:
To Read The Companion Article:
To Read The Companion Article:
Already purchased this course?
Log in to read.
Purchase a subscription

Price: $449/year

140+ Credits!

Money-back Guarantee
Publication Information

KeriAnne Brady, MD, FAAP

Peer Reviewed By

Landon A. Jones, MD; Alexander Toledo, DO, PharmD, FAAEM, FAAP

Publication Date

February 2, 2018

Get Permission

Content You Might Be Interested In

Urgent Care Management of Acute Gastroenteritis in Pediatric Patients

Diagnosis and Management of Acute Gastroenteritis in the Emergency Department (Pharmacology CME)

Management of Inflammatory Bowel Disease Flares in the Emergency Department

The Young Child With Lower Gastrointestinal Bleeding Or Intussusception

Get A Sample Issue Of Emergency Medicine Practice
Enter your email to get your copy today! Plus receive updates on EB Medicine every month.
Please provide a valid email address.