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Journal of Tropical Pediatrics Advance Access published online on July 14, 2009
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp059
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Adherence to Oral Rehydration Therapy among In-Patient Children Aged 1–59 Months with Some or No Dehydration

A. N. Migowaa, B. Gatinub and R. W. Nduatic

aChogoria Mission Hospital, Chogoria town, Kenya
bMeru District Hospital, Meru town, Kenya
cKenyatta National Hospital, Nairobi City, Kenya

Correspondence: Angela Nyangore Migowa, P.O. Box 51342, 00200 Nairobi, Kenya. Tel.: +254-722-841-719. E-mail: <angelamigowa{at}yahoo.com>.


  Abstract

Objective: To determine adherence to oral rehydration solution (ORS) among in-patients aged 1–59 months suffering from gastroenteritis and having some dehydration (SD) or no dehydration (ND) in two rural hospitals in Kenya.

Methods: Children aged 1–59 months suffering from acute gastroenteritis with (SD) or (ND) were enrolled into the study, examined and medical records reviewed. On the second and third day of follow up, children were re-examined to ascertain hydration status and care-takers interviewed.

Results: Ninety-nine children were enrolled. Forty-five (75%) of the 60 children with SD received a correct prescription for ORS but only 12 (20%) received the correct amount. Among the 39 children with ND, 23 (59%) received a correct prescription for ORS, however only 16 (41%) received the correct amount. On the 3rd day, 9 (15%) of the 60 children with SD at baseline and 2 (5%) of the 39 with ND were classified as having SD.

Conclusion: Four in five children with SD and 6 in 10 children with ND fail to receive the correct amounts of ORS.

Key Words: Oral rehydration therapy • in-patient adherence to ORS


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