Literature DB >> 19335032

A comparative analysis of response to vs. ORS + gelatin tannate pediatric patients with acute diarrhea.

J Esteban Carretero1, F Durbán Reguera, S López-Argüeta Alvarez, J López Montes.   

Abstract

AIM: The study aims to observe the response to treatment with ORS only or ORS + gelatin tannate in two cohorts of pediatric patients with acute diarrhea, with the primary efficacy endpoint being the number of stools at 12 hours from baseline.
METHODS: Children aged 3 months to 12 years were included in the study. Only children with acute diarrhea, more than 3 liquid stools, and duration inferior to 72 h were included. Number of stools was recorded as absolute number, categorized as <or= 3 and >or= 4 stools over 12 hours, and as a stool decrease index (SDI). Other clinical variables were recorded, including weight, fever, vomiting, stool characteristics, and signs of peritonitis/sepsis.
RESULTS: Baseline characteristics for the two populations included a mean age of 2.3 years in the ORS group and 2.6 years in the ORS + gelatin tannate group. Children younger than 2 years represented 59.8 and 54.3% in the ORS and ORS + gelatin tannate groups, respectively. Clinical variables such as vomiting, dehydration, weight, and stool decrease index were used to compare the two groups. We found a statistical significant difference between the two groups (p < 0.0001) -- SDI for the ORS group was -0.1894; for the ORS + gelatin tannate group was -0.6023.
CONCLUSIONS: We observed a significant decrease in the number of stools and an improvement in the consistency of stools in the ORS + gelatin tannate group. Other clinical variables such as vomiting, dehydration, weight, bloody stools, and peritonitis/sepsis signs showed no statistical differences between the two groups, but did show a general trend toward improvement. The Stool Decrease Index (SDI) showed a 18% decrease in the number of stools for the ORS group and 60% for the ORS + gelatin tannate group. The use of ORS + gelatin tannate was associated with a greater decrease in SDI. Gelatin tannate decreased the number of stools at twelve hours in children.

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Year:  2009        PMID: 19335032     DOI: 10.4321/s1130-01082009000100005

Source DB:  PubMed          Journal:  Rev Esp Enferm Dig        ISSN: 1130-0108            Impact factor:   2.086


  19 in total

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2.  Gelatin Tannate for Acute Childhood Gastroenteritis: A Randomized, Single-Blind Controlled Trial.

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Journal:  United European Gastroenterol J       Date:  2014-04       Impact factor: 4.623

5.  Long-term safety and efficacy study of a medical device containing xyloglucan, pea protein reticulated with tannins and xylo-oligosaccharides, in patients with diarrhoea-predominant irritable bowel syndrome.

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6.  Gelatin tannate reduces the proinflammatory effects of lipopolysaccharide in human intestinal epithelial cells.

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8.  Severe diarrhea in a 4-month-old baby girl with acute gastroenteritis: a case report and review of the literature.

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9.  Xyloglucan for the treatment of acute diarrhea: results of a randomized, controlled, open-label, parallel group, multicentre, national clinical trial.

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Review 10.  Gelatin tannate for treating acute gastroenteritis: a systematic review.

Authors:  Marek Ruszczyński; Magdalena Urbańska; Hania Szajewska
Journal:  Ann Gastroenterol       Date:  2014
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