Literature DB >> 3534198

Glycine-based oral rehydration solution: reassessment of safety and efficacy.

M Santosham, B A Burns, R Reid, G W Letson, B Duncan, J A Powlesland, S Foster, S Garrett, L Croll, W Nyunt Nyunt.   

Abstract

We evaluated the safety and efficacy of a glycine-based orally administered rehydration solution by comparing it with a standard oral rehydration solution (ORS) without glycine in a randomized double-blind trial in United States infants (age less than 15 months) given treatment for acute gastroenteritis as inpatients or outpatients. The response to therapy (stool volume and duration of illness) was similar in the two groups, except that in four (13%) of 31 hospitalized infants receiving glycine-ORS hypernatremia developed, (one had symptoms) compared with none of 35 receiving ORS (P less than 0.04). Among the 77 outpatients there were no differences between the groups. This study demonstrates that glycine-ORS did not provide any therapeutic advantage over standard ORS, and hypernatremia developed in some patients receiving glycine-ORS. We suggest that caution be used with this type of solution until further safety studies have been done.

Entities:  

Keywords:  Americas; Biology; Data Analysis; Demographic Factors; Developed Countries; Diarrhea; Diarrhea, Infantile; Diseases; Double-blind Studies; Electrolyte Balance; Examinations And Diagnoses; Homeostasis; Laboratory Examinations And Diagnoses; North America; Northern America; Oral Rehydration--administraction and dosage; Physiology; Population; Population Characteristics; Research Methodology; Studies; Treatment; United States

Mesh:

Substances:

Year:  1986        PMID: 3534198     DOI: 10.1016/s0022-3476(86)80696-5

Source DB:  PubMed          Journal:  J Pediatr        ISSN: 0022-3476            Impact factor:   4.406


  11 in total

1.  Development of an improved oral rehydration solution.

Authors:  D Mahalanabis; M K Bhan
Journal:  Indian J Pediatr       Date:  1991 Nov-Dec       Impact factor: 1.967

2.  Fluid therapy in acute diarrhea.

Authors:  N Bhandari; M K Bhan; S Bhatnagar
Journal:  Indian J Pediatr       Date:  1991 Nov-Dec       Impact factor: 1.967

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Review 4.  Experimental models for the investigation of water and solute transport in man. Implications for oral rehydration solutions.

Authors:  J B Leiper; R J Maughan
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Review 5.  Rotavirus infections: guidelines for treatment and prevention.

Authors:  U Desselberger
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6.  Oral rehydration formula containing alanine and glucose for treatment of diarrhoea: a controlled trial.

Authors:  F C Patra; D A Sack; A Islam; A N Alam; R N Mazumder
Journal:  BMJ       Date:  1989-05-20

Review 7.  Use of oral rehydration therapy in acute watery diarrhoea. A practical guide.

Authors:  D A Sack
Journal:  Drugs       Date:  1991-04       Impact factor: 9.546

Review 8.  Management of gastroenteritis in early childhood.

Authors:  A Davies; H R Jenkins
Journal:  Drugs       Date:  1992-07       Impact factor: 9.546

9.  Water and solute absorption from a new hypotonic oral rehydration solution: evaluation in human and animal perfusion models.

Authors:  J B Hunt; A V Thillainayagam; A F Salim; S Carnaby; E J Elliott; M J Farthing
Journal:  Gut       Date:  1992-12       Impact factor: 23.059

Review 10.  Clinical trials of improved oral rehydration salt formulations: a review.

Authors:  M K Bhan; D Mahalanabis; O Fontaine; N F Pierce
Journal:  Bull World Health Organ       Date:  1994       Impact factor: 9.408

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