Drugs use for diarrhoea in children at home

ABSTRACT

Children's acute diarrhea is an extensive global problem .It has increased in Iraq seventeen fold after wars and economic sanctions. Proper management is important in saving lives and prevention of complications. We wanted to see what drugs were used, how often and how it compared with oral rehydration use. The mothers of 175 children who presented with diarrhoea of acute onset and admitted to the Children Welfare Hospital, Baghdad, over a period of 8 months were interviewed. Apart from 39 children, who had parenteral infections, two had celiac disease and one accidentally ingested a laxative, the others were diagnosed as gastroenteritis at hospital. Of the 102 children diagnosed as gastroenteritis before admission, 29[28%] had their stools microscopically examined and a parasite was found in 12. Seventy three [75%] of those who did not have stools examined, and [59%] of those who had no parasites demonstrated in stool were given antibacterial [metronidazole, gentamicin, amoxycilin,+1-cloxacilin, co-trimoxazole]. Many had antiemetics and anti spasmodics. Oral rehydration solution [ORS-WHO] was given to [46%] of patients. Seventy-Four [73%] of children with gastroenteritis were given anti bacterials at home and less than half had ORS