The Frequency of Plasma Sodium and Potassium imbalance in Children Hospitalized with Gastroenteritis in Ahvaz's Golestan Hospital, 2011-2012

Document Type : Original Article

Authors

1 Associate Professor of Pediatrics.Department of of Pediatrics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Assistant Professor of Pediatrics.Department of of Pediatrics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objective: Gastroenteritis is one of the most common diseases and the main cause of the dehydration and electrolyte abnormality in children. This study was designed to evaluate the frequency of plasma sodium and potassium imbalancein children hospitalized with gastroenteritis in Ahvaz's Golestan Hospital during two- year period (2011 and 2012).
Subjects and Methods: This is an epidemiologic and medical record-based study, which included all admitted children with gastroenteritis at Golestan hospital between 2011 and 2012, in Ahvaz Jundishapur University of Medical Sciences. Patients' data such as the type of electrolyte abnormality, age, sex, type and frequency of diarrhea, severity of dehydration, convulsion, and duration of hospitalization were gathered.
Results: From 252 hospitalized patients, 204 cases were included in this study, of whom 141 patients (69.1%) were male and 63 patients (30.9%) were female. One hundred and eighteen (57.8%) of these patients had plasma electrolyte imbalances. Hyponatremia was the most common type (66.7%) followed by hypokalemia (22.1%).Age, sex, the frequency of diarrhea, severity of dehydration and occurrence of convulsion had significant correlation with the electrolyte abnormalities.
Conclusion: According to the results of this study, electrolyte imbalances are relatively common in children with gastroenteritis. Younger age, female sex, higher frequency of the diarrhea and severity of dehydration, were predisposing factors for electrolyte abnormalities in acute gastroenteritis.Further steps should be taken to educate the society on the use of Standard Oral Rehydration Solution (ORS) and appropriate fluids in children with diarrhea.
 

Keywords

References

1-Elliott, Elizabeth Jane. Acute gastroenteritis in children. BMJ: British Medical Journal; 2007: 35-40.
2-Jenson H, Baltimore R. Infectious disease. In: Marcdante K, Kliegman R. NELSON  Essential of pediatrics. 7thed. Philadelphia: Saunders Elsevier; 2015. 512-8.
3-Jafari Zavieh F. The Role of Pretreatment in Severity and Type of Electrolyte disorder in Pediatrics with Gastroenteritis in Emam Khomaini Ardabil hospital. Thesis (MD). Ardebil University of Medical Sciences. Ardebil. 2005.
4-Taheri F, Khazaee T, Sharif-Zadeh GR, DickAfzar Shokoh A, Zangoei F. Epidemiology of gastroenteritis in children hospitalized in Vali-e-Asr hospital, Birjand. Modern Care Journal. 2010;7(1):37-42.
5-Quigley C, Jiang X. Gastroenteritis.  Metabolism of Human Diseases: Springer; 2014. pp. 137-42.
6-UNICEF, WHO. Diarrhoea. Why children are still dying and what can be done, 2009. httpt| fwww Unicef. org/media/files/Final—Diardmea—Report October 一 2009 一 fina1. Pdf, 2013-6—5 (2012).
7-Salehi Omran MR, Alijanpour M. Causes of seizures in patients with acute gastroenteritis. Journal of Babol University of Medical Sciences. 2005; 26(2):55-7.
8-Ghorashi Z, Soltani Ahari H, Ghorashi S. Convulsion in Gasteroenteritis of Children. Uremia Medical Journal. 2009; 20(3):201-5.
9-Ukarapol N, Wongsawasdi L, Charatapisak W, Opastirakul S. Electrolyte abnormalities in children with acute diarrhea. Chiang Mai Medical Journal. 2011; 41(1):7-12.
10-Ahadi A, Hoshyar A, Amani F, Davoodi M, Bagheri A, Matin S, et al. Survey seasonal incidence of gastroenteritis among children referred to Ardebil city Boali hospitalin 2010. Student Congress of Medical Sciences with a focus on biomedical. Ardebil University of Medical Sciences. Ardebil. February 2012.
11-Greenbaum L. Fluid and electrolyte disorder. In:Kliegman R, Stanton S. Nelson text book of pediatrics. 20th ed. Philadelphia: SAUNDERS ELSEVER; 2016.pp.357-62.
12-Pour Mohammadi T. Ultrasound Assessment of Dehydration in Children with Gastroenteritis. Thesis (MD). Ardebil University of Medical Sciences. Ardebil. 2013.
Jundishapur Scientific Medical Journal
Volume 15, Issue 4 - Serial Number 103
September and October 2017
Pages 453-460

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History

  • Receive Date: 21 October 2015
  • Revise Date: 14 May 2016
  • Accept Date: 27 July 2016

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