Composition of Oral Solutions Prepared by Jamaican Mothers for Treatment of Diarrhoea

Erasmus, P.S.; Harland, Gail; Cox, DenisL.; Lyew, Michael A.; Lindo, Francis

doi:10.1016/s0140-6736(81)92043-2

Cited by 15 publications

(3 citation statements)

References 4 publications

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“…Although homemade SSS has been proposed as an alternative rehydration method for populations with poor access to ORS [19], in this investigation, use of SSS was rare and no respondents knew the correct recipe for SSS. Other investigations had similar observations [6, 20–22]. Ensuring widespread access to and training in proper preparation of pre-packaged ORS may be a more effective use of scarce resources, and could help reverse a trend towards lower use of ORS for diarrhoeal disease treatment that has been observed in a number of countries [23].…”

Section: Discussionmentioning

confidence: 58%

Recurrent epidemic cholera with high mortality in Cameroon: persistent challenges 40 years into the seventh pandemic

et al. 2013

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Cameroon has experienced recurrent cholera epidemics with high mortality rates. In September 2009, epidemic cholera was detected in the Far North region of Cameroon and the reported case-fatality rate was 12%. We conducted village-, healthcare facility- and community-level surveys to investigate reasons for excess cholera mortality. Results of this investigation suggest that cholera patients who died were less likely to seek care, receive rehydration therapy and antibiotics at a healthcare facility, and tended to live further from healthcare facilities. Furthermore, use of oral rehydration salts at home was very low in both decedents and survivors. Despite the many challenges inherent to delivering care in Cameroon, practical measures could be taken to reduce cholera mortality in this region, including the timely provision of treatment supplies, training of healthcare workers, establishment of rehydration centres, and promotion of household water treatment and enhanced handwashing with soap.

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Section: Discussionmentioning

confidence: 58%

Recurrent epidemic cholera with high mortality in Cameroon: persistent challenges 40 years into the seventh pandemic

et al. 2013

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“…This analysis shows the prediction for higher knowledge scores b R 2 = 0.093 for this analysis (that is, these predictors account for only 9.3% of the variability in the knowledge score). much debate about the relative merits of teaching caregivers to make sugarsalt solution for ORT versus using prepackaged ORS (14,15), and this finding in our study shows that the issue is still up for discussion. Some might conclude from this that certain caregivers prefer to make their own solutions, so they might as well be taught the appropriate recipe.…”

Section: Discussionmentioning

confidence: 58%

Caregiver knowledge, attitudes, and practices regarding childhood diarrhea and dehydration in Kingston, Jamaica

Bachrach¹,

Gardner²

2002

Rev Panam Salud Publica

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“…Public health workers have suggested different methods for improving the accuracy of mixing ORS at home. These include using mass media to educate the mothers (12) or village workers (6), and dispensing measuring spoons or premarked 1-L plastic bags to aid in mixing the solutions (13).…”

Section: Discussionmentioning

confidence: 99%

Outpatient Use of Oral Rehydration Solutions in Apache Population

Santosham,

Foster,

Garrett

et al. 1984

J. pediatr. gastroenterol. nutr.

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Oral Rehydration Solutions (ORS) containing 90 and 50 mmol/L sodium have recently been recommended for use in ambulatory children in the U.S. These solutions are now marketed in powder form by some commercial companies. However, few data are available in the U.S. on the accuracy with which the solutions are mixed at home or on the bacterial contamination that may occur during mixing. We evaluated the effect of various forms of instructions on the occurrence of bacterial contamination and accuracy of mixing ORS at home by mothers of patients who were dispensed the dry ingredients of an ORS containing 90 mmol/L sodium at the U.S. Public Health Service Hospital, Whiteriver, Arizona. Patients were randomized to one of the four following groups: group I (23 patients) was given written instructions for mixing the solution along with a premarked container; group II (22 patients) was given written instructions only; group III (22 patients) was given a premarked container only; and group IV (19 patients) was given neither. All patients were given oral instructions in the preparation of ORS and were asked to refrigerate the reconstituted ORS. We collected samples of ORS at the patient's home 1 day after the clinic visit, to measure their electrolyte content and to identify any bacterial contamination. Mean Na+ concentrations were significantly lower in the ORS prepared by mothers/ guardians in groups that were not given a premarked container [82 ± 13 (II) and 79 ± 21 (IV) mmol/L vs. 88 ± 13 (I) and 92 ± 14 (III) mmol/L; p < 0.01]. The frequency of refrigeration was as follows: 89, 75, 74, and 53% for groups I–IV, respectively (p = 0.15). The frequency of refrigerated samples with bacterial counts below the threshold of detection in each group was 63% (I), 33% (II), 21% (III), and 12% (IV) (p = 0.043). We conclude that when the dry ingredients of ORS are dispensed to ambulatory patients, they should be given a premarked container as well as detailed written and oral instructions.

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Composition of Oral Solutions Prepared by Jamaican Mothers for Treatment of Diarrhoea

Cited by 15 publications

References 4 publications

Recurrent epidemic cholera with high mortality in Cameroon: persistent challenges 40 years into the seventh pandemic

Recurrent epidemic cholera with high mortality in Cameroon: persistent challenges 40 years into the seventh pandemic

Caregiver knowledge, attitudes, and practices regarding childhood diarrhea and dehydration in Kingston, Jamaica

Outpatient Use of Oral Rehydration Solutions in Apache Population

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