Oral rehydration for viral gastroenteritis in adults

A randomized, controlled trial of 3 solutions

Satish Sanku Chander Rao, R. W. Summers, G. R.S. Rao, S. Ramana, U. Devi, B. Zimmerman, B. C.V. Pratap

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Pedialyte and Gatorade are advocated for the treatment of dehydration in viral gastroenteritis, but there is limited evidence to support their use. We examine the efficacy, safety, and palatability of Pedialyte, Gatorade, and a New Oral Rehydration Solution (N-ORS). This was a randomized double-blind trial conducted in an inpatient, community hospital. Seventy-five consecutive adult patients (male, 42; female, 33) admitted with viral gastroenteritis were randomized to receive Gatorade, Pedialyte, or N-ORS for 48 hours. A yogurt/rice diet was allowed ad libitum. Stool and urine output, electrolytes, fluid intake, body weight, hematocrit, and palatability of solutions were measured. Results: Sixty completed the study. Stool frequency, consistency, and body weight improved (p < .001) in all 3 groups, but there was no difference between groups. Likewise, urine output, hematocrit, and correlations between fluid ingested, stool weight, or urine output were similar. At admission and 24 and 48 hours later, hypokalemia was observed in 7, 10, and 8 patients with Gatorade; 3, 2, and 1 with N-ORS; and 2, 2, and 1 with Pedialyte, respectively. Similarly, hyponatremia was observed in 6, 9, and 3 patients with Gatorade; 5, 3, and 4 with N-ORS; and 4, 5, and 4 with Pedialyte. Tastewise, Gatorade and N-ORS were rated higher (p < .05) than Pedialyte. Limitations were a smaller sample size and higher dropout (20%). Conclusions: Gatorade and N-ORS seem to be as effective as Pedialyte in correcting dehydration and in improving bowel symptoms. All 3 solutions were safe. Unlike other groups, hypokalemia persisted in the Gatorade group. Gatorade and N-ORS may be effective in the treatment of dehydration associated with mild viral gastroenteritis.

Original languageEnglish (US)
Pages (from-to)433-439
Number of pages7
JournalJournal of Parenteral and Enteral Nutrition
Volume30
Issue number5
DOIs
StatePublished - Dec 1 2006
Externally publishedYes

Fingerprint

Fluid Therapy
Rehydration Solutions
Gastroenteritis
Randomized Controlled Trials
Dehydration
Hypokalemia
Urine
Hematocrit
Body Weight
gatorade
Yogurt
Hyponatremia
Community Hospital
Sample Size
Electrolytes
Inpatients
Diet
Safety
Weights and Measures
Therapeutics

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Oral rehydration for viral gastroenteritis in adults : A randomized, controlled trial of 3 solutions. / Rao, Satish Sanku Chander; Summers, R. W.; Rao, G. R.S.; Ramana, S.; Devi, U.; Zimmerman, B.; Pratap, B. C.V.

In: Journal of Parenteral and Enteral Nutrition, Vol. 30, No. 5, 01.12.2006, p. 433-439.

Research output: Contribution to journalArticle

Rao, Satish Sanku Chander ; Summers, R. W. ; Rao, G. R.S. ; Ramana, S. ; Devi, U. ; Zimmerman, B. ; Pratap, B. C.V. / Oral rehydration for viral gastroenteritis in adults : A randomized, controlled trial of 3 solutions. In: Journal of Parenteral and Enteral Nutrition. 2006 ; Vol. 30, No. 5. pp. 433-439.
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