Assessment of Dehydration in Children with Acute Gastroenteritis: A Review of International Guidelines

Abstract

Background: Acute Gastroenteritis (AGE) is a major cause of presentation to hospital in children. Detection and classification of the degree of dehydration are vital for proper treatment. Methods: The authors reviewed six international guidelines on AGE in children. The aim was to equip clinicians working in a hospital setting with practical and readily applicable clinical handles to assist them in detecting and classifying dehydration. Results: Published international guidelines on AGE vary in their recommendations on the assessment of dehydration as well as their classification of dehydration severity. Nevertheless, a practical scheme utilizing a combination of these guidelines could be devised. Conclusion: In addition to the World Health Organization classification of dehydration in children, several clinical handles were suggested. Key words: acute gastroenteritis, children, dehydration, diarrhea