Home Prepared Oral Rehydration Solution

Paediatr Indones. Nov-Dec 1987;27(11-12):237-50.

Abstract

PIP: In spite of the advances in the treatment of acute diarrheal diseases with oral rehydration solution (ORS), there still remain many problems and constraints. Among these are how to provide and distribute ORS. The actual cost of ORS (still considered too expensive for the National CDD program), the shelf-life of the packets, and the acceptability of health workers. To solve these dilemmas, the use of incomplete ORS or home-prepared ORS such as a sugar-salt solution (SSS), rice water (RW), coconut water (CW), or any kind of home fluids. Particularly at the early onset of diarrhea, could be encouraged to prevent the development of dehydration and further complications such as acidosis, potassium deficiency, etc. Clinical trials with SSS, RW, and CW revealed that these solutions were safe, effective, and would be well-accepted by mothers and the community. A simultaneous ORT campaign with ORS, SSS, and RW in the community over a 1 year period could reduce the infant mortality rate from 151% to 100.8% and under-5 mortality rate from 25% to 17.1% whereas the % of deaths due to diarrhea could be reduced from 12.5% to 7.7% in infants and from 36.8% to 23.1% in those under 5. Expressed differently, this reduced mortality by 30% in just 1 year. Further studies on a larger scale or as a national campaign is mandatory.

Publication types

  • Clinical Trial

MeSH terms

  • Child
  • Clinical Trials as Topic
  • Cocos
  • Dehydration / therapy
  • Diarrhea, Infantile / therapy*
  • Fluid Therapy / methods*
  • Household Products*
  • Humans
  • Indonesia
  • Infant
  • Oryza
  • Rehydration Solutions / administration & dosage*
  • Sodium Chloride
  • Sucrose

Substances

  • Rehydration Solutions
  • Sodium Chloride
  • Sucrose