June 2014. Volume 10. Number 2

Is it effective to reduce lactose intake in infants with acute gastroenteritis?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Macgillivray S, Fahey T, McGuire W. Lactose avoidance for young children with acute diarrhoea. Cochrane Database Syst Rev. 2013;10:CD005433.
Reviewers: Molina Arias M1, Ortega Páez E2.
1Servicio de Gastroenterología. Hospital Infantil Universitario La Paz. Madrid. España.
2CS Maracena. Distrito metropolitano. Granada. España.
Correspondence: Manuel Molina Arias. Email: mma1961@gmail.com
Reception date: 05/02/2014
Acceptance date: 10/02/2014
Publication date: 02/04/2014

Abstract

Authors' conclusions: lactose-free diet in children less than five-year-old with acute gastroenteritis, that are not being predominantly breastfed, may reduce the duration of diarrhea and the incidence of therapeutic failure. Reducing the intake of lactose may be beneficial but still further trials are needed, especially in low-income countries where mortality for diarrhea is higher.

Reviewers' commentary: although exclusion or reduction of lactose intake in infants with acute diarrhea may reduce its duration and treatment failure, due to the poor clinical impact of these results and the low level of evidence of the trials it seems advisable to maintain the current recommendation of not to restrict lactose consumption systematically in infants with acute gastroenteritis.

How to cite this article

Molina Arias M, Ortega Páez E. ¿Es eficaz la dieta exenta de lactosa en la gastroenteritis aguda infantil? Evid Pediatr. 2014;10:24.

AVC | Critically appraised articles

Macgillivray S, Fahey T, McGuire W. Lactose avoidance for young children with acute diarrhoea. Cochrane Database Syst Rev. 2013;10:CD005433.
Reviewers: Molina Arias M1, Ortega Páez E2.
1Servicio de Gastroenterología. Hospital Infantil Universitario La Paz. Madrid. España.
2CS Maracena. Distrito metropolitano. Granada. España.
Correspondence: Manuel Molina Arias. Email: mma1961@gmail.com
Reception date: 05/02/2014
Acceptance date: 10/02/2014
Publication date: 02/04/2014

How to cite this article

Molina Arias M, Ortega Páez E. ¿Es eficaz la dieta exenta de lactosa en la gastroenteritis aguda infantil? Evid Pediatr. 2014;10:24.

References

  1. Piescik-Lech M, Shamir R, Guarino A, Szajewska H. Review article: the management of acute gastroenteritis in children. Aliment Pharmacol Ther. 2013;37:289-303.
  2. Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, et al. Global, regional and national causes of child mortality in 2008: a systematic analysis. Lancet. 2010;375:1969-87.
  3. MacGillivray S, Fahey T, McGuire W. Lactose avoidance for acute diarrhoea in children less than five years. Cochrane Database Syst Rev. 2005;3:CD005433.
  4. Guarino A, Albano F, Ashkenazi S, Gendrel D, Hoekstra JH, Shamir R, et al. European Society for Paediatric Gastroenterology, Hepatology and Nutrition / European Society for Paediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: executive summary. J Pediatr Gastroenterol Nutr. 2008;46:619-21.
02/04/2014

Riesgo de la restricción de lactosa.

03 de April de 2014 Alcibíades Batista González
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