Lower-dose zinc non-inferior to standard dose in diarrhea treatment and with less emesis

نویسندگان

چکیده

Dhingra U, Kisenge R, Sudfeld CR, P, Somji S, Dutta A, et al. Lower-Dose Zinc for Childhood Diarrhea - A Randomized, Multicenter Trial. N Engl J Med 2020;383:1231-41. Among children with diarrhea, what is the clinical efficacy of lower-dose zinc, compared to standard-dose in decreasing diarrhea and emesis – latter associated zinc? Non-inferior, randomized, controlled, double-blind study. India Tanzania. 4500 acute diarrhea. 5, 10, or 20 mg zinc sulfate daily 14 days. duration more than 5 days, number stools, vomiting within 30 minutes administration. Non-inferiority: Upper limit confidence interval 4 percentage points equivalence. Children >5 days: 6.5%, 7.7%, 7.2% 20, groups, respectively: all comparisons <4% upper 98.75% CIs (instead 95% CI, based on post hoc Bonferroni correction multiple comparisons). Stool demonstrated similar results. 19.3%, 15.6%, 13.7% vomited administration respectively, 10 doses superior mg. Number needed treat, 27 (98.75% 356) 18 11 48), mg, respectively. Lower-dose non-inferior diarrhea-duration-improvement stool-number efficacy, control.

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ژورنال

عنوان ژورنال: The Journal of Pediatrics

سال: 2021

ISSN: ['1085-8695', '0178-4919', '0022-3476', '1097-6833']

DOI: https://doi.org/10.1016/j.jpeds.2020.12.049