Oral Rehydration Therapy, a ‘simple Solution’ : History and Global Application*

نویسنده

  • DILIP MAHALANABIS
چکیده

* Eleventh (11th) Hasi Majumdar Memorial Lecture, E.T.O., University of Calcutta, February 28, 2014 ** Director, Society for Applied Studies, CF-198, Salt Lake, Sector-I, Kolkata-700 064 My friends often asked me to write my own account on the development of ORT and its global implementation. I hesitated so long partly due to my preoccupation with my ongoing work and partly my desire not to offend some of my friends competing among themselves for credit who were involved with the development of ORT. As time passed, I note considerable asymmetry on information, loss of information and distoration of information on the history of ORT development. The last one is partly due to rationalization of events by many as the time passed by. I should add, writing history of events in which I was a part, makes it difficult. In this paper, I have tried to be as objective as possible yet it should be treated as an account from my personal and professional point of view and I am responsible for omissions and inaccuracies. I start with a summary of relevant physiological studies, the relevant clinical studies on proof of concept, clinical application and randomized Clinical Trials with ORT diarrhoea and finally its application among war refugees from Bangladesh under the most difficult field condition.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Acute gastroenteritis: from guidelines to real life

Acute gastroenteritis is a very common disease. It causes significant mortality in developing countries and significant economic burden to developed countries. Viruses are responsible for approximately 70% of episodes of acute gastroenteritis in children and rotavirus is one of the best studied of these viruses. Oral rehydration therapy is as effective as intravenous therapy in treating mild to...

متن کامل

Magic bullet: the history of oral rehydration therapy.

In February 1994, the directors of major United Nations agencies, the Prime Minister of Bangladesh, medical researchers, international health advocates and politicians gathered in Dacca, Bangladesh, to celebrate the twenty-fifth anniversary of a life-saving technique known as oral rehydration therapy (ORT). UNICEF and the International Centre for Diarrhoeal Disease Research organized the meetin...

متن کامل

Oral rehydration therapy

Oral rehydration therapy, (also ORT, oral rehydration salts or solutions (ORS), oral electrolyte), is a simple, cheap, and effective treatment for dehydration associated with diarrhea, particularly gastroenteritis, such as that caused by cholera or rotavirus. ORT consists of a solution of salts and sugars which is administered orally. It is used around the world, but is most important in the de...

متن کامل

Oral rehydration therapy: efficacy of sodium citrate equals to sodium bicarbonate for correction of acidosis in diarrhoea.

Forty patients with moderate degrees of dehydration and acidosis because of acute watery diarrhoea were successfully treated randomly with either WHO recommended oral rehydration solution containing 2.5 g sodium bicarbonate or an oral solution containing 2.94 g sodium citrate in place of sodium bicarbonate per litre of oral rehydration rehydration solution. Efficacies were compared by measuring...

متن کامل

Oral rehydration in the therapy of simple diarrhea in infants and toddlers.

Acute diarrhea in infants and toddlers is frequent. Especially severe dehydration increases the risk of mortality in these children. In the therapy for uncomplicated diarrhea (dehydration no more than 9% of body weight loss) it is possible to use oral rehydration solutions (ORS). They are prepared easily, applied immediately, and the composition is also optimal for the body fluids of patients. ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2014