Evidence map›Paper›PMID 29901556›Full record

ArticleJournal of pediatric gastroenterology and nutrition2018

Universal Recommendations for the Management of Acute Diarrhea in Nonmalnourished Children.

Alfredo Guarino, Andrea Lo Vecchio, Jorge Amil Dias, James A Berkley, Chris Boey, Dario Bruzzese, Mitchell B Cohen, Sylvia Cruchet, Ilaria Liguoro, Eduardo Salazar-Lindo and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Efficacy and safety ofFrontiers in cellular and infection microbiology · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Probiotics for treating acute infectious diarrhoea.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Pooled it
  6. A new highly digestible prescription diet containingFrontiers in veterinary science · 2025
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Pharmacologic and Adjunct Therapies for Pediatric Gastroenteritis.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Nutraceuticals and biotics in pediatric gastrointestinal disorders.European journal of clinical nutrition · 2024
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 10 countries.

Alfredo GuarinoDepartment of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Naples, Italy.
Andrea Lo VecchioDepartment of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Naples, Italy.
Jorge Amil DiasDepartamento de Pediatria Médica, Hospital de São João, Porto, Portugal.
James A BerkleyKEMRI/Welcome Trust Research Programme, Kilifi, Kenya.
Chris BoeyFaculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Dario BruzzeseDepartment of Public health, Univeristy of Naples Federico II, Naples, Italy.
Mitchell B CohenDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL.
Sylvia CruchetInstituto de nutrición y tecnología de los alimentos de la Universidad de Chile (INTA), Santiago, Chile.
Ilaria LiguoroPediatric Clinic, Department of Maternal and Child Health, ASUIUD S, Maria della Misericordia, University of Udine, Italy.
Eduardo Salazar-LindoDepartment of Pediatrics, Universidad Peruana Cayetano Heredia, Lima, Peru.
Bhupinder SandhuDepartment of Paediatric Gastroenterology Bristol Royal Hospital for Children, Bristol, UK.
Philip M ShermanDepartment of Paediatrics, Hospital for Sick Children, University of Toronto, Toronto, Canada.
Toshiaki ShimizuDepartment of Pediatrics and Adolescent Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
University of Naples Federico II · ITBristol Royal Hospital for Children · GBFederico II University Hospital · ITHospital de São João · PTHospital for Sick Children · CAJuntendo University · JPKenya Medical Research Institute · KEUniversidad Peruana Cayetano Heredia · PEUniversity of Alabama at Birmingham · USUniversity of Chile · CLUniversity of Malaya · MYUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDespite a substantial consistency in recommendations for the management of children with acute gastroenteritis (AGE), a high variability in clinical practice and a high rate of inappropriate medical interventions persist in both developing and developed countries.The aim of this study was to develop a set of clinical recommendations for the management of nonseverely malnourished children with AGE to be applied worldwide.

methodsThe Federation of International Societies of Pediatric Gastroenterology, Hepatology, and Nutrition (FISPGHAN) Working Group (WG) selected care protocols on the management of acute diarrhea in infants and children aged between 1 month and 18 years. The WG used a 3-step approach consisting of: systematic review and comparison of published guidelines, agreement on draft recommendations using Delphi methodology, and external peer-review and validation of recommendations.

resultsA core of recommendations including definition, diagnosis, nutritional management, and active treatment of AGE was developed with an overall agreement of 91% (range 80%-96%). A total of 28 world experts in pediatric gastroenterology and emergency medicine successively validated the set of 23 recommendations with an agreement of 87% (range 83%-95%). Recommendations on the use of antidiarrheal drugs and antiemetics received the lowest level of agreement and need to be tailored at local level. Oral rehydration and probiotics were the only treatments recommended.

conclusionsUniversal recommendations to assist health care practitioners in managing children with AGE may improve practitioners' compliance with guidelines, reduce inappropriate interventions, and significantly impact clinical outcome and health care-associated costs.

Indexed as

Practice Guidelines as TopicAcute DiseaseAdolescentChildChild, PreschoolClinical ProtocolsDiarrheaFemaleGastroenteritisGastroenterologyHumansInfantInfant, NewbornMalePediatricsSocieties, Medical

Identifiers

PMID29901556
PMCPMC7116696
OpenAlexW2808211215

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.