European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Update 2014

  title={European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Update 2014},
  author={Alfredo Guarino and Shai Ashkenazi and Dominique Gendrel and Andrea Lo Vecchio and Raanan Shamir and Hania Szajewska},
  journal={Journal of Pediatric Gastroenterology and Nutrition},
Objectives: These guidelines update and extend evidence-based indications for the management of children with acute gastroenteritis in Europe. Methods: The guideline development group formulated questions, identified data, and formulated recommendations. The latter were graded with the Muir Gray system and, in parallel, with the Grading of Recommendations, Assessment, Development and Evaluations system. Results: Gastroenteritis severity is linked to etiology, and rotavirus is the most severe… 
Adherence to Guidelines for Management of Children Hospitalized for Acute Diarrhea
Compared hospital medical interventions for children admitted for AGE with recommendations reported in the European Societies of Pediatric Gastroenterology, Hepatology and Nutrition and Pediatric Infectious Diseases guidelines, inappropriate hospital admissions are still common and implementation of guidelines recommendations is needed to improve quality of care.
Comparison of Recommendations in Clinical Practice Guidelines for Acute Gastroenteritis in Children
Key recommendations for the management of AGE in children are similar in CPGs, and together with accurate review of evidence-base this may represent a starting point for developing universal recommendations forThe management of children with AGE worldwide.
Chinese clinical practice guidelines for acute infectious diarrhea in children
Antibiotics are recommended with dysenteric-like diarrhea, suspected cholera with severe dehydration, immunodeficiency, and premature delivery children with chronic underlying disease; otherwise, antibiotics are not recommended.
Clinical Practice Guideline for the Treatment of Pediatric Acute Gastroenteritis in the Outpatient Setting.
  • R. CarsonShawna S. MuddP. Madati
  • Medicine
    Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
  • 2016
Acute Gastroenteritis in Children, Overview, Etiology, and Management; Literature Review
Children with gastroenteritis illness must be assessed adequately for the degree of dehydration and possible consequences, and the cornerstone of therapy is rehydration, either orally or intravenously, depending on the associated symptoms and the dehydration degree.
Acute Gastroenteritis in Children of the World: What Needs to be Done?
A series of recommendations for interventions, education, and research priorities are included here with the aim of reducing the burden of gastroenteritis, to be pursued by scientists, physicians, policy makers, and stakeholders involved.
Management strategies in the treatment of neonatal and pediatric gastroenteritis
EU guidelines make a stronger recommendation for the use of probiotics for the management of acute gastroenteritis, particularly those with documented efficacy such as Lactobacillus rhamnosus GG, LactOBacillus reuteri, and Saccharomyces boulardii.
Diet therapy features for children with acute gastroenteritis
The authors cite data from a systematic review showing the frequency of registration of postinfectious functional dyspepsia and irritable bowel syndrome, and give the results of assessment of tolerability and effectiveness of industrial food products in acute intestinal infections in children.
Efficacy of Lactobacillus Reuteri DSM 17938 for the Treatment of Acute Gastroenteritis in Children: Protocol of a Randomized Controlled Trial
The goal of the study is to assess the effectiveness of L reuteri DSM 17938 in the treatment of AGE in children and to add to current knowledge on the efficacy.


Management of acute gastroenteritis in Europe and the impact of the new recommendations: a multicenter study. The Working Group on acute Diarrhoea of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition.
It is suggested that with the exception of recommending ORS for rehydration and continuation of breast-feeding during diarrhoea, a minority of responding European physicians follow the ESPGHAN guidelines for optimal management of children with acute gastroenteritis.
Guidelines for managing acute gastroenteritis based on a systematic review of published research  
This paper is intended to provide evidence-based recommendations about the assessment and clinical management of infants and children with acute gastroenteritis, derived from a systematic review of published research.
Foreword: ESPGHAN/ESPID Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe
  • A. Guarino
  • Medicine
    Journal of pediatric gastroenterology and nutrition
  • 2008
These guidelines are designed to be a tool to meet 2 needs: first, as a guide in day-to-day practice (in some cases, demolishing entrenched myths) and to reduce the financial burden of AGE as regards unnecessary treatment and hospitalization.
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
Expert Working Group: Alfredo Guarino (Coordinator), Fabio Albano, yShai Ashkenazi, zDominique Gendrel, §J. Hans Hoekstra, Raanan Shamir, and jjHania Szajewska Department of Pediatrics, University of
Practice guidelines for the management of infectious diarrhea.
Prevention by avoidance of undercooked meat or seafood, avoidance of unpasteurized milk or soft cheese, and selected use of available typhoid vaccines for travelers to areas where typhoid is endemic are key to the control of infectious diarrhea.
Guidelines prepared by the ESPGAN Working Group on Acute Diarrhoea. Recommendations for feeding in childhood gastroenteritis. European Society of Pediatric Gastroenterology and Nutrition.
Department of Paediatric Gastroenterology, Royal Free Hospital, London, U. K; *Gastroenterology & Nutrition Unit, Institute of Child Health, Royal Hospital for Sick Children, Bristol, U. K.;
Coinfection in acute gastroenteritis predicts a more severe clinical course in children
Children with coinfection had a more severe clinical presentation and had a higher probability to be severely dehydrated, independently of age and living community type.
Epidemiology and clinical features of gastroenteritis in hospitalised children: prospective survey during a 2-year period in a Parisian hospital, France
Cases of rotavirus gastroenteritis were significantly more severe than those of norovirus with respect to the Vesikari score, duration of hospitalisation and the need for intravenous rehydration.
Evaluation of Infant Feeding in Acute Gastroenteritis
In this group of previously healthy, well-nourished babies with mild acute gastroenteritis, there was no advantage in regrading slowly to milk or a hypoallergenic formula and an immediate return to normal formula 24 h after GEM feeding was well tolerated and simpler for parents.
Etiology of acute gastroenteritis in children requiring hospitalization in the Netherlands
The present study emphasizes the importance of viral pathogens, especially rotavirus, in hospitalizations of children with gastroenteritis, and policies to reduce (costs of) hospitalizations should therefore be first targeted at rotav virus.