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August 4, 1993

Oral Rehydration Therapy for Viral Gastroenteritis-Reply

JAMA. 1993;270(5):579. doi:10.1001/jama.1993.03510050044021

In Reply.  —We certainly concur that ORT is an effective, safe, well-recognized, proven, and economical method of treating acute GE in infants and young children. It was not the purpose of my presentation to discuss in detail various methods of therapy. Rather, the goal was to present highlights of our research program on viral GE and to give an overview regarding its etiology, epidemiology, clinical manifestations, treatment, and prevention.The case presented was drawn from one of 72 hospitalized infants and young children included in a 1977 publication that described the clinical features of rotavirus GE.1 The case was not intended to set a standard for therapy of viral GE, but was presented as an example of a patient with acute GE associated with rotavirus infection as determined by virologic and serologic assays.In the "Prophylaxis and Treatment" section of this Grand Rounds, we described the treatment as follows: