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May 2004

Oral Rehydration: In Pediatrics, Less Is Often Better

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Arch Pediatr Adolesc Med. 2004;158(5):420-421. doi:10.1001/archpedi.158.5.420

Elsewhere in this issue of the ARCHIVES, Fonseca and colleagues1 compare enteral vs parenteral rehydration for children with gastroenteritis. The results of their meta-analysis indicate not only that intravenous rehydration is no more efficacious than fluids given orally or via a nasogastric tube but that intravenous rehydration is associated with longer hospitalization and a 3-fold increase in major adverse events. The study and the major findings are worthy of comment on a number of levels.

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