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Correspondence

Indian Pediatr 2019;56:888

Intravenous Ondansetron to Reduce Intravenous Rehydration – Will it be Successful?:
Authors Reply


Rang Ngoc Nguyen

Email: [email protected]

 

Study design varies according to the purpose of the study. The main outcome of this study [1] was to assess the efficacy of IV ondansetron in decreasing the need of infusion more than its antiemetic effects; thus, ondansetron was compared with placebo instead of comparison with oral formulation or other antiemetic drugs.

Persistent vomiting in this context meant vomiting several times. However, administration of intravenous fluids depended on the treating physician’s decision.

It is true that in young children, monitoring and assessment of fluid intake are difficult. After 4 hour admission, if the child was alert and had no signs of dehydration, it was considered as adequate rehydration.

All of cases included in this study were having acute watery, non-bloody diarrhea; 44.3% of cases caused by rotavirus, and there was no difference between the two groups. The duration from having the first symptom of diarrhea to hospitalization was similar between the two groups. The median (IQR) duration of diarrhea before admission was 20 (16, 20) hours in the ondansetron group, compared with 18 (12, 22) in the placebo group (P=0.760).

 

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