Manajemen Gastroenteritis pada Anak: Literature Review

https://doi.org/10.22146/jkkk.84349

Ami Novianti Subagya(1*), Ririn Mutia Zukra(2), Laila Nidaul Hasanah(3)

(1) Departemen Keperawatan Anak dan Maternitas FK KMK UGM
(2) Departemen Keperawatan Anak Univesitas Riau
(3) 
(*) Corresponding Author

Abstract


Background: Gastroenteritis is a common infectious disease in children, especially children under 5 years of age. Gastroenteritis that is not handled properly can cause hypovolemic shock thereby increasing mortality in children.
Objective: This literature review aims to determine the management of gastroenteritis in children and the role of nurses in managing children with gastroenteritis.
Method: This review considers references through PubMed, Science Direct, and Cochrane searches using the search terms “children with acute gastroenteritis”, “management" OR "treatment”, and “nursing therapy”
Result: Management of children with gastroenteritis refers to three aspects, namely the medical aspect (oral rehydration therapy, parenteral rehydration, nasogastric feeding, diet), pharmacological aspects (use of antibiotics, antiemetics, probiotics, zinc, and vaccines), and nursing aspects (identification of the degree of dehydration, assessment of stool characteristics, monitoring and evaluation of rehydration administration).
Conclusion: The main management of children with gastroenteritis is rehydration therapy. Nurses need to assess the degree of dehydration, monitor, and evaluate the administration of rehydration therapy.

ABSTRAK

Latar belakang: Gastroenteritis merupakan salah satu penyakit infeksi yang umum terjadi pada anak khususnya anak di bawah usia 5 tahun. Gastroenteritis yang tidak tertangani dengan baik dapat menyebabkan syok hipovolemia sehingga meningkatkan mortalitas pada anak.
Tujuan: Tinjauan literatur ini bertujuan untuk mengetahui manajemen gastroenteritis pada anak dan peran perawat dalam melakukan tata laksana anak dengan gastroenteritis.
Metode: Ulasan ini mempertimbangkan referensi melalui pencarian PubMed, Science Direct, dan Cochrane dengan menggunakan istilah pencarian “children with acute gastroentritis”, “management" OR "treatment”, dan “nursing therapy”.
Hasil: Manajemen pada anak dengan gastroenteritis mengacu pada tiga aspek, yaitu aspek medis (terapi rehidrasi oral, rehidrasi parenteral, nasogastric feeding, diet), aspek farmakologi (penggunaan antibiotik, antiemetik, probiotik, zink, dan vaksin), dan aspek keperawatan (identifikasi derajat dehidrasi, pengkajian karakteristik feses, pemantauan, dan evaluasi pemberian rehidrasi).
Kesimpulan: Penatalaksanaan utama anak penderita gastroenteritis adalah terapi rehidrasi. Perawat perlu menilai derajat dehidrasi, memantau, dan mengevaluasi pemberian terapi rehidrasi.


Keywords


anak; gastroenteritis; manajemen; rehidrasi

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References

  1. Houston KA, Gibb JG, Mpoya A, Obonyo N, Olupot-Olupot P, Nakuya M, Evans JA, George EC, Gibb DM, Maitland K. Gastroenteritis aggressive versus slow treatment for rehydration (GASTRO). A pilot rehydration study for severe dehydration: WHO plan C versus slower rehydration. Wellcome Open Research. 2017;2(0):62.
  2. Nathan, S. Gastroenteritis, Viral. In Bookshelf. 2018:247–256
  3. Kotloff KL. The burden and etiology of diarrheal illness in developing countries. Pediatric Clinics of North America. 2017;64(4):799–814.
  4. Spina A, Kerr KG, Cormican M, Barbut F, Eigentler A, Zerva L, Tassios P, Popescu GA, Rafila A, Eerola E, Batista J, Maass M, Aschbacher R, Olsen KE., Allerberger F. Spectrum of enteropathogens detected by the FilmArray GI Panel in a multicentre study of community-acquired gastroenteritis. Clinical Microbiology and Infection. 2015;21(8):719–728.
  5. Dalby-payne JR, Elliott EJ. Gastroenteritis in children. 2016;1–64.
  6. Parashar U, Nelson A, Kang G. Diagnosis, management, and prevention of rotavirus gastroenteritis in children. HHS Public Access. 2016;131(20:1796–1803.
  7. Randel, A. Infectious diarrhea: IDSA updates guidelines for diagnosis and management. American Family Physician. 2018;97(10):676–677.
  8. Kotloff K.L, Blackwelder WC, Nasrin D, Nataro JP, Farag TH, Van Eijk A, Adegbolan RA, Alonso PL, Breiman RF, Golam Faruque AS, Saha D, Sow SO, Sur D, Zaidi AKM, Biswas K, Panchalingam S, Clemens JD, Cohen D, Glass RI. Levine MM. The Global Enteric Multicenter Study (GEMS) of diarrheal disease in infants and young children in developing countries: Epidemiologic and clinical methods of the case/control study. Clinical Infectious Diseases. 2012;55(4).
  9. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al., The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.
  10. Leung AC, Hon KL. Paediatrics: how to manage viral gastroenteritis. Drugs in Context. 2021;10.
  11. Seo JH, Shim JO, Choe BH, Moon JS, Kang KS, Chung JY. Management of acute gastroenteritis in children: A Survey among members of the Korean society of pediatric gastroenterology, Hepatology, and Nutrition. Pediatric Gastroenterology, Hepatology & Nutrition. 2019;22(5):431.
  12. Sunderland N, Westbrook J, Urwin R, Knights Z, Taitz Z, Williams H, Wiles LK, Molloy C, Hibbert P, Ting HP, Churruca K, Arnolda G, Braithwaite J. Appropriate management of acute gastroenteritis in Australian children: A population-based study. PLoS ONE. 2019;14(11).
  13. Vanderkooi OG, Xie J, Lee BE, Pang XL, Chui L, Payne DC, MacDonald J, Ali S, MacDonald S, Drews S, Osterreicher L, Kim K, Freedman SBA. Prospective comparative study of children with gastroenteritis: emergency department compared with symptomatic care at home. European Journal of Clinical Microbiology and Infectious Diseases. 2019;38(12):2371–2379.
  14. Wielgos K, Setkowicz W, Pasternak G, Lewandowicz-Uszyńska A. Postępowanie wostrej biegunce infekcyjnej u dzieci [Management of acute gastroenteritis in children]. Pol Merkur Lekarski. 2019;47(278):76-79.
  15. Freedman SB, Williamson-Urquhart S, Farion KJ, Gouin S, Willan AR, Poonai N, Hurley K, Sherman PM, Finkelstein Y, Lee BE, Pang XL, Chui L, Schnadower D, Xie J, Gorelick M, Schuh, S. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. The New England Journal of Medicine. 2018;379(21):2015–2026.
  16. Carson RA, Mudd SS, Madati PJ. Evaluation of a nurse-initiated acute gastroenteritis pathway in the pediatric emergency department. J Emerg Nurs. 2017;43(5):406-412
  17. Rebeille-Borgella B, Barbier C, Moussaoui R, Faisant A, Michard-Lenoir AP, Rubio A. Gastro-entérite aiguë chez l’enfant hospitalisé: réduction des durées de réhydratation et d’hospitalisation grâce à la réhydratation par sonde naso-gastrique [Nasogastric rehydration for treating children with gastroenteritis]. Arch Pediatr. 2017;24(6):527-533
  18. Azarfar A, Ravanshad Y, Keykhosravi A, Bagheri S, Gharashi Z, Esmaeeli M. Rapid intravenous rehydration to correct dehydration and resolve vomiting in children with acute gastroenteritis. Turk J Emerg Med. 2016;26;14(3):111-4
  19. Carson RA, Mudd SS, Madati PJ. Evaluation of a nurse-initiated acute gastroenteritis pathway in the pediatric emergency department. Journal of Emergency Nursing. 2017;43(5):406–412.
  20. World Health Organization. The World Health Report 2009 a Safer Future: Global Public Health Security in the 21st Century. Geneva: WHO; 2009.
  21. Chu M, Doherty S, Moore P, Neville K. Guideline: Infants and Children: Management of Acute Gastroenteritis. 2014.
  22. Toaimah FHS, Mohhammad M. Rapid intravenous rehydration therapy in children with acute gastroenteritis. Pediatric Emergency Care. 2016;32(3):131–135.
  23. Iro MA, Sell T, Brown N, Maitland K. Rapid intravenous rehydration of children with acute gastroenteritis and dehydration: a systematic review and meta-analysis. 2018;1–9.
  24. Strachan SR, Morris LF. Management of severe dehydration. Journal of the Intensive Care Society. 2017;18(3):251–255.
  25. National Clinical Guideline Centre. Assessment and monitoring of patients receiving intravenous fluid therapy. 2013:174–186.



DOI: https://doi.org/10.22146/jkkk.84349

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