TAILIEUCHUNG - Evaluation and Treatment of Constipation in Infants and Children: Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition

The need for the distribution of Ascorbic acid () in such camps cannot be overemphasized as this help in accelerating healing and boosting the immure system of campers. The prevalence rate of measles (12%) can be considered high especially in view of its contagion nature that could be favored by crowding, low level of herd immunity, malnutrition and inadequate medical care. Occasional outbreaks of meat have been inked to the lack of immunization in children or the failure of single dose of vaccine in many children. Measles has been regarded as the most frequent cause of death worldwide. | Journal of Pediatric Gastroenterology and Nutrition 43 e1-e13 September 2006 Lippincott Williams Wilkins Philadelphia Clinical Practice Guideline Evaluation and Treatment of Constipation in Infants and Children Recommendations of the North American Society for Pediatric Gastroenterology Hepatology and Nutrition ABSTRACT Constipation defined as a delay or difficulty in defecation present for 2 or more weeks is a common pediatric problem encountered by both primary and specialty medical providers. The Constipation Guideline Committee of the North American Society for Pediatric Gastroenterology Hepatology and Nutrition NASPGHAN has formulated a clinical practice guideline for the management of pediatric constipation. The Constipation Guideline Committee consisting of 2 primary care pediatricians 1 clinical epidemiologist and pediatric gastroenterologists based its recommendations on an integration of a comprehensive and systematic review of the medical literature combined with expert opinion. Consensus was achieved through nominal group technique a structured quantitative method. The Committee developed 2 algorithms to assist with medical management 1 for older infants and children and the second for infants less than 1 year of age. The guideline provides recommendations for management by the primary care provider including evaluation initial treatment follow-up management and indications for consultation by a specialist. The Constipation Guideline Committee also provided recommendations for management by the pediatric gastroenterologist. JPGN 43 e1-e13 2006. Key Words Constipation Guidelines. 2006 Lippincott Williams Wilkins BACKGROUND A normal pattern of stool evacuation is thought to be a sign of health in children of all ages. Especially during the first months of life parents pay close attention to the frequency and the characteristics of their children s defecation. Any deviation from what is thought by any family member to be normal for children may trigger a .

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