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Friday 16 October 2015

2010 Use of herbs in children under five years of age with infant acute diarrhea


[Ingestión de plantas en niños menores de 5 años con diarrea aguda infantil]

Hospital de Niños Dr. Jorge Lizarraga, Ciudad Hospitalaria Dr. Enrique Tejera, Valencia, Edo Carabobo, Venezuela
Universidad de Carabobo, Facultad de Ciencias de la Salud, Escuela de Medicina, Venezuela
Servicio de Emergencias Pediátricas, Centro Policlínico La Viña, Valencia, Venezuela

Abstract

The use of medicinal plants in infant acute diarrhea (DAI) is a common practice in Venezuela, and poisoning as a result is common. Such practice carries high economic and human costs from a high hospitalization rate, and high morbidity and mortality. The research objective was to describe the socio-epidemiological characteristics of children with diarrhea who ingested plants during the period 2003 in the Children's Hospital "Dr. Jorge Lizarraga. Materials and Methods: This is a descriptive, retrospective, and non-experimental study. 4145 medical records of patients <5 years of age treated for diarrhea at the Children's Hospital "Dr. Jorge Lizarraga" in Valencia, Venezuela, between January and December 2003, were reviewed. The sample was non-random and conveniently chosen, and consisted of 527 children who had a history of ingesting plants while suffering from diarrheal illness. Results: From all the consultations in 2003, 11.3% had acute diarrhea, and 12.7% had a history of plant consumption. 86.2% were <2 years, and out of these, the <6 months (30.7%) were the most affected. Male was the predominant sex. Marginal working class represented 86.9%. Chamomile ranked first as an alternative therapy for DAI, followed by mint. 74.6% received a single-plant infusion or tea, and 25.4% multiple-plant infusions. 14% of the patients with infant acute diarrhea and ingestion of plants had a higher frequency of hospitalization and mortality (2%). Mint, pazote, chamomile, pennyroyal and black tea were the most common plants ingested by children who died. Conclusions: Children <5 years with acute diarrhea who are treated by their parents with plant infusions as a therapeutic alternative are hospitalized more frequently, and tend to have more complications leading to an increased morbidity and mortality.

Author keywords

Herbal infusions; Infant acute diarrhea; Poisoning plants