Oral therapy in children with cholera: A comparison of sucrose and glucose electrolyte solutions

• Published in: The Journal of pediatrics Vol. 96; no. 1; pp. 20 - 25
• Main Authors: Sack, David A., Islam, Sirajul, Brown, Kenneth H., Islam, Asma, Kabir, A.K.M. Iqbal, Chowdhury, Azad M.A.K., Ali, Md. Akbar
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 1980
• Subjects: Administration, Oral; Bangladesh; Child, Preschool; children; Cholera - complications; Cholera - epidemiology; Cholera - therapy; dehydration; Dehydration - complications; Dehydration - therapy; diarrhea; digestive system diseases; Disease Outbreaks - epidemiology; electrolytes; Female; Fluid Therapy; glucose; Glucose - therapeutic use; Humans; Infant; Injections, Intravenous; Male; Population; rehydration; sucrose; Sucrose - therapeutic use; treatment; Bangladesh; Comparative Studies; Hemic System; Diarrhea; Homeostasis; Oral Rehydration > therapeutic use; Biology; Fluid Balance; Research Methodology; Diseases; Studies; Treatment; Clinic Activities; Electrolyte Balance; Physiology; Sodium Ion Level
• ISSN: 0022-3476; 1097-6833
• DOI: 10.1016/S0022-3476(80)80317-9

We performed a double-blind trial comparing sucrose electrolyte oral solution with glucose electrolyte oral solution in children less than 5 years of age with severe cholera-like diarrhea. Of 111 patients studied (102 with bacteriologically confirmed cholera), 55 received sucrose solution and 56 received glucose solution. The success rates, as defined by the absence of the need to give unscheduled intravenous therapy, were similar in the two groups (73% and 77% in the sucrose and glucose groups, respectively). There was no difference in purging rates between the two groups. The primary determinant of success for oral fluid regardless of the sugar was the purging rate. Sucrose malabsorption was responsible for oral therapy failure in one child. This study demonstrates that sucrose is an effective alternative to glucose in the oral therapy solution, but either must be used in conjunction with intravenous solution when treating severe dehydrating diarrhea.