Efficacy of Lactose-free Milk in Treating Acute Gastroenteritis in Infants
Study Details
Study Description
Brief Summary
The purpose of this study is to determine whether lactose-free milk will change diarrhea duration and severity in formula-fed infants with acute gastroenteritis presenting to pediatric wards.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
More than 525 000 children die each year due to diarrheal disease, the second leading cause of death among children under five. Children from Asian countries, including Vietnamese children, frequently have lactose intolerance. In addition, gastroenteritis, specifically rotavirus-induced gastroenteritis, temporarily impairs lactase enzymes in the intestines. In a recent Cochrane review of 33 randomized and quasi-randomized trials, lactose-free diets reduced diarrhea among children younger than 5 years old. These trials, however, involved inpatients in middle-or high-income countries. Neither patient was from a developing country, where diarrheal diseases often cause significant morbidity and mortality. The purpose of this study is to determine whether lactose-free milk will change the duration and severity of diarrhea in Vietnamese infants with acute gastroenteritis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Intervention Lactose-free milk formula (Frisolac LF ®) |
Dietary Supplement: Lactose-free milk formula (Frisolac LF ®)
Following the initial rehydration phase, children were alternately assigned to receive 100 ml/kg/day of either lactose-free or lactose-containing formula
|
Placebo Comparator: Placebo Regular infant milk formula |
Dietary Supplement: Lactose-free milk formula (Frisolac LF ®)
Following the initial rehydration phase, children were alternately assigned to receive 100 ml/kg/day of either lactose-free or lactose-containing formula
|
Outcome Measures
Primary Outcome Measures
- Change in diarrhea duration [7 days]
llness onset and last diarrhoeal stool (the number of days with 3 or more loose or watery stools)
Secondary Outcome Measures
- Weight gain [7 days]
- Severity of diarrhea according to the modified Vesikari score [7 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Children 2- 24 months old on artificial milk formula
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Acute diarrhea (3 or more loose or liquid stools per day)
Exclusion Criteria:
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Used antibiotics within 3 days before admission
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Breastfeeding
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Severe dehydration, defined by a need of IV rehydration
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Malnutrition (weight/height< -3SD)
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Chronic underlying disease, immunocompromised condition or systemic infection
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Can Tho Children Hospital | Can Tho | Vietnam | 0292 |
Sponsors and Collaborators
- The Women and Children Hospital of An Giang
- Can Tho University of Medicine and Pharmacy
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- WCHAnGiang