Primary prevention

Early initiation of oral rehydration solutions (ORS) is highly effective at preventing progression of volume depletion in gastroenteritis, particularly when delivered appropriately as frequent small amounts.[12][13][14] ORS dramatically decrease diarrhoea-associated mortality in home and facility settings.[15] For athletes undergoing strenuous activity, particularly in high ambient temperature and humidity, prehydration and frequent intake of electrolyte-based solutions will compensate for ongoing losses and prevent volume depletion.[16]

Secondary prevention

  • General hygiene measures, such as regular and adequate hand washing, are extremely important to prevent the spread of gastroenteritis.

  • Accident prevention measures may be discussed with children and parents.

  • Adolescents who have been treated for exercise-related volume depletion should be counselled on the need for adequate fluid replacement with vigorous exercise.

  • Diabetes mellitus should be monitored and control optimised, with active patient and carer participation in discussions concerning therapy.

Use of this content is subject to our disclaimer