Discharge Criteria Project
CHOLERA DISCHARGE CRITERIA:
(from MSF)
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transitioned to oral rehydration solution (ORS) for at least six hours
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no signs of dehydration
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less than 3 liquid stools in past six hours
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advise the family to come back for vomiting, diarrhea worsening, or patient is eating or drinking poorly
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discharge patient with two days of ORS
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less than 24 months = 500 mL/day
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2-9 years = 1 L per day
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10+ years = 2L per day
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Source: MSF 2004
https://www.humanitarianresponse.info/system/files/documents/files/choleraguide.pdf
(from WHO Hospital Care for Children chapter on diarrhea)
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Switch to ORS when no signs of dehdration
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Observe the child for at least 6 hours before discharge, to confirm that the mother is able to maintain the child’s hydration by giving ORS solution.
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When severe dehydration is corrected, prescribe zinc for 10-14 days
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Teach the mother four rules of home treatment
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Give extra fluid
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Give zinc supplements
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Continue feeding
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When to return: — drinking poorly or unable to drink or breastfeed — becomes more sick — develops a fever — has blood in the stool
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