Intravenous Rehydration Shows Safety in Severely Malnourished Children, Challenging WHO Guidelines
- A randomized controlled trial involving 292 children across four African countries found that intravenous rehydration was as safe as oral rehydration for children with severe acute malnutrition and gastroenteritis.
- The study revealed no cases of heart failure or fluid overload with IV treatment, contradicting long-held concerns about cardiac complications in malnourished children.
- Children receiving standard oral rehydration experienced more complications, including increased need for nasogastric tubes, vomiting episodes, and emergency IV fluids for shock.
- The findings could prompt a review of WHO guidelines that currently distinguish between rehydration strategies for malnourished and non-malnourished children.