Gelatin tannate for acute diarrhoea and gastroenteritis in children: a systematic review and meta-analysis.

Autor: Florez, Ivan D., Sierra, Javier M., Niño-Serna, Laura F.
Předmět:
Zdroj: Archives of Disease in Childhood; Feb2020, Vol. 105 Issue 2, p141-146, 6p, 2 Diagrams, 1 Chart, 3 Graphs
Abstrakt: Objective: To determine the effectiveness and safety of gelatin tannate (GT) for reducing the duration of the acute diarrhoea and gastroenteritis (ADG) in children.Design: Systematic review and meta-analysis.Data Sources: MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Trials, LILACS and grey literature, published from inception to October 2018. No language restrictions.Eligibility Criteria For Selecting Studies: Randomised controlled trials in children with ADG, comparing GT with placebo.Results: Of 797 titles identified, we included three studies (276 children). We performed a random effects model meta-analysis for the main outcome (diarrhoea duration). We did not find significant differences between GT and placebo for diarrhoea duration (mean difference (MD)=-15.85 hours; 95% CI -42.24 to 14.82, I2=92%; three studies), stool frequency at day 2 (MD=0.11 stools/day; 95% CI -0.39 to 0.62: I2=26%; two studies), diarrhoea at day 3 (risk ratio [RR]=0.46; 95% CI 0.06 to 3.47: I2=73%; two studies), vomiting (RR=1.31; 95% CI 0.95 to 1.80: I2=0%; two studies) or adverse events (RR=0.86; 95% CI 0.27 to 2.66: I2=0%; two studies). Most common adverse events included abdominal pain and nausea.Conclusion: The effect of GT was no different to placebo for mean diarrhoea duration (low certainty on the evidence) and stool frequency at day 2 (high certainty) and for the presence of diarrhoea at day 3 (very low certainty) of vomiting (moderate certainty) and of adverse events (low certainty).Prospero Registration Number: CRD42018087902. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index