Fluid curtailment during childhood XXXX : a countdown analysis.

@entity1 @entity2700 @entity294 @entity532 @entity204
BACKGROUND: The foundation of recommended @entity294 management in young @entity1 is increased fluids and continued feeding. This increase in fluids is necessary to replace those lost during @entity294 and ultimately prevent @entity2700 . There may be an opportunity to prevent deaths in @entity1 under five by discouraging the practice of reducing or curtailing fluids during @entity294 episodes across different settings worldwide. METHODS: We quantify and describe the extent of fluid curtailment in @entity1 with @entity294 in a selection of countries (Burkina Faso, Democratic Republic of Congo, Ethiopia, Nigeria, Tanzania, and Uganda) with high burden of @entity294 -related mortality with national cross sectional survey data. We examine the practice of fluid curtailment in these countries and its relationship to @entity1 and household traits and to characteristics of @entity294 management. RESULTS: The prevalence of fluid curtailment among @entity1 under five with @entity294 is strikingly high in these countries: 55 % in Nigeria, 49 % in Ethiopia, 44 % in Uganda, 37 % in Tanzania, 36 % in DR Congo and 32 % in Burkina Faso. Fluid curtailment is associated with giving less food, potentially worsening the impact of this harmful practice. @entity1 who were reported to have had fluids curtailed during @entity294 episodes were also 3.51 (95 % confidence, 2.66 - 4.64) times more likely to be reported to have food withheld (a   =   0.05; p   <   0.001). @entity1 who received care from non-governmental providers, and those who were breastfed were more likely to have their fluids curtailed, as were @entity1 with an unimproved water source. @entity1 of poorer or less educated mothers and those living in rural areas are more likely to have curtailed fluids, compared to @entity1 of less poor or more educated mothers, or those living in urban areas. CONCLUSIONS: The harmful practice of curtailing fluids for a @entity1 with @entity294 is highly prevalent, representing an increased risk of @entity532 due to @entity294 , including @entity204 , especially for @entity1 in specific subgroups.
