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Ondansetron for the Management of Vomiting in Children with Gastroenteritis: A Critical Review of the Literature

L. Amir, P. Tikva

2007

Abstract

The purpose of this study was to review the current knowledge on the efficiency, effectiveness, and safety of ondansetron in the treatment of vomiting due to acute gastroenteritis in children. A Medline search using the terms ondansetron, vomiting, and/or gastroenteritis, limited to the pediatric population, yielded only 4 randomized, double-blind controlled clinical trials. Analysis of their primary and secondary outcomes, with calculation of the number needed to treat (NNT), showed that ondansteron is a promising pharmacologic solution for rehydration in this setting, but it harbors a risk of diarrheal complications. Further well-designed prospective studies are warranted to reach a definitive conclusion.

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