Acute diarrhea therapy--suboptimal?

To the Editor.— Snyder1 found that the reported use of glucose-electrolyte solutions by pediatricians was not in accordance with the American Academy of Pediatrics Committee on Nutrition9s recommendations on oral rehydration therapy (ORT) for acute diarrhea. To determine actual physician practices, we conducted an audit of diarrhea management, including use of ORT, in the Emergency Room of our pediatric hospital. Our 4-month audit period included an epidemic of viral gastroenteritis, during which we expected to see optimal case management.