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Two-Dose Ondansetron Regimen Recommended for Children After ED Gastroenteritis

The national trial’s findings drove July 18 recommendations enabling emergency departments to supply two at-home ondansetron doses.

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Overview

  • Nearly one-third of children discharged from emergency departments for acute gastroenteritis experience recurrent vomiting at home.
  • A double-blind randomized trial within the Pediatric Emergency Research Canada network enrolled over 1,000 children aged 6 months to 18 years at six Canadian hospitals.
  • Home administration of two ondansetron doses at discharge cut moderate-to-severe vomiting symptoms, the New England Journal of Medicine reported July 16.
  • Translating Emergency Knowledge for Kids issued new national guidelines on July 18 recommending emergency departments hand out two at-home ondansetron doses.
  • Researchers will conduct subgroup analyses to pinpoint which children derive the greatest benefit from home ondansetron dosing.