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Messy Diapers May be Sign of Severe Intestinal Infection

rotect your child against rotavirus infection. The U.S. Food and Drug Administration recently approved the new rotavirus vaccine Rotateg. The CDC’s Advisory Committee on Immunization Practices and the American Academy of Pediatrics recommend giving the vaccine to infants at two, four and six months of age.

“The vaccine is very effective in preventing rotavirus diarrhea,” says Gilsdorf, who is a member of the CDC’s ACIP. “It prevents 70 to 80 percent of rotavirus infections, and about 98 percent of severe rotavirus infections.”

Since rotavirus usually is transferred via contaminated hands, simply washing your hands and your child’s hands after each diaper changing can work to prevent the spread of disease.

“It only takes a few virus particles to spread rotavirus from one child to another,” says Gilsdorf. “So it’s very important for people who are changing diapers to use good hand washing practices. That includes using soap to work up a good lather, washing between your fingers and the backs of your hands, rinsing with warm water, and thoroughly drying your hands.”

Treatment
With no antibiotics or anti-viral drugs to treat diarrhea caused by rotavirus, keeping children hydrated becomes vital to their care.

“Children quickly lose fluids and electrolytes during bouts of diarrhea and vomiting, and when they have a fever. To keep them hydrated, begin giving them extra fluids as early as possible in the illness,” advises Gilsdorf.

Babies may be given breast milk, formula, or products containing electrolytes that are specifically made for infants, such as Pedialyte. However, unlike older children and adults with diarrhea, sick infants should not be given water alone, since the salts lost in diarrhea also need to be replaced.

As the disease progresses, parents should be on alert for the signs of severe dehydration – fewer wet diapers and crying with no tears – and contact their child’s h
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