In Reply.—

Dr Reid notes that 15.2% of children in our rehydration trial were unable to perform oral rehydration therapy (ORT) and surmises that the conclusion of our study, that ORT is as effective as intravenous fluids (IVF), was unsupported. We disagree. These patients were analyzed as ORT failures, and still our results demonstrated effectiveness for the treatment of moderately dehydrated children. The American Academy of Pediatrics practice parameter for gastroenteritis recommends ORT as the initial therapy for mild and moderately dehydrated children. However, a survey by Ozuah et al demonstrated that emergency medicine providers who are very familiar with this practice parameter use IVF 75% of the time, and those who are less familiar use IVF 90% of the time for moderately dehydrated children. The fact that only 15% of these children were unable to tolerate ORT demonstrates that we can potentially reduce the amount...

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