Pediatrics
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GASTROSAM Trial: IV vs Oral Rehydration in Children With Severe Acute Malnutrition and Gastroenteritis
Severe acute malnutrition (SAM) remains one of the most difficult clinical settings in pediatric care, especially when complicated by gastroenteritis and dehydration. Clinicians are often cautious with intravenous fluids in these children because of concerns about fluid overload, electrolyte shifts, and clinical deterioration. Current WHO recommendations generally favor conservative rehydration strategies in children with SAM,…