Literature Review: The Role of Selenium and Zink in the Healing Process of Acute Gastroenteritis (AGE) in Child
Background: Gastroenteritis often attacks toddlers and children because their immune systems are still weak, so they can be exposed to bacteria that cause diarrhea such as continuous vomiting which will increase dehydration (lack of fluids). Gastroenteritis is often accompanied by dehydration, either moderate to severe dehydration. Acute gastroenteritis is one of the leading causes of child mortality in the world. The results of several studies found that the administration of zinc and selenium supplements can shorten the healing time or the duration of hospitalization of patients with acute gastroenteritis.
Objectives: The purpose of this literature review is to examine and analyze the role of selenium and zinc in the treatment of acute gastroenteritis in children.
Methods: Using the literature review method by reviewing 10 journal articles with 8 articles discussing the role of zinc in the healing process of acute gastroenteritis in children and 2 articles discussing the role of selenium in the healing process of acute gastroenteritis in children.
Discussion: The results showed that selenium contains enzymes that can reduce oxidative stress so that it plays a role in the healing process of acute diarrhea. Meanwhile, zinc can help the healing process because it increases the absorption of fluids from the intestine, helps the cleansing of the organism, and supports the regeneration and integrity of the mucosa, and has immune-related mechanisms.
Conclusion: The administration of zinc and selenium can accelerate the healing of gastroenteritis in children.
Afolabi, O. F. et al. (2019) ‘Serum zinc levels of hospitalized children with acute diarrhea differ by the isolated viruses.', International journal of health sciences, 13(5), pp. 4–10. doi: 10.4103/npmj.npmj_79_18.
Azim, M. A. et al. (2020) ‘Comparative Evaluation on the Effect of Zinc-Probiotic and Zinc Therapy in Pediatric Acute Gastroenteritis', Chattagram Maa-O-Shishu Hospital Medical College Journal, 19(1), pp. 74–77. doi: 10.3329/cmoshmcj.v19i1.48809.
Boas, E. (2016) ‘Efek suplementasi seng terhadap gejala yang berhubungan dengan diare akut ringan pada anak', Jurnal Biomedik (Jbm), 8(2), pp. 4–7. doi: 10.35790/jbm.8.2.2016.12667.
Brandt, K. G. et al. (2015) ‘Acute diarrhea : evidence-based management ଔ', J Pediatr (Rio J), 91, pp. 36–43. doi: 10.1016/j.jped.2015.06.002.
Cigdem, E. L. and Celikkaya, M. E. (2019) ‘Evaluation of the effects of zinc supplementation on the symptoms and duration of the disease in acute viral gastroenteritis', Family Practice and Palliative Care, 4(1), pp. 11–14. doi: 10.22391/fppc.471460.
Dwipoerwantoro, P. G. et al. (2017) ‘Selenium status and fungi in the protein-losing enteropathy of persistent diarrhea', Asia Pacific Journal of Clinical Nutrition, 26(May), pp. S79–S84. doi: 10.6133/apjcn.062017.s13.
Eskander, A. E. et al. (2017) ‘Serum zinc level and its correlation with vesikari system scoring in acute pediatric diarrhea', Open Access Macedonian Journal of Medical Sciences, 5(5), pp. 677–680. doi: 10.3889/oamjms.2017.097.
Laghari, G. S., Hussain, Z. and Shahzad, H. (2019) ‘Effect of Zinc Supplementation on the Frequency and Consistency of Stool in Children with Acute Diarrhea', Cureus, 11(3). doi: 10.7759/cureus.4217.
Latif, H. A. (2015) ‘Terapi Suplementasi Zink dan Probiotik pada Pasien Diare Zink and Probiotic Supplementation Therapy in Patients Diarrhea', J Agromed Unila, 2(4), pp. 1–5. Available at: https://juke.kedokteran.unila.ac.id/index.php/agro/article/view/1232.
Maragkoudaki, M. et al. (2018) ‘Efficacy of an oral rehydration solution enriched with Lactobacillus reuteri DSM 17938 and Zinc in the management of acute diarrhoea in infants: A randomized, double-blind, placebo-controlled trial', Nutrients, 10(9). doi: 10.3390/nu10091189.
Meriyani, H. and Udayani, N. N. W. (2018) ‘Akademi Farmasi Saraswati Denpasar, Jalan Kamboja No 11A Denpasar', Jurnal Ilmiah Medicamento, 4(1), pp. 1–6. doi: 10.36733/medicamento.v4i1.882.
Nari, J. (2019) ‘Asuhan Keperawatan Anak engan Kasus Gastroenteritis Aakut Dalam Upaya Pemenuhan Kebutuhan Cairan Dan Elektrolit Di Ruangan Anak RSUD dr. M. HAULUSSY', Global Health Science, 4(1), pp. 159–164. doi: 10.33846/ghs4311.
Nolitriani, Jurnalis, Y. D. and Sayoeti, Y. (2020) ‘Literatur Review: Peran Selenium Pada Diare Akut Anak(The role of selenium in pediatric acute diarrhea : a literature review study )', AcTion: Aceh Nutrition Journal, 5(2), pp. 140–146. doi: 10.30867/action.v5i2.307.
Mendri. (2018). Asuhan Keperawatan Pada Balita Sakit Dan Bayi Resiko Tinggi (1st ed.). Yogyakarta: Pustaka Baru Press.
Posovszky, C. et al. (2020) ‘Akute infektiöse Gastroenteritis im Säuglings- und Kindesalter', Deutsches Arzteblatt International, 117(37), pp. 615–624. doi: 10.3238/arztebl.2020.0615.
Riskiyah, R. (2017) ‘Peranan Zinc Pada Penanganan Kasus Penyakit Diare Yang Dialami Bayi Maupun Balita', Journal of Islamic Medicine, 1(1), pp. 22–29. doi: 10.18860/jim.v1i1.4119.
Sinaga, M. et al. (2016) ‘Selenium for acute watery diarrhea in children', Paediatrica Indonesiana, 56(3), p. 139. doi: 10.14238/pi56.3.2016.139-43.
Sopiyandi, S., Juffrie, M. and Susetyowati, S. (2013) ‘Pemberian taburia (sprinkle) berpengaruh terhadap lama dan frekuensi diare akut anak', Jurnal Gizi Klinik Indonesia, 9(3), p. 117. doi: 10.22146/ijcn.15444.
Sulastri (2019) ‘Asuhan Keperawatan Pada Anak Dengan Diagnosa Gastroenteritis', Jurnal Ilmiah Cerebral Medika, 1(2). doi: 10.53475/jicm.v1i2.60.
Lo Vecchio, A. et al. (2016) ‘Comparison of recommendations in clinical practice guidelines for acute gastroenteritis in children', Journal of Pediatric Gastroenterology and Nutrition, 63(2), pp. 226–235. doi: 10.1097/MPG.0000000000001133.
Lynn Betz. ( 2013). Buku Saku Keperawatan Pediatrik (Edisi 5). Jakarta: ECG.
Wahyuni, D. F. and Riska, R. (2021) ‘Gambaran Penggunaan Terapi Gea (Gastroenteritis ) Pada Pasien Anak Di Rsud Batara Siang Pangkep Sulsel', Jurnal Riset Kefarmasian Indonesia, 3(3), pp. 189–198. doi: 10.33759/jrki.v3i3.137.
Wongteerasut, A. and Pranweerapaibul, W. (2021) ‘Does Serum Zinc Level Affect Severity of Acute Gastroenteritis Among Pre-School Thai Children?', Pediatric Health, Medicine and Therapeutics, Volume 12(September), pp. 481–489. doi: 10.2147/phmt.s325797.
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