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Rotavirus Management — RACP Paediatrics MCQ

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EasyInfectious DiseaseRotavirus ManagementRACP Paediatrics

A 2-year-old in childcare develops profuse watery diarrhoea. Multiple children in the centre are affected. Rotavirus antigen test is positive. What is the most important aspect of management?

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Correct answer: D — Oral rehydration therapy

Rotavirus gastroenteritis: the cornerstone of management is prevention and treatment of dehydration with oral rehydration solution (ORS). Antibiotics are not indicated. Anti-diarrhoeal agents are contraindicated in children. Probiotics (e.g. Lactobacillus) may modestly reduce diarrhoea duration but are not a substitute for rehydration.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Gastroenteritis