TY - JOUR T1 - Oral ondansetron decreases vomiting, as well as the need for intravenous fluids and hospital admission, in children with acute gastroenteritis JF - Evidence Based Medicine JO - Evid Based Med SP - 112 LP - 113 DO - 10.1136/ebmed.2011.100355 VL - 17 IS - 4 AU - Deborah A Levine Y1 - 2012/08/01 UR - http://ebm.bmj.com/content/17/4/112.abstract N2 - Commentary on: Fedorowicz Z, Jagannath VA, Carter B. Antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents. Cochrane Database Syst Rev 2011;9:CD005506. Antiemetic use is common in children. The majority of paediatric practitioners prescribe antiemetics for intractable vomiting due to gastroenteritis.1 ,2 Though gastroenteritis is self-limited, vomiting is unpleasant and may lead to dehydration and hospitalisation. The review by Fedorowicz et al evaluated the clinical effects and adverse events of antiemetics in the setting of gastroenteritis. This is an update of a review done initially in 2005, 2006 and 2008. The review includes randomised controlled studies of children aged less than 18 years, who received antiemetics orally, intravenously or rectally for vomiting as a result of gastroenteritis. The primary outcome of the review was the time from first administration of the treatment until cessation of vomiting. The secondary outcomes were parenteral satisfaction, number of patients requiring hospitalisation or intravenous rehydration during an emergency department … ER -