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Zinc for the treatment of diarrhoea: effect on diarrhoea morbidity, mortality and incidence of future episodes

Open access
Walker, C. L. F., Black, R. E.·2010·International Journal of Epidemiology

Abstract

BACKGROUND: Zinc supplementation for the treatment of diarrhoea has been shown to decrease the duration and severity of the diarrhoeal episode, diarrhoea hospitalization rates and, in some studies, all-cause mortality. Using multiple outcome measures, we sought to estimate the effect of zinc for the treatment of diarrhoea on diarrhoea mortality and subsequent pneumonia mortality. METHODS: We conducted a systematic review of efficacy and effectiveness studies. We used a standardized abstraction and grading format and performed meta-analyses for all outcomes with >or=2 data points. The estimated effect on diarrhoea mortality was determined by applying the standard Child Health Epidemiology Reference Group rules for multiple outcomes. RESULTS: We identified 13 studies for abstraction. Zinc supplementation decreased the proportion of diarrhoeal episodes which lasted beyond 7 days, risk of hospitalization, all-cause mortality and diarrhoea mortality. Using diarrhoea hospitalizations as the closest and most conservative possible proxy for diarrhoea mortality, zinc for the treatment of diarrhoea is estimated to decrease diarrhoea mortality by 23%. CONCLUSION: Zinc is an effective therapy for diarrhoea and will decrease diarrhoea morbidity and mortality when introduced and scaled-up in low-income countries.

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Metadata

Authors
Walker, C. L. F., & Black, R. E.
Venue
International Journal of Epidemiology
Published
2010-03-26
Volume
39
Issue
Supplement 1
Pages
i63-i69
ISSN
  • 0300-5771 (ISSN-L)
  • 1464-3685
OpenAlex
W2150020023
Cited by
212
References
4
FWCI
16.11
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Zinc for the treatment of diarrhoea: effect on diarrhoea morbidity, mortality and incidence of future episodes. https://app.cochat.ai/papers/10.1093/ije/dyq023
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Walker, C. L. F., & Black, R. E. (2010). Zinc for the treatment of diarrhoea: effect on diarrhoea morbidity, mortality and incidence of future episodes. International Journal of Epidemiology. https://doi.org/10.1093/ije/dyq023

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.