"Drink plenty of fluids": a systematic review of evidence for this recommendation in acute respiratory infections
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《英国医生杂志》
1 Centre for General Practice, Medical School, University of Queensland, Herston, 4006, Queensland, Australia
Correspondence to: C B Del Mar c.delmar@cgp.uq.edu.au
Introduction
We found data to suggest that giving increased fluids to patients with respiratory infections may cause harm. To date there are no randomised controlled trials to provide definitive evidence, and these need to be done. Until we have this evidence, we should be cautious about universally recommending increased fluids to patients, especially those with infections of the lower respiratory tract.
Extra details about the search strategy used and tables detailing results from other studies appear on bmj.com
We thank Ruth Foxlee, Cochrane Acute Respiratory Infections Group Trials Search Coordinator, for performing the searches.
Contributors: CBDM conceived and supervised the study, and prepared the manuscript. MPBG and SMM undertook the search, and contributed to writing the manuscript. CBDM is the guarantor for the study.
Funding: The post of academic research registrar is funded by General Practice Education and Training.
Competing interests: None declared.
References
Shann F, Germer S. Hyponatraemia associated with pneumonia or bacterial meningitis. Arch Dis Child 1985;60: 963-6.
Dhawan A, Narang A, Singhi S. Hyponatraemia and the inappropriate ADH syndrome in pneumonia. Ann Trop Paediatr 1992;12: 455-62.
Dreyfuss D, Leviel F, Paillard M, Rahmani J, Coste F. Acute infectious pneumonia is accompanied by latent vasopressin-dependent impairment of renal water excretion. Am Rev Respir Dis 1988;138: 583-9.
Gozal D, Colin AA, Jaffe M, Hochberg Z. Water, electrolyte, and endocrine homeostasis in infants with bronchiolitis. Pediatr Res 1990;27: 204-9.
Rivers RP, Forsling ML, Olver RP. Inappropriate secretion of antidiuretic hormone in infants with respiratory infections. Arch Dis Child 1981;56: 358-63.(Michelle P B Guppy, acade)
Correspondence to: C B Del Mar c.delmar@cgp.uq.edu.au
Introduction
We found data to suggest that giving increased fluids to patients with respiratory infections may cause harm. To date there are no randomised controlled trials to provide definitive evidence, and these need to be done. Until we have this evidence, we should be cautious about universally recommending increased fluids to patients, especially those with infections of the lower respiratory tract.
Extra details about the search strategy used and tables detailing results from other studies appear on bmj.com
We thank Ruth Foxlee, Cochrane Acute Respiratory Infections Group Trials Search Coordinator, for performing the searches.
Contributors: CBDM conceived and supervised the study, and prepared the manuscript. MPBG and SMM undertook the search, and contributed to writing the manuscript. CBDM is the guarantor for the study.
Funding: The post of academic research registrar is funded by General Practice Education and Training.
Competing interests: None declared.
References
Shann F, Germer S. Hyponatraemia associated with pneumonia or bacterial meningitis. Arch Dis Child 1985;60: 963-6.
Dhawan A, Narang A, Singhi S. Hyponatraemia and the inappropriate ADH syndrome in pneumonia. Ann Trop Paediatr 1992;12: 455-62.
Dreyfuss D, Leviel F, Paillard M, Rahmani J, Coste F. Acute infectious pneumonia is accompanied by latent vasopressin-dependent impairment of renal water excretion. Am Rev Respir Dis 1988;138: 583-9.
Gozal D, Colin AA, Jaffe M, Hochberg Z. Water, electrolyte, and endocrine homeostasis in infants with bronchiolitis. Pediatr Res 1990;27: 204-9.
Rivers RP, Forsling ML, Olver RP. Inappropriate secretion of antidiuretic hormone in infants with respiratory infections. Arch Dis Child 1981;56: 358-63.(Michelle P B Guppy, acade)