Persistent and Chronic Diarrhea and Malabsorption: Working Group Report of the Second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition

Research Assessment of mucosal immunopathology and molecular and cellular biology of persistent diarrhea in representative populations in developing countries. Studies of small bowel microbiology in PD, especially in at-risk populations e.g., malnourished children and HIV endemic areas. Evaluation of the link of micronutrient deficiencies with PD and their relationship with intestinal repair mechanisms. Intervention Improved facility-based approaches and algorithms for the nutritional management of PD and malnutrition. Diagnosis and management of PD in public health system and primary care (including domiciliary) settings. Scaling-up environmental control measures and safe water and hygiene strategies. Education Continuing medical education strategies to educate medical students and physicians in the recognition, management and prevention of PD. Education of nursing and paramedical personnel in the recognition and management of PD in ambulatory and health system settings. Community and public health education strategies for increased awareness of the prevention of PD and optimal management of acute and prolonged diarrheal episodes.