Background Acute diarrhea is an important contributor to under-5 mortality. Green banana is traditionally used as a home-based remedy for diarrhea. Objectives To identify the effect of green banana on duration, recovery and prevention of severe dehydration in under-5 children with acute watery diarrhea with no/some dehydration. Methods This study was conducted in the rural field practice area of a tertiary care center between January 2020 and December 2021 in under-5 children presenting with acute diarrhea with no/some dehydration. One hundred fifty-three children were divided into group A (received cooked green banana supplementation along with standard management) and group B (received only standard management). Duration of diarrhea, proportion of children recovered, requirement of hospitalization, development of persistent diarrhea and number of diarrheal episodes in 1 year follow-up period were compared between two groups. Results Green banana supplementation was significantly associated with reduction in duration [median (interquartile range)—4 (1.5) day versus 5.5 (1) day, P < 0.001] of diarrhea, less hospitalization (9.2% versus 22.1%, P = 0.03) and early recovery, both at day 3 (17.1% versus 3.9%, P = 0.007) and day 7 (90.8% versus 77.9%, P = 0.03). Green banana also protected children from the development of persistent diarrhea (7.9% versus 19.5%, P = 0.04). It also reduced future episodes of diarrhea by 40.5%. Conclusion Green banana supplementation could be a promising adjunct therapy in acute diarrhea and thereby it might reduce under-5 mortality.

中文翻译：

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煮熟的青香蕉在 5 岁以下儿童急性腹泻家庭管理中的作用

背景 急性腹泻是导致 5 岁以下儿童死亡的重要因素。传统上，青香蕉被用作治疗腹泻的家庭疗法。目的 确定绿香蕉对 5 岁以下无/部分脱水急性水样腹泻儿童重度脱水持续时间、恢复和预防的影响。方法 本研究于 2020 年 1 月至 2021 年 12 月期间在三级医疗中心的农村实地实习区进行，对象为 5 岁以下出现急性腹泻但无/部分脱水的儿童。一百五十三名儿童被分为 A 组（在标准管理的同时接受煮熟的青香蕉补充剂）和 B 组（仅接受标准管理）。腹泻持续时间、康复儿童比例、住院要求、比较两组之间持续性腹泻的发展情况和 1 年随访期间腹泻发作的次数。结果 绿色香蕉补充剂与持续时间的减少显着相关 [中位数（四分位数间距）—4 (1.5) 天对比 5.5 (1) 天，P < 在第 3 天（17.1% 对 3.9%，P = 0.007）和第 7 天（90.8% 对 77.9%，P = 0.03），腹泻发生率为 0.001]，住院率较低（9.2% 对 22.1%，P = 0.03）和恢复较早). 绿香蕉还可以保护儿童免受持续性腹泻的影响（7.9% 对 19.5%，P = 0.04）。它还将未来的腹泻发作减少了 40.5%。结论 青香蕉补充剂可能是一种很有前途的急性腹泻辅助疗法，因此可能会降低 5 岁以下儿童的死亡率。