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Objectives To examine the prevalence of dehydration without diarrhoea among admitted children aged 1–59 months and to describe fluid management practices in such cases.Design A multisite observational study that used routine in-patient data collected prospectively between October 2013 and December 2018.Settings Study conducted in 13 county referral hospitals in Kenya.Participants Children aged 1–59 months with admission or discharge diagnosis of dehydration but had no diarrhoea as a symptom or diagnosis. Children aged