Resumo
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- presence of risk factors
- diarrhoea
- nausea and vomiting
Другие диагностические факторы
- abdominal pain
- bloating
- fever
- dehydration
- blood or mucus in stool
- profuse rice-water stool
- reactive arthritis
- skin manifestations
- ear, nose, and throat manifestations
- hepatosplenomegaly
- neurological manifestations
- hepatobiliary disease
- pulmonary symptoms
- other intestinal features
- manifestations of ectopic infection
Факторы риска
- older people and pregnant women
- chronic disease
- recent history of travel
- immunocompromised state
- history of contact with other people with food poisoning
- consumption of undercooked meat
- consumption of raw seafood
- consumption of homemade canned foods
- consumption of unpasteurised soft cheeses
- consumption of deli meats
- consumption of unpasteurised milk or juice
- consumption of raw eggs
- improper food handling and storage
- gastric acid suppression
Диагностические исследования
Исследования, которые показаны в первую очередь
- stool microscopy for WBC and red blood cells (RBC)
- stool culture
- stool ova and parasite (O&P) test
- polymerase chain reaction (PCR) of stool
- FBC with differential
- serum creatinine and electrolytes
- C-reactive protein
Исследования, проведение которых нужно рассмотреть
- botulinum toxin detection test
- blood culture
- serum lipase or amylase
- LFTs
- hepatitis A IgM antibodies
- hepatitis E IgM antibodies
- acute abdominal series
- sigmoidoscopy/colonoscopy
- oesophagogastroduodenoscopy
- biopsy
- string test (entero-test)
- duodenal aspirate
Алгоритм лечения
mild-to-moderate disease
severe disease
suspected foodborne botulism
known infecting organism
Составители
Авторы
Philip Allan, MBBS, DPhil, FRCP
Consultant Gastroenterologist
Department of Gastroenterology
John Radcliffe Hospital
Oxford
UK
Раскрытие информации
PA has consulted for Takeda (Shire) and BaxterHealthcare. PA has received travel, accommodation, and conference fees from Takeda (Shire).
Выражение благодарностей
Dr Philip Allan would like to gratefully acknowledge Dr Satish Keshav, Dr Michael Bennish, Dr Willem J.S. de Villiers, and Dr Houssam E. Mardini, the previous contributors to this topic. Unfortunately, we have been made aware that Dr Satish Keshav has passed away.
Раскрытие информации
MB received funds, salary, and/or research funding greater than 6 figures USD. MB declares that he has no other competing interests. WJSDV and HEM declare that they have no competing interests.
Рецензенты
Franz Allerberger, MD, MPH
Professor of Clinical Microbiology
Austrian Agency for Health and Food Safety (AGES)
Vienna
Austria
Раскрытие информации
FA declares that he has no competing interests.
Nancy Crum-Cianflone, MD, MPH
Department Head
Naval Health Research Center
San Diego
CA
Раскрытие информации
NCC declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
American Medical Association, American Nurses Association/American Nurses Foundation, Centers for Disease Control and Prevention, et al. Diagnosis and management of foodborne illnesses: a primer for physicians and other health care professionals. MMWR Recomm Rep. 2004 Apr 16;53(RR-4):1-33.Полный текст Аннотация
World Health Organization. Foodborne disease outbreaks: guidelines for investigation and control. 2008 [internet publication].Полный текст
Public Health England. UK Standards for microbiology investigations S 7: gastroenteritis. Oct 2020 [internet publication].Полный текст
Centers for Disease Control and Prevention. Food safety. Aug 2023 [internet publication].Полный текст
Shane AL, Mody RK, Crump JA, et al. 2017 Infectious Diseases Society of America clinical practice guidelines for the diagnosis and management of infectious diarrhea. Clin Infect Dis. 2017 Nov 29;65(12):e45-80.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Acute viral syndromes
- Crohn's disease
- Ulcerative colitis
Больше ОтличияРекомендации
- Adverse events associated with EGD and EGD-related techniques
- Food safety: information for healthcare professionals
Больше РекомендацииЛифлеты для пациента
Diarrhoea in adults
Diarrhoea in children
Больше Лифлеты для пациента
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