Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- diarrhea
- cramping abdominal pain
- fever
- tenesmus
- abdominal pain or tenderness
- features of hemolytic uremic syndrome
Другие диагностические факторы
- signs of volume depletion
- increased bowel sounds
- vomiting
- meningismus or other signs of altered neurologic status
- febrile seizures
- somnolence
Факторы риска
- exposure to contaminated water or food or direct fecal-oral contact
- age <5 years
- malnutrition
- poor hygiene and cramped conditions
- travel to endemic areas
- men who have sex with men
Диагностические исследования
Исследования, которые показаны в первую очередь
- stool microscopy, culture, and sensitivity
- serum BUN and creatinine
- CBC
Исследования, проведение которых нужно рассмотреть
- Shigella serotyping
- peripheral blood smear
- abdominal x-ray
- flexible sigmoidoscopy
Алгоритм лечения
suspected or confirmed shigellosis
Составители
Авторы
Ashley Barnabas, MRCP
Consultant Hepatologist and Gastroenterologist
St Mark's and Northwick Park Hospitals
Middlesex
UK
Раскрытие информации
AB declares that he has no competing interests.
Выражение благодарностей
Dr Ashley Barnabas would like to gratefully acknowledge Dr Gehanjali D.A. Amarasinghe, Dr Richard Pollok, and the late Dr Satish Keshav, the previous contributors to this topic.
Раскрытие информации
GDAA and RP declare that they have no competing interests.
Рецензенты
David Acheson, MD
Chief Medical Officer
Director of Food Safety and Security
US Food and Drug Administration
Rockville
MD
Раскрытие информации
DA declares that he has no competing interests.
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.
Список литературы
Основные статьи
World Health Organization. Guidelines for the control of shigellosis, including epidemics due to Shigella dysenteriae type 1. 2005 [internet publication].Полный текст
King CK, Glass R, Bresee JS, et al. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003 Nov 21;52(RR-16):1-16.Полный текст Аннотация
Riddle MS, DuPont HL, Connor BA. ACG clinical guideline: diagnosis, treatment, and prevention of acute diarrheal infections in adults. Am J Gastroenterol. 2016 May;111(5):602-22.Полный текст Аннотация
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
Murphy MS. Management of bloody diarrhoea in children in primary care. BMJ. 2008 May 3;336(7651):1010-5.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
- Non-Shigella bacterial diarrhea
- Viral gastroenteritis
- Parasitic diarrhea
Больше ОтличияРекомендации
- CDC Yellow Book: health information for international travel - shigellosis
- WHO model list of essential medicines for children - 9th list, 2023
Больше РекомендацииЛифлеты для пациента
Diarrhea in adults
Diarrhea in children
Больше Лифлеты для пациентаВойдите в учетную запись или оформите подписку, чтобы получить полноценный доступ к BMJ Best Practice
Использование этого контента попадает под действие нашего заявления об отказе от ответственности