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Shigella infection

Последний просмотренный: 4 Jun 2025
Last updated: 30 Jan 2024

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • diarrhea
  • cramping abdominal pain
  • fever
  • tenesmus
  • abdominal pain or tenderness
  • features of hemolytic uremic syndrome
Полная информация

Другие диагностические факторы

  • signs of volume depletion
  • increased bowel sounds
  • vomiting
  • meningismus or other signs of altered neurologic status
  • febrile seizures
  • somnolence
Полная информация

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
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • stool microscopy, culture, and sensitivity
  • serum BUN and creatinine
  • CBC
Полная информация

Исследования, проведение которых нужно рассмотреть

  • Shigella serotyping
  • peripheral blood smear
  • abdominal x-ray
  • flexible sigmoidoscopy
Полная информация

Алгоритм лечения

Острый

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

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

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

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