小结
定义
História e exame físico
Principais fatores diagnósticos
- nausea
- vomiting
- diarrhea
- abdominal pain
Outros fatores diagnósticos
- malaise
- anorexia
- fever
- volume depletion
Fatores de risco
- exposure to contaminated food or water sources
- close contact with infected people
- poor hygiene
- older age
- HIV infection
- organ transplantation
- chronic illness
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- clinical diagnosis
Investigações a serem consideradas
- basic metabolic profile
- renal function
- stool rapid antigen testing
- stool reverse transcriptase polymerase chain reaction (RT-PCR) or multiplex PCR
- stool viral culture
- stool electron microscopy
- stool for culture, ova, and parasites
Algoritmo de tratamento
mild to moderate volume depletion
severe volume depletion
Colaboradores
Consultores especialistas
Ali Hassoun, MD, FACP, FIDSA, AAHIVS
Infectious Disease Specialist
Alabama Infectious Diseases Center
Huntsville
AL
Declarações
AH declares that he has no competing interests.
Agradecimentos
Dr Ali Hassoun would like to gratefully acknowledge Dr Kyle E. Brown, Dr Easwaran Variyam, Dr Robert Schiller, Dr Srikrishna Nagri, and Dr Sury Anand, the previous contributors to this topic.
Declarações
KEB, EV, RS, SN, and SA declare that they have no competing interests.
Revisores
Alexandre R. Marra, MD
Department of Infectious Diseases
Universidade Federal de São Paulo
São Paulo
Brazil
Declarações
ARM declares that he 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.
Referências
Principais artigos
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.Texto completo Resumo
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. Resumo
Farthing M, Salam MA, Lindberg G, et al. Acute diarrhea in adults and children: a global perspective. J Clin Gastroenterol. 2013 Jan;47(1):12-20. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Bacterial gastroenteritis
- Protozoal infections
- Helminthic infections
Mais Diagnósticos diferenciaisDiretrizes
- 2017 Infectious Diseases Society of America clinical practice guidelines for the diagnosis and management of infectious diarrhea
- ACG clinical guideline: diagnosis, treatment, and prevention of acute diarrheal infections in adults
Mais DiretrizesFolhetos informativos para os pacientes
Diarrhea in adults
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