Viral gastroenteritis in adults

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最后审阅: 20 Aug 2025
最后更新: 20 Mar 2025

小结

定义

História e exame físico

Principais fatores diagnósticos

  • nausea
  • vomiting
  • diarrhea
  • abdominal pain
Detalhes completos

Outros fatores diagnósticos

  • malaise
  • anorexia
  • fever
  • volume depletion
Detalhes completos

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
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • clinical diagnosis
Detalhes completos

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
Detalhes completos

Algoritmo de tratamento

AGUDA

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

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

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 diferenciais
  • Diretrizes

    • 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 Diretrizes
  • Folhetos informativos para os pacientes

    Diarrhea in adults

    Mais Folhetos informativos para os pacientes
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