When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Viral gastroenteritis in children

ბოლო მიმოხილვა: 10 Sep 2025
ბოლო განახლება: 22 Feb 2024

შეჯამება

განსაზღვრება

ანამნეზი და გასინჯვა

ძირითადი დიაგნოსტიკური ფაქტორები

  • age <5 years
  • exposure to people with gastroenteritis
  • lack of immunization against rotavirus
  • vomiting
  • nonbloody diarrhea
  • hyperactive bowel sounds
სრული ტექსტი

სხვა დიაგნოსტიკური ფაქტორები

  • abdominal pain
  • low-grade fever
  • evidence of dehydration
  • decreased body weight
  • nondistended abdomen
  • abdominal tenderness
  • mucus in stool
სრული ტექსტი

რისკფაქტორები

  • age <5 years
  • poor personal hygiene
  • exposure to people with gastroenteritis
  • daycare attendance
  • winter months
  • poverty
  • lack of immunization against rotavirus
  • lack of breast-feeding
  • immunodeficiency
სრული ტექსტი

დიაგნოსტიკური კვლევები

1-ად შესაკვეთი გამოკვლევები

  • clinical exam
სრული ტექსტი

გასათვალისწინებელი კვლევები

  • serum electrolytes, BUN, creatinine
  • CBC
  • blood cultures
  • stool microscopy
  • stool culture
  • enzyme immunoassay (EIA) for detection of viral antigen
  • stool electron microscopy
სრული ტექსტი

მკურნალობის ალგორითმი

მწვავე

no dehydration

mild dehydration (<5%)

moderate dehydration (5% to 10%)

severe dehydration (>10%)

კონტრიბუტორები

ავტორები

Alexander K.C. Leung, MB BS, FRCPC, FRCP, FRCPCH, FAAP
Alexander K.C. Leung

Clinical Professor of Pediatrics

The University of Calgary

Calgary

Alberta

Canada

გაფრთხილება:

AKCL is an author of a guideline and a number of references cited in this topic.

რეცენზენტები

Saul Greenberg, MD

Associate Professor

Department of Paediatrics

University of Toronto

Ontario

Canada

გაფრთხილება:

SG declares that he has no competing interests.

Y.L. Lau, MBCBhB, MD, FRCP, FRCPCH, FRCPS, FHKAM, FHKCPaed

Professor

Faculty of Medicine

University of Hong Kong

Hong Kong

Disclosures

YLL 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.

References

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.

Key articles

Leung AK, Kellner JD, Davies HD. Rotavirus gastroenteritis. Adv Ther. 2005 Sep-Oct;22(5):476-87. Abstract

Cortese MM, Parashar UD; Centers for Disease Control and Prevention. Prevention of rotavirus gastroenteritis among infants and children: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2009 Feb 6;58(RR-2):1-25.Full text  Abstract

Le Saux N; Canadian Pediatric Society. Position statement: recommendations for the use of rotavirus vaccines in infants. Oct 2018 [internet publication].Full text

Leung A, Prince T; Canadian Paediatric Society. Oral rehydration therapy and early refeeding in the management of childhood gastroenteritis. Paediatr Child Health. 2006 Nov;11(8):527-31.Full text

Carter B, Fedorowicz Z. Antiemetic treatment for acute gastroenteritis in children: an updated Cochrane systematic review with meta-analysis and mixed treatment comparison in a Bayesian framework. BMJ Open. 2012 Jul 19;2(4):e000622.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Viral gastroenteritis in children images
  • Differentials

    • Bacterial gastroenteritis
    • Protozoal gastroenteritis
    • Food poisoning
    More Differentials
  • Guidelines

    • Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2024
    • Recommendations for the use of rotavirus vaccines in infants
    More Guidelines
  • Patient information

    Diarrhea in children

    Rotavirus vaccine

    More Patient information
  • padlock-lockedLog in or subscribe to access all of BMJ Best Practice

Use of this content is subject to our disclaimer