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Viral gastroenteritis in children

Последний просмотренный: 22 Jan 2026
Last updated: 22 Oct 2025

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

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

Другие диагностические факторы

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

Факторы риска

  • 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
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • clinical exam
Полная информация

Исследования, проведение которых нужно рассмотреть

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

Алгоритм лечения

Острый

no dehydration

mild dehydration (<5%)

moderate dehydration (5% to 10%)

severe dehydration (>10%)

Составители

Авторы

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

Раскрытие информации

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

Рецензенты

Saul Greenberg, MD

Associate Professor

Department of Paediatrics

University of Toronto

Ontario

Canada

Раскрытие информации

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

Раскрытие информации

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.

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

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

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.Полный текст  Аннотация

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

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.Полный текст

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.Полный текст  Аннотация

Статьи, указанные как источники

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