Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- diarreia
- eructação frequente
Outros fatores diagnósticos
- distensão e desconforto abdominais
- mal-estar
- perda de peso
- náuseas e vômitos
Fatores de risco
- água/alimento contaminado
- animais domésticos vivendo dentro ou ao redor de casa
- hipogamaglobulinemia
- pouca idade
- sexo masculino
- frequência a creches
- contato sexual oral-anal
- uso recente de antibióticos
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- teste de anticorpo fluorescente direto (AFD)
- ensaio de imunoadsorção enzimática
- teste de amplificação de ácido nucleico, reação em cadeia da polimerase da amostra fecal
- microscopia das fezes
- Hemograma completo
Investigações a serem consideradas
- Imunoensaio de fluxo lateral (por exemplo, ImmunoCard STAT!)
- aspirados e biópsias duodenais
- teste do barbante (enteroteste)
Algoritmo de tratamento
adulto não gestante ou criança
gestante, primeiro trimestre
gestantes, segundo ou terceiro trimestre
fracasso ou resistência ao tratamento
Colaboradores
Autores
Luther A. Bartelt, MD
Assistant Professor of Medicine
University of North Carolina School of Medicine
Division of Infectious Diseases
Chapel Hill
NC
Declarações
LAB is reimbursed by UpToDate for authorship. LAB has received funding from the National Institutes of Health. LAB is the author of two articles cited in this topic.
Agradecimentos
Dr Luther Bartelt would like to gratefully acknowledge Dr Fida Khan and Dr Musaddiq Waheed, previous contributors to this topic.
Declarações
FK and MW declared that they had no competing interests.
Revisores
Zana Nikolla, MD
Faculty of Medicine
University of Tirana
Tirana
Albania
Declarações
ZN declares that she has no competing interests.
Rodney Adam, MD
Professor of Medicine and Immunobiology
University of Arizona
Tucson
AZ
利益声明
RA 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.
参考文献
关键文献
Center for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 5: travel-associated infections & diseases - giardiasis. May 2023 [internet publication].全文
Centers for Disease Control and Prevention. Giardia: about Giardia infections. May 2024 [internet publication].全文
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.全文 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Gastroenterite por rotavírus ou outras gastroenterites virais
- Diarreia funcional
- Doença celíaca
更多 鉴别诊断指南
- CDC Yellow Book: health information for international travel - giardiasis
- Infectious diarrhea: guideline for investigation
更多 指南患者教育信息
Diarreia em adultos
更多 患者教育信息
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明