最近审阅: 30 十月 2020
最近更新: 17 一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 腹泻
  • 旅行史、污染食品摄入史或与感染患者的接触史

其他诊断因素

  • 腹痛或腹部不适
  • 容量减少
  • 发热
  • 恶心/呕吐
  • 厌食
  • 嗜睡

危险因素

  • 污染的食品
  • 旅行
  • 卫生条件差
  • 极端年龄(<5 岁和>60 岁)
  • 接触史
  • 免疫功能受损状态
  • 接触感染动物

诊断性检查

首要检查

  • 粪便培养
  • 全血细胞计数 (FBC)
  • 肾功能和电解质
更多 首要检查

需考虑的检查

  • 粪便血清学分型/聚合酶链反应
  • 血液培养
  • 炎症标志物(CRP 和/或红细胞沉降率)
  • 腹部 X 线检查
  • 内镜检查
  • 腹部 CT 扫描
更多 需考虑的检查

治疗流程

撰稿人

Professor of Medicine

Rosalind Franklin University Medical School

North Chicago

Associate Director for Research

Internal Medicine Residency

Advocate Lutheran General Hospital

Park Ridge

IL

Adjunct Professor of Pediatric Gastroenterology

University of Miami Miller Medical School

Miami

FL

利益声明

EDE is a consultant for Pediatric Pharmaceuticals, Inc.

Dr Eli D. Ehrenpreis would like to gratefully acknowledge Dr Alexandra Kent and Professor Satis Keshav, the previous contributors to this topic.

利益声明

AK and SK declare that they have no competing interests.

同行评议者展开全部内容

Consultant Gastroenterologist

St George’s Hospital

London

UK

利益声明

AP declares that he has no competing interests.

Research Fellow and Medical Microbiologist

Wellcome Trust Sanger Institute

Department of Microbiology

Addenbrooke's Hospital

Cambridge

UK

利益声明

FC declares that she has no competing interests.

Voluntary Assistant Professor of Medicine

Digestive Health & Nutrition Center of Ashland

Ashland

KY

利益声明

HEM declares that he has no competing interests.

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