最后审阅: 27 十二月 2021
最后更新: 11 八月 2021

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
  • 昏睡

危险因素

  • 摄入被污染的食品或水
  • 旅行
  • 不良卫生习惯
  • 婴儿或老年(<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

需考虑的检查

  • 产志贺毒素大肠埃希菌感染的识别
  • 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

治疗流程

撰稿人

作者

Eli D. Ehrenpreis, MD, FACG, AGAF

Professor of Medicine

Rosalind Franklin University Medical School

North Chicago

IL

Associate Director for Research

Internal Medicine Residency

Advocate Lutheran General Hospital

Park Ridge

IL

利益声明

EDE is CEO for E2Bio Life Sciences LLC, and CEO for G.I. Pharmaceuticals Inc.

鸣谢

Dr Eli D. Ehrenpreis would like to gratefully acknowledge the assistance of Dr Thomas Adam Wichelmann, who contributed to this update. Dr Ehrenpreis would also like to acknowledge Dr Alexandra Kent and Professor Satis Keshav, the previous contributors to this topic.

利益声明

TAW, AK, and SK declare that they have no competing interests.

同行评议者

Andrew Poullis, BSc, MBBS, MD, FRCP

Consultant Gastroenterologist

St George’s Hospital

London

UK

利益声明

AP declares that he has no competing interests.

Fiona Cooke, MA, PhD, MSc, FRCPath, MRCP, DTM&H

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.

Houssam E. Mardini, MD, MPH, FACP

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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