最近审阅: 26 十月 2020
最近更新: 14 八月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腹泻(伴随或不伴随里急后重)痉挛、恶心和呕吐
  • 痢疾(出血和发热)
  • 持续腹泻 > 14天

危险因素

  • 前往高风险目的地旅行
  • 年龄<30 岁
  • 胃酸度降低
  • 先前的 TD 敏感性
  • 慢性病,免疫功能低下
  • 之前因拜访亲友在发展中国家居住过的旅行者
  • 在炎热和潮湿的季节旅行

诊断性检查

首要检查

  • 粪便培养和药敏
  • 粪便潜血
  • 多病原菌分子诊断(聚合酶链反应)
  • 粪便虫卵和寄生虫检查
更多 首要检查

需考虑的检查

  • 原生动物粪便抗原检测
  • 艰难梭菌粪便毒素检测
  • 结肠镜检查、内窥镜检查和活检
  • 血液学、血生化、血清学检测
更多 需考虑的检查

治疗流程

撰稿人

Professor and Chair

Department of Preventive Medicine & Biostatistics

Uniformed Services University of the Health Sciences

Bethesda

MD 

利益声明

MR has given talks on the management of traveller's diarrhoea for the International Society of Travel Medicine (ISTM), CDC Foundation, American College of Gastroenterology (ACG), and American College of Preventive Medicine. MR has led the development of guidelines for traveller's diarrhoea for the ISTM, ACG, and the US Department of Defense. This work has been unpaid but support for travel has been accepted.

Dr Mark Riddle would like to gratefully acknowledge Professor Gregory Juckett, the previous contributor to this topic.

利益声明

GJ declares that he has no competing interests.

同行评议者展开全部内容

Assistant Professor of Pediatrics

Medical University of South Carolina

Charleston

SC

利益声明

AS declares that she has no competing interests.

Professor of Pediatrics

Department of Pediatric and Adolescent Medicine

Mayo Clinic

Rochester

MN

利益声明

PF is an author of a reference cited in this topic.

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