小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 恶心/呕吐
- 腹泻
- 发热
其他诊断因素
- 肌痛
- 头痛
- 腹部压痛
- 血容量不足的体征
- 肠鸣音过度活跃
- 沙门氏菌感染家族史
危险因素
- 食物接触
- 年龄两极（<12个月和>50岁）
- 免疫抑制状态
- 低胃酸
- 接触有症状的沙门氏菌患者
- 动物接触
- 抗生素使用
- 糖尿病控制不佳
- 慢性肉芽肿病
- 铁过载
- 营养不良
诊断性检查
首要检查
- 粪便检查
需考虑的检查
- 血液培养
- 影像学检查
治疗流程
胃肠炎
慢性携带状态
撰稿人
作者
William A. Petri, Jr, MD, PhD, FACP
Wade Hampton Frost Professor of Epidemiology
Professor of Medicine, Microbiology, and Pathology
Division of Infectious Diseases and International Health
University of Virginia
Charlottesville
VA
利益声明
WAP declares that he has no competing interests.
鸣谢
Dr William A Petri would like to gratefully acknowledge Dr Michael Preziosi, Dr Joshua Fierer, and Dr Nancy F. Crum-Cianflone, previous contributors to this topic. JF and NFCC are authors of references cited in this topic. MP declares that he has no competing interests.
同行评议者
David Acheson, MD
Chief Medical Officer
Director of Food Safety and Security
US Food and Drug Administration
Rockville
MD
利益声明
DA declares that he has no competing interests.
Timothy Jones, MD
Deputy State Epidemiologist
Communicable and Environmental Disease Services
Tennessee Department of Health
Nashville
TN
利益声明
TJ declares that he has no competing interests.
Franz Allerberger, MD, MPH
Head of Division
Division for Public Health
Austrian Agency for Health & Food Safety
Vienna
Austria
利益声明
FA declares that he has no competing interests.
鉴别诊断
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- 弯曲杆菌属感染
- 耶尔森菌病
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- 2017 年美国传染病学会（Infectious Diseases Society of America）感染性腹泻诊疗临床实践指南
- 美国胃肠病学院临床指南：成人急性腹泻感染的诊断、治疗和预防
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