Protocolo terapéutico empírico de las diarreas infecciosas

  1. Íñigo Pestaña, M.
  2. del Pozo, J.L.
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Any de publicació: 2018

Títol de l'exemplar: Enfermedades infecciosas (II): Infecciones por bacilos Gram negativos

Sèrie: 12

Número: 50

Pàgines: 2982-2985

Tipus: Article

DOI: 10.1016/J.MED.2018.02.016 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Medicine: Programa de Formación Médica Continuada Acreditado

Resum

Introduction Acute gastroenteritis is a major cause of morbidity worldwide, and of mortality in developing countries. The clinical symptoms, whether the gastroenteritis is inflammatory or non-inflammatory, will determine the diagnostic and therapeutic approach. Treatment Most cases of infectious diarrhoea in immunocompetent adults are self-limiting, do not require specific laboratory testing and have a favourable outcome with symptomatic treatment alone. In general, the empirical use of antibiotics is not recommended, reserving them for cases of acute inflammatory diarrhoea, patients aged under 2 or over 70 years, immunosuppressed patients and patients with vascular disease. If empirical treatment is started, it will be selected according to clinical symptoms and information from the patient history.

Referències bibliogràfiques

  • Guerrant R, Steiner T. Principles and practice of Infectious Diseases. Philadelphia: Elsevier Churchill Livingstone; 2005. p. 1215-31.
  • Moreno Camacho A, Vila Estapé J. Tratado SEIMC de Enfermedades Infecciosas y Microbiología Clínica. Madrid: Editorial Médica Panamericana; 2006. p. 1363-80.
  • Riddle MS, DuPont HL, Connor BA. ACG Clinical Guideline: Diagnosis, treatment, and prevention of acute diarrheal infections in adults. Am J Gastroenterol. 2016;111(5):602-22.
  • Guerrant RL, Van Gilder T, Steiner TS, Thielman NM, Slutsker L, Tauxe RV. Practice guidelines for the management of infectious diarrhea. Clin Infect Dis. 2001;32(3):331-51.
  • Schiller LR, Pardi DS, Sellin JH. Chronic diarrhea: Diagnosis and management. Clin Gastroenterol Hepatol. 2017;15(2):182-193.e3.
  • Feasey NA, Healey P, Gordon MA. Review article: the aetiology, investigation and management of diarrhoea in the HIV-positive patient. Aliment Pharmacol Ther. 2011;34(6):587-603.