Acute diarrheal disease in children: Epidemiology, prevention, and treatment

Acute diarrheal disease in children: Epidemiology, prevention, and treatment
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DOI:
10.1016/j.idc.2005.05.003
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发表时间:
2005-09-01
影响因子:
4.4
通讯作者:
Dennehy, PH
Dennehy, PH
中科院分区:
医学3区
文献类型:
--
作者:
Dennehy, PH

文献摘要

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腹泻是全世界儿童发病和死亡的最常见原因之一。儿童急性腹泻的病因因研究地点、时间和人群而异。越来越多的人认识到与腹泻有关的肠道病原体种类越来越多。适当的液体和电解质的补充和维持是控制腹泻疾病的关键。需要进行全面的临床和流行病学评估,以确定疾病的严重程度和类型、暴露情况以及患者是否存在免疫功能低下,从而指导选择性诊断培养、毒素检测、寄生虫研究和抗菌治疗的实施。
Diarrhea is one of the most common causes of morbidity and mortality in children worldwide. The causes of acute diarrhea in children vary with the location, time of year, and population studied. There is increasing recognition of a widening array of enteric pathogens associated with diarrheal disease. Adequate fluid and electrolyte replacement and maintenance are key to managing diarrheal illnesses. Thorough clinical and epidemiologic evaluation is needed to define the severity and type of illness, exposures, and whether the patient is immunocompromised to direct the performance of selective diagnostic cultures, toxin testing, parasite studies, and the administration of antimicrobial therapy.