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Acute infectious Diarrhea in Pediatirc Patients  

Ma, Sang Hyuk (Department of Pediatrics, Fatima Hospital)
Publication Information
Clinical and Experimental Pediatrics / v.48, no.3, 2005 , pp. 235-250 More about this Journal
Abstract
Acute diarrhea is one of the most common diseases that are seen in pediatric patients. In the management of acute diarrhea, several differential diagnostic criteria should be considered based on clinical and/or laboratory findings. These criteria include : (1) normal variant stool versus diarrhea (2) infectious versus non-infectious condition and (3) bacterial versus non-bacterial etiology. The use of antibiotics should be considered to manage diarrhea caused by bacteria accompanying fever and bloody diarrhea in the following cases : (1) patients with serious clinical course, (2) under three months, (3) immunocompromised patients, (4) patients with nutritional deficiency and (5) patients presenting with moderate-to-severe dehydration. In patients presenting with the symptoms suspected to be bacterial origin, whose clinical course is not serious, antibiotic therapy is not necessary. These patients are easily manageable at OPD level. Moreover, except for some cases in which the use of antibiotics is inevitable, pediatric diarrhea can be managed by providing the suitable foods alone with no necessity of other specific drugs. Accordingly, it is crucial not so much to depend on the drugs as to provide appropriate foods including oral rehydration solution(ORS) with no further episodes of diarrhea. Special attention should be paid to the fact that younger pediatric patients will undergo nutritional deficiency unless acute diarrhea is properly managed.
Keywords
Acute infectious diarrhea; Antibiotic therapy; Oral rehydration solution;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Chiba S, Estes MK, Nakata S, Calisher CH. Viral gastroenteritis. New York, Springer-Verlag Wien; 1996, p1-99
2 Armon K, Stephenson T, MacFaul R, Eccleston P, Werneke U. An evidence and consensus based guideline for acute diarrhoea management. Arch Dis Child 2001;85:132-42   DOI   PUBMED
3 Goodgame RW. Viral causes of diarrhea. Gastroenterol Clin North Am 2001;30:779-95   DOI   PUBMED   ScienceOn
4 Ramaswamy K, Jacobson K. Infectious diarrhea in children. Gastroenterol Clin North Am 2001;30:611-24   DOI   ScienceOn
5 Korea Center for Diease Control and Prevention. Estimation of disease control and prevention in 2004
6 Lopman BA, Brown DW, Koopmans M. Human caliciviruses in Europe. J Clin Virol 2002;24:137-60   DOI   ScienceOn
7 Gentsch JR, Woods PA, Ramachandran M, Das BK, Leite JP, Alfieri A, et al. Review of G and P typing results from a global collection of rotavirus strains : implications for vaccine development. J Infect Dis 1996;174(Suppl 1):S30-6
8 Oh SH. Diagnosis and treatment of infectious gastroenteritis. Korean J Pediatr 2003;46(3 Suppl):S26-35
9 Gastanaduy AS, Begue RE. Acute gastroenteritis. Clin Pediatr 1999;38:1-12.   DOI   ScienceOn
10 Abe T, Kobayashi M, Araki K, Kodama H, Fujita Y, Shinozaki T, Ushijima H. Infantile convulsions with mild gastroenteritis. Brain Dev 2000;22:301-6   DOI   ScienceOn
11 Turgeon DK, Fritsche TR. Laboratory approaches to infectious diarrhea. Gastroenterol Clin North Am 2001;30:693-707   DOI   ScienceOn
12 Whang JB. Basic principles and clinical assesment of diarrhea in children. Jungwae Press 1999:11-99
13 Parashar UD, Bresee JS, Gentsch JR, Glass RI. Rotavirus. Emerging Infectious Disease 1998;4:561-70   DOI   ScienceOn
14 Jiang X, pickering LK. Update on caliciviruses and human acute gastroenteritis. Pediatr Infect Dis J 2002;21:1069-70   DOI   ScienceOn
15 Mitchell DK. Astrovirus gastroenteritis. Pediatr Infect Dis J 2002;21:1067-69   DOI   PUBMED   ScienceOn