2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea

Abstract

These guidelines are intended for use by healthcare professionals who care for children and adults with suspected or confirmed infectious diarrhea. They are not intended to replace physician judgement regarding specific patients or clinical or public health situations. This document does not provide detailed recommendations on infection prevention and control aspects related to infectious diarrhea.

Detection of coexisting toxigenic Clostridium difficile and nontyphoidal Salmonella in a healthcare worker with diarrhea: A therapeutic dilemma

“…Hand hygiene appears to be the cornerstone to reduce transmission of bacteria. [1920] When it comes to healthcare workers, there is no difference in guidelines and should not be prescribed antibiotics with intent of reducing secondary transmission. [20] Normally, patients shed bacteria for up to 4 weeks after acute infection and antibiotics given during the acute phase with prolong the carrier state by altering the normal gut flora.…”

Застосування Азитроміцину В Клінічній Практиці

“…У дитячому віці до найпоширеніших збудників бак-теріальних кишкових інфекцій належать Shigella spp., Campylobacter, Salmonella enterica, Escherichia coli, Vibrio cholerae, Clostridium difficile, Yersinia enterocolitica [13,14].…”

“…При ентеротоксигенних штамах Escherichia coli - упро-довж 3 днів у дозі 10 мг/кг/добу. При холері - застосу-вання упродовж 3 днів у дозі 10 мг/кг/добу або одно-разовий прийом 20 мг/кг [13,14].…”

Direct-from-Specimen Pathogen Identification

“…Testing for C difficile in children less than 24 months of age has been traditionally discouraged because children in this age group are often asymptomatically colonized. 8 Furthermore, testing for C difficile in otherwise healthy adult populations without previous use of antibiotics or hospitalization or hospital exposure has not historically been advocated during primary clinical evaluations. 8 Inclusion of this target can increase the risk for further overdiagnosis of C difficile.…”