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Management of Infectious Diarrhea

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Infections in Outpatient Practice

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Abstract

Diarrhea is an extremely common disorder that represents one of the most important reasons for which patients seek medical attention. Although most publications fail to define this entity adequately, the following discussion employs a working definition as follows: a change in bowel habits resulting in an increase in the frequency and liquidity of fecal discharges.1 It accounts for approximately 4% of acute illness, ranks second only to the common cold with regard to time lost from work, and accounts for approximately 2% of all ambulatory visits.2 Diarrhea appears as a principal diagnosis on 1–2% of hospital discharges.

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References

  1. Dorland’s Illustrated Medical Dictionary,ed 25. Philadelphia, W B Saunders, 1974:438.

    Google Scholar 

  2. Dingle JH, McCorkle LP, Badger GF, et al: A study of illness in a group of Cleveland families: XIII. Clinical description of acute nonbacterial gastroenteritis. Am J Hyg 1956; 64: 368–375.

    PubMed  Google Scholar 

  3. Guerrant RL: Principles and definition of syndromes. In: Mandell GL, Douglas RG Jr, Bennett JE, eds. Principles and Practice of Infectious Disease, ed 2. New York, John Wiley & Sons, 1985: 635–646.

    Google Scholar 

  4. Gurwith M, Wenman WH, Hinde D, et al: A prospective study of rotavirus infection in infants and children. J Infect Dis 1981; 144: 218–224.

    Article  PubMed  CAS  Google Scholar 

  5. Nichols RL: Intraabdominal sepsis: Characterization and treatment. J Infect Dis 1977; 135 (suppl): S54 - S57.

    Article  PubMed  Google Scholar 

  6. Blaer MD, Wells JG, Feldman RA, et al: Campylobacter enteritis in the United States. Ann Intern Med 1983; 98: 360–365.

    Article  Google Scholar 

  7. Gleckman RG, Hibert D: Afebrile bacteremia: A phenomenon in geriatric patients. JAMA 1982; 248: 1478–1481.

    Google Scholar 

  8. Harris JC, Dupont HL, Homick RB: Fecal leukocytosis in diarrheal disease. Ann Intern Med 1972; 76: 697–703.

    Article  PubMed  CAS  Google Scholar 

  9. Pickering LK, Dupont HL, Olarge J, et al: Fecal leukocytes in enteric infections. Am J Clin Pathol 1977; 68: 562–577.

    PubMed  CAS  Google Scholar 

  10. Kaplan K: Infections caused by Campylobacter and Yersinia enterocolitica. Infect Dis Pract 1982; 5 (11): 1–7.

    Google Scholar 

  11. Speelman P, Kabir I, Islam M: Distribution and spread of colonic lesions in shigellosis: A colonoscopic study. J Infect Dis 1984; 150: 899–902.

    Article  PubMed  CAS  Google Scholar 

  12. Ericsson CD, Dupont HL: Travelers diarrhea: Recent developments. In: Remington JS, Swartz MN, eds. Current Clinical Topics in Infectious Diseases, Vol 6. New York, McGraw-Hill, 1985: 66–84.

    Google Scholar 

  13. Kimmey M: Infectious diarrhea. Emerg Clin North Am 1985; 3: 127–142.

    CAS  Google Scholar 

  14. Fekety R: Antibiotic-associated colitis. Infect Dis Pract 1981; 4 (4): 1–7.

    Google Scholar 

  15. Drake AA, Gilchrist MJR, Washington, JA II, et al: Diarrhea due to Campylobacter fetus subspecies jejuni. Mayo Clin Proc 1981; 56: 414–423.

    PubMed  CAS  Google Scholar 

  16. Taylor DN, Bied JM, Munro S, et al: Salmonella dublin infections in the United States, 1979–1980. J Infect Dis 1982; 146: 322–327.

    Article  PubMed  CAS  Google Scholar 

  17. Guerrant RL: Inflammatory enteritides. In: Mandell GL, Douglas RG Jr, Bennett JE, eds. Principles and Practice of Infectious Disease, ed 2. New York, John Wiley & Sons, 1985: 660–669.

    Google Scholar 

  18. Rubin RH: Humanh Salmonellosis: Epidemiology, pathogenesis, and clinical syndromes. Infect Dis Pract 1982; 6 (2): 1–8.

    Google Scholar 

  19. Rosenthal SL: Exacerbation of Salmonella gastroenteritis due to ampicillin. N Engl J Med 1969; 280: 147–148.

    Article  PubMed  CAS  Google Scholar 

  20. Bissett ML, Abbott SL, Wood RM: Antimicrobial resistance and R factors in Salmonella isolated in California (1971–1972). Antimicrob Agents Chemother 1974; 5: 161–168.

    Article  PubMed  CAS  Google Scholar 

  21. Butler T, Mahmoud AAF, Warren KS: Algorithms in the diagnosis and management of exotic diseases: XXVII. Shigellosis. J Infect Dis 1977; 136: 465–468.

    Article  PubMed  CAS  Google Scholar 

  22. Blaser MJ, Pollard RA, Feldman: Shigella infections in the United States, 1974–1980. J Infect Dis 1983; 147: 771–777.

    Article  PubMed  CAS  Google Scholar 

  23. Dupont HL: Shigella species (bacillary dysentery). In: Mandell GL, Douglas RG Jr, Bennett JE, eds. Principles and Practices of Infectious Disease, ed 2. New York, John Wiley & Sons, 1985: 1269–1274.

    Google Scholar 

  24. Blaser MJ, Reller LB: Campylobacter enteritis. N Engl J Med 1981; 305: 1444–1452.

    Article  PubMed  CAS  Google Scholar 

  25. Blaser MJ, Cravens J, Powers BW, et al: Campylobacter enteritis associated with unpasteurized milk. Am J Med 1979; 67: 715–718.

    Article  PubMed  CAS  Google Scholar 

  26. Blaser MJ, Berkowitz ID, LaForce FM, et al: Campylobacter enteritis: Clinical and epidemiologic features. Ann Intern Med 1979; 91: 179–185.

    Article  PubMed  CAS  Google Scholar 

  27. Pitkanen T, Ponka A, Pettersson T, et al: Campylobacter enteritis in 188 hospitalized patients. Arch Intern Med 1983; 143: 215–219.

    Article  PubMed  CAS  Google Scholar 

  28. Bartlett JG: Antibiotic-associated pseudomembraneous colitis. Rev Infect Dis 1979; 1: 530–539.

    Article  PubMed  CAS  Google Scholar 

  29. Kim K-H, Fekety R, Batts DH, et al: Isolation of Clostridium difficile from the environment and contacts of patients with antibiotic-associated colitis. J Infect Dis 1981; 143: 42–50.

    Article  PubMed  CAS  Google Scholar 

  30. Savage AM, Alford RH: Nosocomial spread of Clostridium difficile. Infect Cont 1983; 4: 31–33.

    CAS  Google Scholar 

  31. Fekety R: Antibiotic-associated colitis. In: Mandell GL, Douglas Jr RG, and Bennett JE, eds. Principles and Practice of Infectious Disease, ed 2. New York, John Wiley & Sons, 1985: 655–659.

    Google Scholar 

  32. Teasley DG, Olson MM, Gebbhard RL, et al: Prospective randomised trial of metronidazole versus vancomycin for Clostridium-difficile-associated diarrhoea and colitis. Lancet 1983; 2: 1043–1046.

    Article  PubMed  CAS  Google Scholar 

  33. Dudley MN, McLaughlin JC, Carrington G, et al: Oral bacitracin vs vancomycin therapy for Clostridium difficile-induced diarrhea. Arch Intern Med 1986; 146: 1101–1104.

    Article  PubMed  CAS  Google Scholar 

  34. Franson TR, Nelson JW, Rose HD: Pseudomembranous colitis complicated by bacteremia due to Streptococcus faecalis. J Infect Dis 1983; 147: 165.

    Article  PubMed  CAS  Google Scholar 

  35. George WL, Nakata MN, Thompson J, et al: Aeromonas-related diarrhea in adults. Arch Intern Med 1985; 145: 2207–2211.

    Article  PubMed  CAS  Google Scholar 

  36. Holmberg SD, Schell WL, Fanning GR, et al: Aeromonas intestinal infections in the United States. Ann Intern Med 1986; 105: 683–689.

    Article  PubMed  CAS  Google Scholar 

  37. Remis RS, MacDonald KL, Riley LW, et al: Sporadic cases of hemorrhagic colitis associated with Escherichia coli 0157:H7. Ann Intern Med 1984; 101: 624–626.

    Article  PubMed  CAS  Google Scholar 

  38. Ryan CA, Tauxe RV, Hosek GW, et al: Escherichia coli 0157:H7 diarrhea in a nursing home: Clinical, epidemiological, and pathological findings. J Infect Dis 1986; 154: 631–638.

    Article  PubMed  CAS  Google Scholar 

  39. Carter AO, Borczyk AA, Carlson JAK, et al: A severe outbreak of Escherichia coli 0157:H7-associated hemmorrhagic colitis in a nursing home. N Engl J Med 1987; 317: 1496–1500.

    Article  PubMed  CAS  Google Scholar 

  40. Snyder JD, Christenson E, Feldman RA: Human Yersinia enterocolitica infections in Wisconsin. Am J Med 1982; 72: 768–774.

    Article  PubMed  CAS  Google Scholar 

  41. Bottone EJ, Sheehan DJ: Yersinia enterocolitica: Guidelines for serologic diagnosis of human infections. Rev Infect Dis 1983; 5: 898–906.

    Article  PubMed  CAS  Google Scholar 

  42. Black RE, Jackson RJ, Tsai Y, et al: Epidemic Yersinia enterocolitica infection due to contaminated chocolate milk. N Engl J Med 1978; 298: 76–79.

    Article  PubMed  CAS  Google Scholar 

  43. Vantrappen G, Agg HO, Ponette E, et al: Yersinia enteritis and enterocolitis: Gastrointestinal aspects. Gastroenterology 1977; 72: 220–227.

    PubMed  CAS  Google Scholar 

  44. Holley HP Jr, Dover C: Cryptosporidium: A common cause of parasitic diarrhea in otherwise healthy individuals. J Infect Dis 1986; 153: 365–368.

    Article  PubMed  Google Scholar 

  45. Wolfson JS, Richter JM, Waldron MA, et al: Cryptosporidiosis in immunocompetent patients. N Engl J Med 1985; 312: 1278–1782.

    Article  PubMed  CAS  Google Scholar 

  46. Weller PF: Giardiasis and cryptosporidiosis. Infect Dis Pract 1986; 9: 1–8.

    Google Scholar 

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Authors
  1. Richard B. Brown
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© 1988 Springer Science+Business Media New York

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Brown, R.B. (1988). Management of Infectious Diarrhea. In: Infections in Outpatient Practice. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0780-6_13

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  • DOI: https://doi.org/10.1007/978-1-4899-0780-6_13

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0782-0

  • Online ISBN: 978-1-4899-0780-6

  • eBook Packages: Springer Book Archive

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