Bacterial gastroenteritis - Revision history

Ostermayer: Marked this version for translation

2026-01-06T21:18:55Z

Marked this version for translation

← Older revision		Revision as of 21:18, 6 January 2026
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	<languages/>		<languages/>
	<translate>		<translate>
			<!--T:1-->
	''See [[Special:MyLanguage/Acute gastroenteritis (peds)\|Acute gastroenteritis (peds)]] for pediatric patients''		''See [[Special:MyLanguage/Acute gastroenteritis (peds)\|Acute gastroenteritis (peds)]] for pediatric patients''

	==Background==		==Background== <!--T:2-->

			<!--T:3-->
	*Most acute gastroenteritis (AGE) is viral, not bacterial		*Most acute gastroenteritis (AGE) is viral, not bacterial
	*[[Special:MyLanguage/rectal bleeding\|Bloody diarrhea]] suggests bacterial etiology		*[[Special:MyLanguage/rectal bleeding\|Bloody diarrhea]] suggests bacterial etiology
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	===Clinical Features and Causes===		===Clinical Features and Causes=== <!--T:4-->

			<!--T:5-->
	{\| class="wikitable"		{\| class="wikitable"
	\|+ Noninvasive AGE		\|+ Noninvasive AGE
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	\|}		\|}

			<!--T:6-->
	{\| class="wikitable sortable"		{\| class="wikitable sortable"
	\|+ Invasive AGE		\|+ Invasive AGE
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	\|}		\|}

	==Differential Diagnosis==		==Differential Diagnosis== <!--T:7-->

	</translate>		</translate>
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	==Evaluation==		==Evaluation== <!--T:8-->

			<!--T:9-->
	*Assess hydration status		*Assess hydration status
	**Cap refill, skin turgor, respiratory rate		**Cap refill, skin turgor, respiratory rate
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	==Management==		==Management== <!--T:10-->

			<!--T:11-->
	#[[Special:MyLanguage/oral rehydration therapy\|Rehydration]] (PO preferred)		#[[Special:MyLanguage/oral rehydration therapy\|Rehydration]] (PO preferred)
	#*30mL(1oz)/kg/hr		#*30mL(1oz)/kg/hr
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	==Disposition==		==Disposition== <!--T:12-->

			<!--T:13-->
	*Most can be discharged		*Most can be discharged
	*Admit		*Admit
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	==See Also==		==See Also== <!--T:14-->

			<!--T:15-->
	*[[Special:MyLanguage/Acute gastroenteritis\|Acute gastroenteritis]]		*[[Special:MyLanguage/Acute gastroenteritis\|Acute gastroenteritis]]
	*[[Special:MyLanguage/Nausea and Vomiting\|Nausea and Vomiting]]		*[[Special:MyLanguage/Nausea and Vomiting\|Nausea and Vomiting]]
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	==External Links==		==External Links== <!--T:16-->


	==References==		==References== <!--T:17-->

			<!--T:18-->
	<references/>		<references/>

			<!--T:19-->
	[[Category:ID]] [[Category:GI]]		[[Category:ID]] [[Category:GI]]
	</translate>		</translate>

Ostermayer: Prepared the page for translation

2026-01-04T21:43:19Z

Prepared the page for translation

Show changes

ClaireLewis at 19:33, 29 September 2019

2019-09-29T19:33:21Z

← Older revision		Revision as of 19:33, 29 September 2019
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	==Background==		==Background==
	*Most acute gastroenteritis (AGE) is viral, not bacterial		*Most acute gastroenteritis (AGE) is viral, not bacterial
	*~~Blood~~ diarrhea suggests bacterial etiology		*[[rectal bleeding\|Bloody diarrhea]] suggests bacterial etiology
	*Do NOT ~~diagnosis~~ isolated vomiting as AGE		*Do NOT diagnose isolated vomiting as AGE

	===Clinical Features and Causes===		===Clinical Features and Causes===
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	\|+ Noninvasive AGE		\|+ Noninvasive AGE
	\|-		\|-
	! Species!! Onset !! Symptoms !! ~~Transmisison~~ !! Preformed Toxin		! Species!! Onset !! Symptoms !! Transmission !! Preformed Toxin
	\|-		\|-
	\| Viral (norovirus, adenovirus, rotavirus)		\| Viral ([[norovirus]], [[adenovirus]], [[rotavirus]])
	\|\| 11-72 hrs		\|\| 11-72 hrs
	\|\|		\|\|
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	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}
	{{Nausea and vomiting DDX}}		{{Nausea and vomiting DDX}}

	==Evaluation==		==Evaluation==
	*Assess hydration status		*Assess hydration status
	**Cap refill, skin turgor, respiratory rate		**Cap refill, skin turgor, respiratory rate
	*Consider stool ~~studeies~~ if:		*Consider stool studies if:
	**>10 stools in previous 24hr		**>10 stools in previous 24hr
	**[[Traveler's diarrhea\|Travel to high-risk country]]		**[[Traveler's diarrhea\|Travel to high-risk country]]
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	==Management==		==Management==
	#Rehydration (PO preferred)		#[[oral rehydration therapy\|Rehydration]] (PO preferred)
	#*30mL(1oz)/kg/hr		#*30mL(1oz)/kg/hr
	#*[[Reduced-osmolarity oral rehydration solution]]		#*[[Reduced-osmolarity oral rehydration solution]]
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	#*NOT indicated for [[E. coli]] O157:H7		#*NOT indicated for [[E. coli]] O157:H7
	#*NOT routinely indicated for salmonella		#*NOT routinely indicated for salmonella
	#**Exceptions: SCD, [[IBD]], <3mo		#**Exceptions: [[sickle cell\|SCD]], [[IBD]], <3mo
	#*[[Azithromycin]] (able to tolerate PO)		#*[[Azithromycin]] (able to tolerate PO)
	#*'''OR''' [[ciprofloxacin]]		#*'''OR''' [[ciprofloxacin]]
	#*'''OR''' [[TMP-SMX]]		#*'''OR''' [[TMP-SMX]]
	#*[[Ceftriaxone]] (parenteral)		#*[[Ceftriaxone]] (parenteral)

	==Disposition==		==Disposition==
	*Most can be discharged		*Most can be discharged

Mholtz: Text replacement - "OR" to "'''OR'''"

2017-05-31T00:34:17Z

Text replacement - "OR" to "'''OR'''"

← Older revision		Revision as of 00:34, 31 May 2017
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	#**Exceptions: SCD, [[IBD]], <3mo		#**Exceptions: SCD, [[IBD]], <3mo
	#*[[Azithromycin]] (able to tolerate PO)		#*[[Azithromycin]] (able to tolerate PO)
	#*OR [[ciprofloxacin]]		#*'''OR''' [[ciprofloxacin]]
	#*OR [[TMP-SMX]]		#*'''OR''' [[TMP-SMX]]
	#*[[Ceftriaxone]] (parenteral)		#*[[Ceftriaxone]] (parenteral)
	==Disposition==		==Disposition==

Rossdonaldson1: Text replacement - "[[Ceftriaxone]]" to "Ceftriaxone"

2017-03-12T05:41:39Z

Text replacement - "[[Ceftriaxone]]" to "Ceftriaxone"

← Older revision		Revision as of 05:41, 12 March 2017
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	#*OR [[ciprofloxacin]]		#*OR [[ciprofloxacin]]
	#*OR [[TMP-SMX]]		#*OR [[TMP-SMX]]
	#*[[[[Ceftriaxone]]]] (parenteral)		#*[[Ceftriaxone]] (parenteral)
	==Disposition==		==Disposition==
	*Most can be discharged		*Most can be discharged

Ostermayer: Text replacement - "Ceftriaxone" to "Ceftriaxone"

2017-01-27T20:07:38Z

Text replacement - "Ceftriaxone" to "Ceftriaxone"

← Older revision		Revision as of 20:07, 27 January 2017
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	#*OR [[ciprofloxacin]]		#*OR [[ciprofloxacin]]
	#*OR [[TMP-SMX]]		#*OR [[TMP-SMX]]
	#*[[Ceftriaxone]] (parenteral)		#*[[[[Ceftriaxone]]]] (parenteral)
	==Disposition==		==Disposition==
	*Most can be discharged		*Most can be discharged

ClaireLewis: /* References */

2016-09-07T23:23:19Z

References

← Older revision		Revision as of 23:23, 7 September 2016
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	<references/>		<references/>

	[[~~Categories~~:ID]] [[~~Categories~~:GI]]		[[Category:ID]] [[Category:GI]]

ClaireLewis at 23:22, 7 September 2016

2016-09-07T23:22:44Z

← Older revision		Revision as of 23:22, 7 September 2016
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	==References==		==References==
	<references/>		<references/>

			[[Categories:ID]] [[Categories:GI]]

ClaireLewis: Created page with "''See Acute gastroenteritis (peds) for pediatric patients'' ==Background== Most acute gastroenteritis (AGE) is viral, not bacterial Blood diarrhea suggests bacterial eti..."

2016-08-10T19:12:04Z

Created page with "''See Acute gastroenteritis (peds) for pediatric patients'' ==Background== *Most acute gastroenteritis (AGE) is viral, not bacterial *Blood diarrhea suggests bacterial eti..."

New page

''See [[Acute gastroenteritis (peds)]] for pediatric patients''
==Background==
*Most acute gastroenteritis (AGE) is viral, not bacterial
*Blood diarrhea suggests bacterial etiology
*Do NOT diagnosis isolated vomiting as AGE

===Clinical Features and Causes===
{| class="wikitable"
|+ Noninvasive AGE
|-
! Species!! Onset !! Symptoms !! Transmisison !! Preformed Toxin
|-
| Viral (norovirus, adenovirus, rotavirus)
|| 11-72 hrs
||
*Nausea, vomiting, watery diarrhea
*Mild abdominal cramps, myalgia
||
*Fecal-oral
*Contaminated food or water
|| No
|-
| [[S. aureus|Staph]]
|| 1-6 hrs
||
*Nausea, severe vomiting, diarrhea,
*Mild abdominal cramping
||
*Previously cooked foods (mayonaise, ham, salads)
|| Yes
|-
| [[Bacillus cereus|B. cereus]]
|| 1-6 hrs
||
*Abrupt onset of nausea, vomiting, mild diarrhea
||
*Previously cooked foods (rice, vegetables, dried fruits, meat)
|| Yes
|-
| [[Clostridium (not difficile)|C. perfringens]]
|| 8-24 hrs
||
*Nausea, minimal vomiting, watery diarrhea
*Abd cramps
||
*Previously cooked or reheated meats and poultry
|| Yes
|-
| [[Vibrio cholera|V. cholerae]]|| 11-72 hrs ||
*Explosive rice-water diarrhea
*Vomiting, abdominal cramps
*Fever
||
*Fecal-oral
*Contaminated food or water
|| No
|-
| [[Giardia]]
|| 1-4 wks
||
*Flatus, bloating
*Foul-smelling and fatty stools (steatorrhea)
||
*Fecal-oral
*Contaminated water
|| No
|}

{| class="wikitable sortable"
|+ Invasive AGE
|-
! scope="col" | '''Species'''
! scope="col" | '''Onset'''
! scope="col" | '''Symptoms'''
! scope="col" | '''Transmission'''
|-
| [[Salmonella]]||6-72 hours||
*[[Fever]], relative bradycardia
*[[Abdominal pain]]
*Bloody diarrhea
*[[Headache]]
*Osteomyelitis in sickle cell
||
*Eggs
*Poultry
*Water
*Reptiles
|-
| [[Shigella]]||1-3 days||
*[[Fever]]
*[[Abdominal pain]]
*Bloody diarrhea
*[[Headache]]
*1-5 years old
*Seizures in children
||
*Food
*Fecal-Oral
|-
| [[Yersinia]]||1-5 days||
*[[Appendicitis]] mimic, [[RLQ pain]]
*[[Fever]]
*[[Vomiting]]
*Kids and Young Adults
||
*Water
*Milk
*Pork
*Wild Animals
*Fecal-Oral
|-
| [[Campylobacter]]||1-7 days||
*Low grade [[fever]]
*[[Abdominal pain]]
*Kids and Young Adults
*Guillain-Barre
||
*Water
*Poultry
*Pets/Animals
|-
| [[C. Diff]]||1-11 Weeks||
*Copious FOUL diarrhea
||
*Antibiotic use: [[PCN]], [[Clinda]], [[Cephalosporins]]
|-
| [[Entamoeba]]||1-11 weeks||
*[[Appendicitis]] Mimic
*[[Abdominal pain]], [[nausea/vomiting]], [[diarrhea]]
||
*Water
*Sanitation
*Travel
|}
==Differential Diagnosis==
{{Abdominal Pain DDX Diffuse}}
{{Nausea and vomiting DDX}}
==Evaluation==
*Assess hydration status
**Cap refill, skin turgor, respiratory rate
*Consider stool studeies if:
**>10 stools in previous 24hr
**[[Traveler's diarrhea|Travel to high-risk country]]
**Fever
**Bloody stool
**Persistent diarrhea

==Management==
#Rehydration (PO preferred)
#*30mL(1oz)/kg/hr
#*[[Reduced-osmolarity oral rehydration solution]]
#Antiemetic
#*[[Ondansetron]] 0.15mg/kg/dose IV/PO
#[[Antibiotics]]
#*Only consider in patients with invasive infection
#**[[Shigella]], [[campylobacter]], [[E. coli]], [[yersinia]], [[vibrio]]
#**Bloody stool with mucus and fever
#*NOT indicated for [[E. coli]] O157:H7
#*NOT routinely indicated for salmonella
#**Exceptions: SCD, [[IBD]], <3mo
#*[[Azithromycin]] (able to tolerate PO)
#*OR [[ciprofloxacin]]
#*OR [[TMP-SMX]]
#*[[Ceftriaxone]] (parenteral)
==Disposition==
*Most can be discharged
*Admit
**Unable to tolerate PO
**Hemodynamic instability
**Significant comorbidities

==See Also==
*[[Acute gastroenteritis]]
*[[Nausea and Vomiting]]
*[[Acute gastroenteritis (peds)]]
*[[Dehydration]]
*[[Acute diarrhea]]

==External Links==

==References==
<references/>