Practice Guidelines for the Management of Infectious Diarrhea

Practice Guidelines for the Management of Infectious Diarrhea

2001;32:331–50 | Richard L. Guerrant, Thomas Van Gilder, Ted S. Steiner, Nathan M. Thielman, Laurence Slutsker, Robert V. Tauxe, Thomas Hennessy, Patricia M. Griffin, Herbert DuPont, R. Bradley Sack, Phillip Tarr, Marguerite Neill, Irving Nachamkin, L. Barth Reller, Michael T. Osterholm, Michael L. Bennish, and Larry K. Pickering
The document provides comprehensive guidelines for the management of infectious diarrhea, emphasizing the importance of fluid and electrolyte replacement, thorough clinical and epidemiological evaluation, and selective diagnostic testing. It highlights the need for cost-effective approaches and the role of public health in controlling the spread of infections. Key recommendations include initial rehydration, patient evaluation, selective fecal studies, antimicrobial therapy, and contraindicated antidiarrheal medications. The guidelines also address the prevention of infectious diarrhea through avoidance of undercooked meat, unpasteurized milk, and selected use of typhoid vaccines. The document underscores the importance of accurate diagnosis and appropriate treatment to prevent complications and reduce the impact of infectious diarrhea on public health.The document provides comprehensive guidelines for the management of infectious diarrhea, emphasizing the importance of fluid and electrolyte replacement, thorough clinical and epidemiological evaluation, and selective diagnostic testing. It highlights the need for cost-effective approaches and the role of public health in controlling the spread of infections. Key recommendations include initial rehydration, patient evaluation, selective fecal studies, antimicrobial therapy, and contraindicated antidiarrheal medications. The guidelines also address the prevention of infectious diarrhea through avoidance of undercooked meat, unpasteurized milk, and selected use of typhoid vaccines. The document underscores the importance of accurate diagnosis and appropriate treatment to prevent complications and reduce the impact of infectious diarrhea on public health.
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