Table of contents
Acute diarrhea
What's new
Updated 2023 ESPGHAN and 2021 AEP guidelines for the management of acute gastroenteritis in pediatric patients.
Background
Overview
Guidelines
Key sources
Diagnostic investigations
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Physical examination
CBC
Blood cultures
Indications for diagnostic testing
Stool specimen
Antibiotic sensitivity testing
Culture-independent stool testing
C. difficile testing
Ova and parasite examination
Fecal leukocytes
Fecal lactoferrin
Fecal calprotectin
Diagnostic imaging
Diagnostic procedures
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Lower gastrointestinal endoscopy
Medical management
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Oral rehydration
Intravenous fluids
Symptomatic therapy
Empiric antibiotic therapy (bloody diarrhea)
Empiric antibiotic therapy (watery diarrhea)
Choice of antibiotic agent
Inpatient care
Nonpharmacologic interventions
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Probiotics
Specific circumstances
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Patients with asymptomatic infection
Patients with traveler's diarrhea
Patients with STEC infection
Patient education
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Food safety practices
Pretravel counseling
Preventative measures
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Rotavirus immunization
Typhoid immunization
Cholera immunization
Antibiotic prophylaxis
Bismuth subsalicylate
Follow-up and surveillance
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Management of nonresponse to treatment