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[Acute diarrhea in adults].

M Adler1, J Sternon

  • 1Service de Gastro-Entérologie, Hôpital Erasme.

Revue Medicale De Bruxelles
|March 27, 2002
PubMed
Summary

Acute diarrhea is frequently infectious, caused by bacteria, parasites, or viruses. Prudent antibiotic use is crucial due to rising antimicrobial resistance in enteropathogens.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Microbiology

Context:

  • Acute diarrhea is a common clinical presentation with diverse infectious etiologies.
  • Pathogens implicated include bacteria, parasites, and viruses.
  • Clinical management involves diagnostic steps and therapeutic interventions.

Purpose:

  • To outline the clinical approach to acute infectious diarrhea.
  • To discuss appropriate diagnostic and therapeutic strategies.
  • To highlight the implications of antimicrobial resistance.

Summary:

  • Infectious agents like bacteria, parasites, and viruses are primary causes of acute diarrhea.
  • Clinical management includes supportive care (rehydration) and judicious use of antibiotics.
  • Stool cultures are recommended only when fecal leukocytes are present.
  • The rise in antimicrobial resistance necessitates avoiding unnecessary antibiotic consumption.

Impact:

  • Informed clinical decision-making for acute diarrhea management.
  • Reduced inappropriate antibiotic prescribing, combating antimicrobial resistance.
  • Improved patient outcomes through appropriate supportive and targeted therapy.

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