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C Van Dessel, J Flamaing, M Hiele

    Tijdschrift Voor Gerontologie En Geriatrie
    |December 4, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Acute diarrhea in the elderly is often infectious and usually resolves with rehydration. Bacterial infections are less common and may require antibiotics in severe or invasive cases.

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    Area of Science:

    • Geriatrics
    • Infectious Diseases
    • Gastroenterology

    Background:

    • Acute diarrhea is a prevalent issue in the elderly population.
    • It significantly contributes to morbidity and mortality in older adults.
    • Infectious causes are the most common etiology for acute diarrhea.

    Purpose of the Study:

    • To summarize the etiology and management of acute, non-antibiotic-associated diarrhea in the elderly.
    • To differentiate between viral and bacterial causes of infectious diarrhea.
    • To provide guidance on appropriate therapeutic measures.

    Main Methods:

    • Review of existing literature on infectious diarrhea in the elderly.
    • Analysis of common causative microorganisms.
    • Evaluation of therapeutic strategies, focusing on rehydration and antibiotic use.

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    Main Results:

    • Viral infections are the most frequent cause of infectious diarrhea in the elderly, typically with a benign course.
    • Bacterial infections are less common but can be severe.
    • Oral or intravenous rehydration is the cornerstone of treatment for most cases.

    Conclusions:

    • Rehydration therapy is the primary and most crucial treatment for acute diarrhea in the elderly.
    • Antibiotic prescription should be reserved for severe cases or when invasive enteropathogenic bacterial infections are suspected.
    • Understanding the etiology is key to appropriate management and reducing mortality.