中国儿童急性传染性腹临床实践指南 (2024)
You-Hong Fang1, Chao-Min Wan2, Si-Tang Gong3
1Department of Gastroenterology, School of Medicine, Children's Hospital of Zhejiang University, National Clinical Research Center for Child Health, 3333 Bin Sheng Road, Hangzhou 310052, China.
World journal of pediatrics : WJP
|May 28, 2025
概括
更新的指南为儿科急性传染性腹提供了基于证据的策略. 关键的更新包括精细的病因诊断和对益生菌,和儿童合理使用抗生素的建议.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 自2018年指南发布以来,儿童急性传染性腹的诊断和治疗方面取得了重大进展.
- 更新的指导方针包括针对中国儿科患者量身定制的基于证据的新建议.
研究的目的:
- 提出针对儿童急性传染性腹的经过修订的临床实践指南.
- 将最新的科学证据和专家共识纳入儿科腹管理.
主要方法:
- 专家小组审查了临床证据,并根据2018年指南进行了讨论.
- 在主要数据库中进行了全面的文献搜索,截至2024年6月.
- 关键词包括"急性腹"或"肠炎"与儿科年龄组相结合.
主要成果:
- 更新的指南涵盖了诊断,病因,脱水评估,液体和饮食治疗以及预防.
- 关键的修订重点是病因诊断,以及益生菌,racecadotril,和抗生素的应用.
结论:
- 修订后的指南使用基于证据的方法来解决有争议的治疗方法.
- 建议进行标准化的病因评估,以指导管理.
- 建议在病毒性水性腹时服用益生菌;在缺乏的地区,建议在6个月以上的儿童服用;在特定严重或复杂的病例中,仅使用抗生素.
相关概念视频
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents
207
Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
207
Transmission-based Precautions I: Contact, Enteric, and Droplets
4.1K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
4.1K
Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
Acute Pyelonephritis II: Diagnostic Studies and Management
49
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
49
Standard Precaution
2.2K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.2K
Acute Pharyngitis
1.7K
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
1.7K


