Infectious diarrhea in developed and developing countries

被引:86
|
作者
Cheng, AC
McDonald, JR
Thielman, NM
机构
[1] Duke Univ, Med Ctr, Div Infect Dis & Int Hlth, Durham, NC 27710 USA
[2] Charles Darwin Univ, Menzies Sch Hlth Res, Darwin, NT, Australia
[3] Flinders Univ S Australia, No Terr Clin Sch, Darwin, NT, Australia
关键词
dysentery; infantile diarrhea; gastroenteritis; diarrhea; cross-infection; community-acquired infection;
D O I
10.1097/01.mcg.0000177231.13770.07
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Diarrhea from gastrointestinal infection remains a common problem. In industrialized countries, management is aimed at reducing morbidity and defining groups that may benefit from further investigation. Most infectious diarrhea is self-limiting and only requires supportive management. Viral agents are increasingly recognized as causative agents of epidemic and sporadic diarrhea. In developing countries, diarrhea is a major cause of mortality in children. Oral rehydration therapy, guided by a clinical assessment of the degree of dehydration, is cheap, simple, and effective and remains the mainstay of management of infant diarrhea. Controversies focus on the optimal formulation of oral rehydration solution. A vaccine against rotavirus has the potential to save millions of lives worldwide.
引用
收藏
页码:757 / 773
页数:17
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