clinical practice guidelines gastroenteritis
How do you treat mild gastroenteritis in children?
Mild gastroenteritis in children can be managed at home. Oral rehydration therapy, such as providing half-strength apple juice followed by the child's preferred liquids, is the mainstay of treatment for mild dehydration and is as effective as intravenous rehydration for preventing hospitalization and return to the emergency department.
What is the American College of Gastroenterology guideline?
American College of Gastroenterology: Clinical guideline for the diagnosis, treatment, and prevention of acute diarrheal infections in adults (2016) Overview of Gastroenteritis - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical Professional Version.
What is the clinical practice guideline for acute gastroenteritis?
Acute gastroenteritis is typically a self-limited illness that responds well to supportive care with oral rehydration therapy. Therefore, the clinical practice guideline focuses on providing high-quality, cost-effective care by reducing unnecessary laboratory testing, antibiotics, imaging modalities, and IV fluid usage.
Is acute gastroenteritis a common infectious disease in community?
Infect Chemother. 2019 Jun; 51 (2): 217–243. Acute gastroenteritis is common infectious disease in community in adults. This work represents an update of ‘Clinical guideline for the diagnosis and treatment of gastrointestinal infections’ that was developed domestically in 2010.
Key Points
In a child with red flag features or a child with vomiting without diarrhoea, consider alternative diagnosesMost children do not require investigations, including stool testingWhenever possible, the enteral route (oral or nasogastric) should be used for rehydration rch.org.au
Background
Gastroenteritis is a common childhood illness that causes vomiting, diarrhoea and fever, often in sporadic seasonal outbreaksThe cause may be viral or bacterial, but knowing the cause rarely changes managementIt is important to assess the degree of dehydration, as this influences route and rate of rehydration rch.org.au
Assessment
Any child with a red flag feature should prompt careful consideration of alternative diagnoses (see Vomiting) History 1. Although vomiting may precede diarrhoea in the first 24–48 hours of gastroenteritis, in a vomiting child without diarrhoea other causes must be considered 2. Age under 6 months 3. Fever 4. Infectious contacts 5. Recent fluid inta
Management
Investigations 1. For most children with presumed and uncomplicated gastroenteritis, no investigationsare required Blood sugar and electrolyte measurement: 1. All children requiring IV fluidsshould have serum electrolytes and glucose checked before commencing the infusion (typically when the IV is placed) and again within 24 hours if IV therapy is to continue Blood sugar, ketones and electrolyte measurement may be required for children with: 1. Severe dehydration, profuse or prolonged losses, or altered con
Consider Consultation with Local Paediatric Team When
Initial rehydration unsuccessful and/or significant ongoing lossesComplex comorbiditiesElectrolyte abnormalitiesDiagnosis is unclear rch.org.au
Consider Transfer When
Severe electrolyte disturbanceShock requiring more than 40 mL/kg in fluid boluses rch.org.au
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20 сент. 2018 г. diagnosis of gastroenteritis is made. > Dehydration and electrolyte abnormalities are the commonest complications requiring treatment. > ... |
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Members of the FWBD-PCP Clinical Practice Guidelines (CPG) TWG. FWBD 40 These are in accordance with the WHO guidelines in the treatment of gastroenteritis. |
Guideline for the Antibiotic Use in Acute Gastroenteritis
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14 июн. 2019 г. Prevention and Control Program the developed Clinical Practice Guidelines (CPG) on Acute ... guidelines in the treatment of gastroenteritis. |
Paediatric Clinical Practice Guideline
Paediatric Clinical Practice Guideline. BSUH Clinical Practice Guideline – Gastroenteritis. Page 2 of 6. Assessment of dehydration: No clinically detectable. |
CHOC
Comparison of recommendations in clinical practice guidelines for acute gastroenteritis in children. Journal of Pediatric Gastroenterology and Nutrition 63 |
BSUH Paediatric Guidelines
Paediatric Clinical Practice Guideline. BSUH Clinical Practice Guideline – Gastroenteritis. Page 1 of 6. Infectious gastroenteritis. Author: Dr Emily Walton Dr |
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BSUH Clinical Practice Guideline – Gastroenteritis. Page 1 of 6. Infectious gastroenteritis. Author: Dr Emily Walton Dr Nuha Basheer |
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ESPEN practical guideline: Clinical Nutrition in inflammatory bowel
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Guideline for the Prevention and Control of Norovirus Gastroenteritis
15 févr. 2017 Norovirus gastroenteritis infections and outbreaks have been increasingly ... clinical benefits or harms or an accepted practice (e.g. |
IP Guidelines for Acute Gastroenteritis
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Diarrhoea and vomiting caused by gastroenteritis in under 5s
22 avr. 2009 The recommendations in this guideline represent the view of NICE ... variation in clinical practice |
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19 déc 2014 · Gastroenteritis is a common paediatric condition Appropriate management attempts to avoid dehydration, but when this occurs appropriate fluid management is essential For rehydration the enteral route is preferred, but if intravenous fluids are used then low sodium containing fluids should not be used |
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