clinical practice guidelines gastroenteritis


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  • 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

Acute Gastroenteritis (Paediatrics) Overview

Acute Gastroenteritis (Paediatrics) Overview

What is gastroenteritis?  Gastrointestinal system diseases  NCLEX-RN  Khan Academy

What is gastroenteritis? Gastrointestinal system diseases NCLEX-RN Khan Academy

Comprehensive guide to managing gastroenteritis symptoms and recovery

Comprehensive guide to managing gastroenteritis symptoms and recovery

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