Acute Diarrhea Evaluation in Primary Care Acute Diarrhea luation in ...

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Major causes of viral gastroenteritis • Calicivirus group • 90% of epidemic gastroenteritis) • includes Norwalk agent, sapovirus • (children), norovirus • Rotavirus—primarily infants • Adenovirus types 40 & 41 • Astrovirus • (CMV in immunosuppressed)
Calicivirus • 90% of epidemic gastroenteritis • Norwalk, Saporo, etc virus • =norovirus • Cannot grow virus in cell culturestudy by • EIA for antibody and stool antigen, • or more recently by RTPCR • Immunity shortterm term and genotype • specific—repeat infections; vaccine • will be problematic (attempts underway) • Prolonged excretion of virus; secondary cases
Page 1 and 2: Acute Diarrhea Evaluation in Primar
Page 3 and 4: Definition— —”Acute” • Pa
Page 5 and 6: Initial Evaluation • Evaluation p
Page 7 and 8: Initial evaluationdiagnostic poss
Page 9 and 10: Food Poisoning Syndromes • Prefor
Page 11 and 12: GI disease not related to food •
Page 13: Gastroenteritis syndromes • Emesi
Page 17 and 18: Rotavirus • Major illness in very
Page 19 and 20: Traveller’s diarrhea • Usually
Page 21 and 22: Foodrelated gastrointestinal infe
Page 23 and 24: salmonella • Most common foodbo
Page 25 and 26: Salmonella (continued) • Treatmen
Page 27 and 28: E.coli O157:H7 (Enterohemorrhargic
Page 29 and 30: Campylobacter jejuni • Common; ra
Page 31 and 32: Clostridium difficile • No longer

Acute Diarrhea Evaluation in Primary Care Acute Diarrhea luation in ...

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