de Vallière Serge, Pasche Olivier, Felley Christian, Cornuz Jacquez
PMU.
Rev Med Suisse. 2008 Nov 26;4(181):2586-8, 2590.
In the majority of the cases, an acute diarrhea is mild and of spontaneously favorable evolution. It is however necessary to know how to recognize the situations being able to lead to complications, in particular to identify the invasive, inflammatory diarrheas, characterized by the presence of fever, abdominal pains, mucus and\or blood. The identification of leukocytes by microscopy or lactoferrine test is helpful. Empiric quinolones treatment is recommended in the presence of dysenteric syndrome (T > 38 degrees C, > 6 stods/24 h 00, abdominal pain muco-purulent diarrhea), advanced age, significant comorbidities, immunosuppression or presence of an endovascular prothesis.
在大多数情况下，急性腹泻症状较轻，会自然好转。然而，有必要了解如何识别可能导致并发症的情况，尤其是识别侵袭性、炎症性腹泻，其特征为发热、腹痛、黏液和（或）便血。通过显微镜检查或乳铁蛋白检测来识别白细胞会有所帮助。对于出现痢疾综合征（体温>38摄氏度、24小时内排便>6次、腹痛、黏液脓性腹泻）、高龄、有严重合并症、免疫抑制或存在血管内假体的患者，建议进行经验性喹诺酮治疗。
