Epple H-J, Zeitz M
Medizinische Klinik für Gastroenterologie, Infektiologie, Rheumatologie, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Deutschland.
Internist (Berl). 2011 Sep;52(9):1038, 1040-4, 1046. doi: 10.1007/s00108-011-2862-z.
Infectious diarrhea belongs to the most frequent infections worldwide and can be elicited by a wide array of microbial pathogens. In developed countries transmission occurs much more frequently from contaminated food as compared to direct person-to-person contact, except for enteric viruses which can also be transmitted by aerosol formation after vomiting. In Germany, more than 90% of cases are caused by the four pathogens Norovirus, Rotavirus, Campylobacter and Salmonella. Therapy of infectious diarrhea is mainly supportive. In cases with a severe or prolonged course, signs of inflammation, bloody stool, immunosuppression, comorbidity and in suspected outbreaks, fecal microbial analysis should be performed and a specific therapy should be considered if indicated.
感染性腹泻是全球最常见的感染之一,可由多种微生物病原体引起。在发达国家,与直接的人传人接触相比,受污染食物传播感染性腹泻的情况更为频繁,但肠道病毒除外,呕吐后形成的气溶胶也可传播肠道病毒。在德国,超过90%的病例由诺如病毒、轮状病毒、弯曲杆菌和沙门氏菌这四种病原体引起。感染性腹泻的治疗主要是支持性的。对于病程严重或延长、有炎症迹象、便血、免疫抑制、合并症的病例以及疑似暴发的情况,应进行粪便微生物分析,如有指征应考虑进行特异性治疗。