Fry R D
Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
Dis Colon Rectum. 1990 Jun;33(6):520-7. doi: 10.1007/BF02052152.
Enteric infections are a major cause of diarrhea in the United States. Pathogens can cause diarrhea by elaboration of toxins that affect the intestinal mucosa or by direct invasion of the intestinal wall. Clinical evaluation can provide important clues to aid in establishing a correct diagnosis in most patients with infectious enteritis. Appropriate cultures are necessary to confirm the diagnosis in most cases. Most types of infectious enteritis are self-limiting, but some pathogens can cause serious disease, requiring accurate diagnosis and suitable antibiotic therapy. Appropriate precautions are mandatory to prevent the spread of infectious diarrhea from occurring in the hospital environment. Dietary restrictions and appropriate hygiene should be observed during travel to foreign countries to reduce the chance of acquiring infectious enteritis.
在美国，肠道感染是腹泻的主要原因。病原体可通过产生影响肠黏膜的毒素或直接侵袭肠壁而导致腹泻。临床评估可为大多数感染性肠炎患者的正确诊断提供重要线索。在大多数情况下，需要进行适当的培养以确诊。大多数类型的感染性肠炎是自限性的，但一些病原体可导致严重疾病，需要准确诊断和适当的抗生素治疗。必须采取适当的预防措施以防止医院环境中感染性腹泻的传播。在前往国外旅行期间，应遵守饮食限制和适当的卫生习惯，以减少患感染性肠炎的机会。
