Graves Nancy S
Department of Family and Community Medicine, Milton S. Hershey Medical Center, Penn State Hershey, PA 17033, USA.
Prim Care. 2013 Sep;40(3):727-41. doi: 10.1016/j.pop.2013.05.006. Epub 2013 Jul 19.
Acute gastroenteritis is a common infectious disease syndrome, causing a combination of nausea, vomiting, diarrhea, and abdominal pain. There are more than 350 million cases of acute gastroenteritis in the United States annually and 48 million of these cases are caused by foodborne bacteria. Traveler's diarrhea affects more than half of people traveling from developed countries to developing countries. In adult and pediatric patients, the prevalence of Clostridium difficile is increasing. Contact precautions, public health education, and prudent use of antibiotics are necessary goals in decreasing the prevalence of Clostridium difficle. Preventing dehydration or providing appropriate rehydration is the primary supportive treatment of acute gastroenteritis.
急性胃肠炎是一种常见的感染性疾病综合征,可引起恶心、呕吐、腹泻和腹痛等症状。美国每年有超过3.5亿例急性胃肠炎病例,其中4800万例由食源性细菌引起。旅行者腹泻影响了超过一半从发达国家前往发展中国家旅行的人。在成人和儿科患者中,艰难梭菌的患病率正在上升。接触预防、公共卫生教育以及谨慎使用抗生素是降低艰难梭菌患病率的必要目标。预防脱水或提供适当的补液是急性胃肠炎的主要支持性治疗方法。