Krause M
Departement für Innere Medizin, Universitätsspital Zürich.
Praxis (Bern 1994). 1996 Oct 1;85(40):1249-52.
Infectious diarrhea is a very common, usually self-limited disease. Among travellers to developing countries, diarrhea is by far the most common medical problem. The intake of sufficient glucose-electrolyte solutions is the most important step to prevent dehydration. Loperamide may be prescribed as a valuable antimotility agent: however, this drug should not be used in patients with high fevers, bloody diarrhea and severe abdominal cramps. Stool cultures are recommended in cases without improvement, when clostridium difficile is suspected and when multiple cases occur. Antibiotics are indicated for treatment of certain microorganisms, for patients with immunosuppression and in dysenteric syndromes. They are not recommended for prophylaxis on a routine basis.
感染性腹泻是一种非常常见的、通常为自限性的疾病。在前往发展中国家的旅行者中,腹泻是迄今为止最常见的医学问题。摄入足够的葡萄糖电解质溶液是预防脱水的最重要步骤。洛哌丁胺可作为一种有效的止泻剂使用:然而,高热、血性腹泻和严重腹痛患者不应使用此药。在病情无改善、怀疑艰难梭菌感染以及出现多例病例时,建议进行粪便培养。对于某些微生物感染的患者、免疫抑制患者以及痢疾综合征患者,需要使用抗生素进行治疗。不建议常规预防性使用抗生素。