DIARRHEA Flashcards
Types
Acute <7 days , infectious
Chronic >14 days , non infectious
Persistent >14 days , infectious
Most common organism
Rotavirus
Virus >bacteria
Other viral organism :
Norwac
Adeno virus
Astro virus
Calcivirus
Most common bacterial organism
E coli , enterotoxigenic
Other cause :
Salmonella
Shigella
Campylobacter
Most common parasite
Giardia
Most common cause of diarrhea in HIV + CHILD
Cryptococcus
Most common organism in DYSENTRY
Shigella flexneri
DYSENTRY DEFN
Diarrhea + blood in stools
Latest ors formula
Reduced OSM ors -245 mosm/l
Na 75
Glucose 75
K+ 20
Chloride 65
Citrate 10
RESOMAL
Rehydration solution for Malnourished children -300mosm/l
Added micronutrients like Zn, cu , mg
Na 45
Glucose 125
K+ 40
Chloride 70
Citrate 7
DOC In Pediatric DYSENTRY
3 Rd gen cephalosporin
Cefixime
Ciprofloxacin
Azithromycin
DOC in Pediatric cholera
Doxycycline
Doc in severe malnutrition/ sepsis
Ampicillin + Gentamicin
Zinc supplementation
Mandatory in all cases of diarrhea
<6 m - 10 mg /d
>6 m - 20 mg /d
Duration - 2 weeks