Gastroenteritis Flashcards
What is gastroenteritis?
3 or more loose stools a day with accompanying features
What is traveller’s diarrhoea?
At least 3 loose to watery stools in 24 hours with or without one of more of abdominal cramps, fever, nausea, vomiting or blood in the stool
What is acute food poisoning?
This describes the sudden onset of nausea, vomiting and diarrhoea after the ingestion of a toxin
What bacterial pathogens can cause gastroenteritis?
Campylobacter
- Flu like prodrome, bloody diarrhoea
Cholera
- Profuse watery diarrhoea
- Severe dehyration
- Hypoglycaemia
Shigella
- Bloody diarrhoea
- Vomiting and abdmoinal pain
E.coli
- Watery stools
- Abdominal pain
- Common amonst travellers
Staph aureus
- Severe vomiting
Bacillus cereus
- Vomiting or diarrhoea 6 hours after uncooked rice
Giardiasis
- Prolonged non bloody diarrhoea
Salmonella
- Severe vomiting and high fever
Clostridium Perfringens
What viral pathogens can cause gastroenteritis?
Rotavirus
Norovirus
What is the most common cause of gastroenteritis?
Viral
What is the most common bacterial cause of gastroenteritis?
Campylobacter
What pathogen causes the most hospital admissions of gastroenteritis?
Salmonella
What is the most common cause of traveller’s diarrhoea?
E coli
What is the most common cause of acute food poisoning?
Staph aureus
What investigations are used in gastroenteritis diagosis and monitoring?
Stool culture
- Parasites, cysts and ova
- Stool antigen detection
Blood culture
Renal function
FBC
- Neutrophilia
- Haemolysis
Microscopy
- Parasites
Fluid and Electrolyte Loss
- Hyponatraemia
- Hypokalaemia
How is gastroenteritis managed?
Rehydration
- Oral rehydration with salt/sugar solutions
- IV saline (Sodium chloride in water)
Antibiotic Therapy
- Indicated if immunocompromised, severe sepsis/invasive infection and chronic illness/malignancy
- Not indicated for healthy patients with non-invasive infection
Symptoms after 1-6 hours?
Staphylococcus aureus
Bacillus cereus
Symptoms after 12-48 hours?
Salmonella
Escherichia coli
Symptoms after 48-72 hours?
Shigella
Campylobacter