medigraphic.com
SPANISH

Acta Médica Grupo Angeles

Órgano Oficial del Hospital Angeles Health System
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Manuscript submission
    • Policies
    • Names and affiliations of the Editorial Board
  • About us
    • Data sharing policy
    • Stated aims and scope
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2026, Number 2

<< Back Next >>

Acta Med 2026; 24 (2)

Recommendations for the diagnosis and management of gastrointestinal infections

Pérez FSD, Vásquez MLM, Jasso GAJ, Espinoza MGML, García LML, Bautista CP, Wong CRM
Full text How to cite this article 10.35366/122615

DOI

DOI: 10.35366/122615
URL: https://dx.doi.org/10.35366/122615

Language: Spanish
References: 26
Page: 125-132
PDF size: 282.80 Kb.


Key words:

infectious gastroenteritis, dysentery, enteric fever, cholera, food poisoning.

ABSTRACT

Acute gastroenteritis is defined as a decrease in stool consistency and/or increased frequency of evacuations (≥ 3 in 24 hours), with or without fever or vomiting. Diarrhea is a symptom of infection, caused by various viral, bacterial, and parasitic organisms, most of which are transmitted by contaminated water. The etiology varies depending on the type of diarrhea, age group, and geographical area. Throughout history, acute diarrhea has been recognized as one of the leading causes of morbidity and mortality in childhood. Worldwide, it is considered the second leading cause of death in children under five years of age, with a higher incidence in developing countries, where one in eight children dies each year from this condition. Two interventions in the management of acute gastroenteritis that can significantly reduce child mortality are the newly formulated oral rehydration solution and zinc supplementation. This review aims to contribute to the body of knowledge focused on reducing the morbidity and mortality associated with acute gastroenteritis by presenting the latest updates in the state of the art of diagnosis and treatment of gastrointestinal infections in both children and adults.


REFERENCES

  1. Guarino A, Ashkenazi S, Gendrel D, Lo Vecchio A, Shamir R, Szajewska H et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: update 2014. J Pediatr Gastroenterol Nutr. 2014; 59 (1): 132-152.

  2. Shane AL, Mody RK, Crump JA, Tarr PI, Steiner TS, Kotloff K et al. 2017 Infectious diseases society of America clinical practice guidelines for the diagnosis and management of infectious diarrhea. Clin Infect Dis. 2017; 65 (12): e45-e80. doi: 10.1093/cid/cix669.

  3. CENETEC. Guía de práctica clínica: evidencias y recomendaciones. Prevención, diagnóstico y tratamiento de diarrea aguda en pacientes de 2 meses a 5 años de edad en el primer y segundo nivel de atención. 2024. [Accesado Enero 2025] Disponible en: https://www.cenetec-difusion.com/CMGPC/GPC-SS-156-24/ER.pdf

  4. CENETEC. Guía de Práctica Clínica: Evidencias y Recomendaciones. Prevención, diagnóstico y tratamiento de diarrea aguda en el paciente adulto en primer nivel de atención. 2020. [Accesado Enero 2025] Disponible en: https://www.cenetec-difusion.com/CMGPC/GPC-SS-106-20/ER.pdf

  5. Riddle MS, DuPont HL, Connor BA. ACG Clinical guideline: diagnosis, treatment, and prevention of acute diarrheal infections in adults. Am J Gastroenterol. 2016; 111 (5): 602-622. doi: 10.1038/ajg.2016.126.

  6. OMS. Diarrhoea treatment guideline including new recommendations for the use of ORS and zinc supplementation for clinic-based healthcare workers. 2005. [Access January 2025] https://cdn.who.int/media/docs/default-source/2021-dha-docs/pnadk428.pdf

  7. Indian Academy of Pediatrics. Standard treatment guidelines 2022 acute watery diarrhea. 2022. (Access January 2025) Available in: https://iapindia.org/pdf/Ch-020-STG-Acute-Watery-Diarrhea.pdf

  8. Guarino A, Lo Vecchio A, Dias JA, Berkley JA, Boey C, Bruzzese D et al. Universal recommendations for the management of acute diarrhea in nonmalnourished children. J Pediatr Gastroenterol Nutr. 2018; 67 (5): 586-593. Available in: https://doi.org/10.1097/MPG.0000000000002053

  9. Chen J, Wan CM, Gong ST, Fang F, Sun M, Qian Y et al. Chinese clinical practice guidelines for acute infectious diarrhea in children. World J Pediatr. 2018; 14 (5): 429-436.

  10. Campbell J. Smectite for acute infectious diarrhoea in children: a Cochrane review summary. Int J Nurs Stud. 2021; 118: 103645.

  11. Abdulrazzaq S, Jaafar FA, Mohammed ZA. Lactose versus lactose free regimen in children with acute diarrhea. Open Access Macedonian Journal of Medical Sciences. 2021; 9 (B): 1279-1282.

  12. Fan H, Liu IC, Gao L, Wu L. Bismuth subsalicylate, probiotics, rifaximin and vaccines for the prevention of travelers' diarrhea: a systematic review and network meta-analysis. Front Pharmacol. 2024; 15: 1361501. Available in: https://doi.org/10.3389/fphar.2024.1361501

  13. Brum JM, Gibb RD, Ramsey DL, Balan G, Yacyshyn BR. Systematic review and meta-analyses assessment of the clinical efficacy of bismuth subsalicylate for prevention and treatment of infectious diarrhea. Dig Dis Sci. 2021; 66 (7): 2323-2335. Available in: https://doi.org/10.1007/s10620-020-06509-7

  14. Duysburgh C, Van den Abbeele P, Morera M, Marzorati M. Lacticaseibacillus rhamnosus GG and Saccharomyces cerevisiae boulardii supplementation exert protective effects on human gut microbiome following antibiotic administration in vitro. Benef Microbes. 2021; 12 (4): 59-73.

  15. Szajewska H, Guarino A, Hojsak I, Indrio F, Kolacek S, Orel R et al. Use of probiotics for the management of acute gastroenteritis in children: an update. J Pediatr Gastroenterol Nutr. 2020; 71 (2): 261-269.

  16. Imdad A, Mayo-Wilson E, Herzer K, Bhutta ZA. Vitamin A supplementation for preventing morbidity and mortality in children from six months to five years of age. Cochrane Database Syst Rev. 2017; 3 (3): CD008524.

  17. McDonald LC, Gerding DN, Johnson S, Bakken JS, Carroll KC, Coffin SE et al. Clinical practice guidelines for clostridium difficile infection in adults and children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). Clin Infect Dis. 2018; 66 (7): e1-e48. Available in: https://doi.org/10.1093/cid/cix1085

  18. Kelly CR, Fischer M, Allegretti JR, LaPlante K, Stewart DB, Limketkai BN, Stollman NH. ACG Clinical guidelines: prevention, diagnosis, and treatment of clostridioides difficile infections. Am J Gastroenterol. 2021; 116 (6): 1124-1147. Available in: https://doi.org/10.14309/ajg.0000000000001278

  19. Johnson S, Lavergne V, Skinner AM, Gonzales-Luna AJ, Garey KW, Kelly CP et al. 2021 Focused update guidelines on management of clostridioides difficile infection in adults. Clin Infect Dis. 2021; 73 (5): e1029-e1044. Available in: https://doi.org/10.1093/cid/ciab549

  20. Chowdhury F, Ross AG, Islam MT, McMillan NAJ, Qadri F. Diagnosis, management, and future control of cholera. Clin Microbiol Rev. 2022; 35 (3): e0021121. Available in: https://doi.org/10.1128/cmr.00211-21

  21. Scott DC, Stern AS, Cifu, Altkorn D. Diagnóstico basado en los síntomas: Una guía basada en evidencias, 4e. McGraw-Hill Educación. [Accesado enero 2025] Disponible en: https://accessmedicina.mhmedical.com/content.aspx?bookid=3069§ionid=259351589

  22. Afoakwah NA, Mahunu GK, Osae R, Pereko K. Food intoxication: prevention, diagnoses, and treatment. In: Moneim ESA, Ibrahim AN. Microbial toxins in food systems: causes, mechanisms, complications, and metabolism. 2024, pp. 153-165. Cham: Springer Nature Switzerland.

  23. Mourenza Á, Gil JA, Mateos LM, Letek M. Novel treatments and preventative strategies against food-poisoning caused by staphylococcal species. Pathogens. 2021; 10 (2): 91. Available in: https://doi.org/10.3390/pathogens10020091

  24. Indian Academy of Pediatrics. Standard Treatment Guidelines 2022 Enteric fever. 2022. [Accesado Enero 2025] Available in: https://iapindia.org/pdf/Ch-008-Enteric-Fever.pdf

  25. Typhoid & Paratyphoid Fever. CDC Yellow Book 2024. (s.f.). CDC.gov. [Access January 2025] Available in: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/typhoid-and-paratyphoid-fever

  26. Qamar FN, Hussain W, Qureshi S. Salmonellosis including enteric fever. Pediatr Clin North Am. 2022; 69 (1): 65-77. Available in: https://doi.org/10.1016/j.pcl.2021.09.007




Table 1
Table 2
Table 3
Table 4
Table 5

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Med. 2026;24