社区获得性肠胃炎。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2025-02-01 Epub Date: 2025-01-29 DOI:10.1055/a-2301-6781
Marie Leibenguth, Siegbert Rieg, Robert Thimme, Daniel Hornuss
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引用次数: 0

摘要

胃肠道感染很普遍,是全球死亡的一个主要原因,主要影响幼儿和老年人。在德国,每位居民通常每年都会经历一次。2019冠状病毒病大流行后,胃肠道感染率再次明显上升。急性肠胃炎的典型表现是突然大便改变、呕吐和发烧。在德国,常见的病原体包括诺如病毒、轮状病毒、弯曲杆菌和沙门氏菌。新的德国感染性胃肠炎指南(2023年出版)反映了最近的研究和国际治疗标准。急性胃肠炎的诊断应以临床表现和全面的病史为基础,对严重病例或疑似疫情进行粪便检查。对症治疗和病人补液通常就足够了。除非在严重病例、危险情况或检测到特定病原体时,一般不建议使用抗生素治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Community acquired gastroenteritis].

Gastrointestinal infections are widespread and a major cause of global mortality, mainly affecting young children and the elderly. In Germany, each resident typically experiences one episode yearly. After COVID-19 pandemic, gastrointestinal infection rates have significantly increased again. Acute gastroenteritis typically presents with sudden stool changes, vomiting, and fever. In Germany, common pathogens include norovirus, rotavirus, Campylobacter spp., and Salmonella spp. New German guidelines on infectious gastroenteritis (published 2023) reflect recent studies and international treatment standards. The diagnosis of acute gastroenteritis should be based on clinical presentation and a thorough medical history, with stool testing reserved for severe cases or suspected outbreaks. Symptomatic treatment and rehydration of the patient are usually sufficient. Antibiotic treatment is generally not recommended except in severe cases, risk situations or the detection of specific pathogens.

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