Infective diarrhoea
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Infective diarrhoea. By Remilekun Odetoyinbo GPST1. C auses. Bacteria campylobacter salmonella e-coli Shigella Staph clotridium Cholera Viral Rota , Adeno , Noro virus

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Infective diarrhoea

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Infective diarrhoea

Infective diarrhoea

By

Remilekun Odetoyinbo

GPST1


C auses

Causes

  • Bacteria

    campylobacter salmonella e-coli Shigella Staph clotridium Cholera

  • Viral

    Rota, Adeno, Noro virus

  • Parasites like giardia,

  • Worms hook worms,pin worms

  • Others amoebic dysentery


Signs and symptoms

Signs and symptoms

  • Diarrhoea

  • Abdominal pain

  • Vomiting

  • Fever

  • Bloating

  • Weight loss

  • Malaise

  • nausea


Infective diarrhoea

  • E coli.

  • Commonest cause of travellers diarrhoea

  • Main route is feacal to oral transmission .

  • Can get it from contaminated vegetables, cheese

  • Can be treated with amoxicillin or cephalosporin


Infective diarrhoea

  • Clostridium difficile.

  • Most serious cause of antibiotic associated diarrhoea.

  • Presentation is mainly after antibiotics with abdominal pain , bloating, loose foul smelling stools

  • Can be treated with metronidazole or vancomycin if no response.


Viral causes

Viral causes

  • Rota Virus

  • Commonest cause of severe diarrhoea in infants and children.

  • Incubation period of 2 days

  • Symptoms start with vomiting followed by 4-8 days of watery stools

  • More associated with dehydration than bacterial causes.

  • Symptomatic management and rehydration is essential


Viral causes1

Viral causes

  • Noro virus affects all ages

  • Common in semiclosed or closed communities. camps, hospital, dormitories

  • Transmitted from person to person or from contaminated food and water

  • Incubation period 1-2 days.

  • Last for 24-60 hours.

  • Symptoms are mainly forceful vomiting, diarrhoea, abdominal pain

  • Handwashing is essential to reduce spread.


Infective diarrhoea

  • GardiaLamblia.

  • Protozoa parasite.

  • Got from contaminated water or faecal –oral transmission.

  • Causes villous atropy.

  • Presents with weight loss, bloating steatorrhoeaepigastric pain nausea and explosive diarrhoea

  • Treat with metronidazole first line . Others tinidazole,nitazoxamide


Infective diarrhoea

QUIZ

  • Most common cause of severe diarrhoea in infants and children

  • The cause of 90% of non bacterial outbreaks of diarrhoea in the world.

  • Antibiotic of choice for campylobacter

  • Commonest cause of travellers diarrhoea.

  • Antibiotic of choice for Clostridium difficille


Infective diarrhoea

A Rota virus

B E-coli

C Noro virus

D Metronidazole

E Erythromycin


True or false

True or false

1 Gardialamblia is a protozoan

2 Dehydration is twice more likely to occur in diarrhoea of bacteria origin than with rota virus

3 Noro virus infection can follow breathing air near an episode of vomiting .

4 Alcohol gel is inadequate for infection control when in contact with noro virus patients


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