Bacterial gastroenteritis/es - Revision history

Jhattery: Created page with "==Diagnóstico Diferencial=="

2026-02-01T01:07:10Z

Created page with "==Diagnóstico Diferencial=="

← Older revision		Revision as of 01:07, 1 February 2026
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	==Ver También==		==Ver También==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*[[Special:MyLanguage/Acute gastroenteritis\|Gastroenteritis aguda]]
	*[[Special:MyLanguage/Acute gastroenteritis\|~~Acute gastroenteritis~~]]		*[[Special:MyLanguage/Nausea and Vomiting\|Náuseas y vómitos]]
	*[[Special:MyLanguage/Nausea and Vomiting\|~~Nausea and Vomiting~~]]		*[[Special:MyLanguage/Acute gastroenteritis (peds)\|Gastroenteritis aguda (pediatría)]]
	*[[Special:MyLanguage/Acute gastroenteritis (peds)\|~~Acute gastroenteritis~~ (~~peds~~)]]		*[[Special:MyLanguage/Dehydration\|Deshidratación]]
	*[[Special:MyLanguage/Dehydration\|~~Dehydration~~]]		*[[Special:MyLanguage/Acute diarrhea\|Diarrea aguda]]
	*[[Special:MyLanguage/Acute diarrhea\|~~Acute diarrhea~~]]
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Enlaces Externos==
	=~~=External Links==~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Referencias==
	=~~=References==~~
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	<references/>		<references/>
	~~</div>~~

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		[[Category:ID]] [[Category:AP]]
	[[Category:ID]] [[Category:GI]]
	~~</div>~~

Jhattery: Created page with "La mayoría puede ser dada de alta Ingresar Incapacidad para tolerar vía oral Inestabilidad hemodinámica **Enfermedades comórbidas significativas"

2026-02-01T01:06:15Z

Created page with "*La mayoría puede ser dada de alta *Ingresar **Incapacidad para tolerar vía oral **Inestabilidad hemodinámica **Enfermedades comórbidas significativas"

← Older revision		Revision as of 01:06, 1 February 2026
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	==Disposición==		==Disposición==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*La mayoría puede ser dada de alta
	*~~Most can be discharged~~		*Ingresar
	*~~Admit~~		**Incapacidad para tolerar vía oral
	**~~Unable to tolerate PO~~		**Inestabilidad hemodinámica
	**~~Hemodynamic instability~~		**Enfermedades comórbidas significativas
	**~~Significant comorbidities~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Ver También==
	=~~=See Also==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "==Disposición=="

2026-02-01T01:05:36Z

Created page with "==Disposición=="

← Older revision		Revision as of 01:05, 1 February 2026
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	==Manejo==		==Manejo==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		#[[Special:MyLanguage/oral rehydration therapy\|Rehidratación]] (preferiblemente vía oral)
	#[[Special:MyLanguage/oral rehydration therapy\|~~Rehydration~~]] (~~PO preferred~~)		#30mL(1oz)/kg/hora
	#*30mL(1oz)/kg/hr		#[[Special:MyLanguage/Reduced-osmolarity oral rehydration solution\|Solución de rehidratación oral de osmolaridad reducida]]
	#*[[Special:MyLanguage/Reduced-osmolarity oral rehydration solution\|~~Reduced-osmolarity~~ oral ~~rehydration solution~~]]		#Antiémico
	#~~Antiemetic~~		#[[Special:MyLanguage/Ondansetron\|Ondansetrón]] 0,15mg/kg/dosis VI/PO
	#*[[Special:MyLanguage/Ondansetron\|~~Ondansetron~~]] 0.15mg/kg/~~dose IV~~/PO		#[[Special:MyLanguage/Antibiotics\|Antibióticos]]
	#[[Special:MyLanguage/Antibiotics\|~~Antibiotics~~]]		# Solo considerar en pacientes con infección invasiva
	#*Only consider in patients with invasive infection
	#**[[Special:MyLanguage/Shigella\|Shigella]], [[Special:MyLanguage/campylobacter\|campylobacter]], [[Special:MyLanguage/E. coli\|E. coli]], [[Special:MyLanguage/yersinia\|yersinia]], [[Special:MyLanguage/vibrio\|vibrio]]		#**[[Special:MyLanguage/Shigella\|Shigella]], [[Special:MyLanguage/campylobacter\|campylobacter]], [[Special:MyLanguage/E. coli\|E. coli]], [[Special:MyLanguage/yersinia\|yersinia]], [[Special:MyLanguage/vibrio\|vibrio]]
	#**~~Bloody stool with mucus and fever~~		#**Heces con sangre y moco y fiebre
	#*NOT indicated for [[Special:MyLanguage/E. coli\|E. coli]] O157:H7		#NO indicado para [[Special:MyLanguage/E. coli\|E. coli]] O157:H7
	#*NOT routinely indicated for salmonella		#NO rutinariamente indicado para salmonella
	#**~~Exceptions~~: [[Special:MyLanguage/sickle cell\|~~SCD~~]], [[Special:MyLanguage/IBD\|~~IBD~~]], <~~3mo~~		#**Excepciones: [[Special:MyLanguage/sickle cell\|anemia falciforme]], [[Special:MyLanguage/IBD\|enfermedad inflamatoria intestinal]], <3 meses
	#*[[Special:MyLanguage/Azithromycin\|~~Azithromycin~~]] (~~able to tolerate PO~~)		#[[Special:MyLanguage/Azithromycin\|Azitromicina]] (capaz de tolerar vía oral)
	#*'''OR''' [[Special:MyLanguage/ciprofloxacin\|~~ciprofloxacin~~]]		#'''O''' [[Special:MyLanguage/ciprofloxacin\|ciprofloxacina]]
	#*'''OR''' [[Special:MyLanguage/TMP-SMX\|TMP-SMX]]		#'''O''' [[Special:MyLanguage/TMP-SMX\|TMP-SMX]]
	#*[[Special:MyLanguage/Ceftriaxone\|~~Ceftriaxone~~]] (parenteral)		#[[Special:MyLanguage/Ceftriaxone\|Ceftriaxona]] (parenteral)
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Disposición==
	=~~=Disposition==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "==Manejo=="

2026-02-01T01:02:23Z

Created page with "==Manejo=="

← Older revision		Revision as of 01:02, 1 February 2026
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	==Evaluación==		==Evaluación==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*Evaluar el estado de hidratación
	*~~Assess hydration status~~		**Llenado de la piel, turgor cutáneo, frecuencia respiratoria
	**~~Cap refill~~, ~~skin~~ turgor, ~~respiratory rate~~		*Considerar estudios de heces si:
	*~~Consider stool studies if~~:		**>10 heces en las últimas 24 horas
	**>10 ~~stools in previous 24hr~~		**[[Special:MyLanguage/Traveler's diarrhea\|Viaje a un país de alto riesgo]]
	**[[Special:MyLanguage/Traveler's diarrhea\|~~Travel to high-risk country~~]]		**Fiebre
	**~~Fever~~		**Heces con sangre
	**~~Bloody stool~~		**Diarrea persistente
	**~~Persistent diarrhea~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Manejo==
	=~~=Management==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "==Evaluación=="

2026-02-01T01:02:06Z

Created page with "==Evaluación=="

← Older revision		Revision as of 01:02, 1 February 2026
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	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Evaluación==
	=~~=Evaluation==~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "{| class="wikitable sortable" |+ Edad Invasiva |- ! scope="col" | '''Especies''' ! scope="col" | '''Comienzo''' ! scope="col" | '''Síntomas''' ! scope="col" | '''Transmisión''' |- | Salmonella||6-72 horas|| Fiebre, bradicardia relativa Dolor abdominal Diarrea con sangre Dolor de cabeza Osteomielitis en anemia falciforme || Huevos *A..."

2026-02-01T01:01:19Z

Created page with "{| class="wikitable sortable" |+ Edad Invasiva |- ! scope="col" | '''Especies''' ! scope="col" | '''Comienzo''' ! scope="col" | '''Síntomas''' ! scope="col" | '''Transmisión''' |- | Salmonella||6-72 horas|| *Fiebre, bradicardia relativa *Dolor abdominal *Diarrea con sangre *Dolor de cabeza *Osteomielitis en anemia falciforme || *Huevos *A..."

← Older revision		Revision as of 01:01, 1 February 2026
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	\|}		\|}

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	{\| class="wikitable sortable"		{\| class="wikitable sortable"
	\|+ ~~Invasive AGE~~		\|+ Edad Invasiva
	\|-		\|-
	! scope="col" \| '''~~Species~~'''		! scope="col" \| '''Especies'''
	! scope="col" \| '''~~Onset~~'''		! scope="col" \| '''Comienzo'''
	! scope="col" \| '''~~Symptoms~~'''		! scope="col" \| '''Síntomas'''
	! scope="col" \| '''~~Transmission~~'''		! scope="col" \| '''Transmisión'''
	\|-		\|-
	\| [[Special:MyLanguage/Salmonella\|Salmonella]]\|\|6-72 ~~hours~~\|\|		\| [[Special:MyLanguage/Salmonella\|Salmonella]]\|\|6-72 horas\|\|
	*[[Special:MyLanguage/Fever\|~~Fever~~]], ~~relative bradycardia~~		*[[Special:MyLanguage/Fever\|Fiebre]], bradicardia relativa
	*[[Special:MyLanguage/Abdominal pain\|~~Abdominal pain~~]]		*[[Special:MyLanguage/Abdominal pain\|Dolor abdominal]]
	*~~Bloody diarrhea~~		*Diarrea con sangre
	*[[Special:MyLanguage/Headache\|~~Headache~~]]		*[[Special:MyLanguage/Headache\|Dolor de cabeza]]
	*~~Osteomyelitis in sickle cell~~		*Osteomielitis en anemia falciforme
	\|\|		\|\|
	*~~Eggs~~		*Huevos
	*~~Poultry~~		*Avicultura
	*~~Water~~		*Agua
	*Reptiles		*Reptiles
	\|-		\|-
	\| [[Special:MyLanguage/Shigella\|Shigella]]\|\|1-3 ~~days~~\|\|		\| [[Special:MyLanguage/Shigella\|Shigella]]\|\|1-3 días\|\|
	*[[Special:MyLanguage/Fever\|~~Fever~~]]		*[[Special:MyLanguage/Fever\|Fiebre]]
	*[[Special:MyLanguage/Abdominal pain\|Abdominal ~~pain~~]]		*[[Special:MyLanguage/Abdominal pain\|Dolor Abdominal]]
	*~~Bloody diarrhea~~		*Diarrea con sangre
	*[[Special:MyLanguage/Headache\|~~Headache~~]]		*[[Special:MyLanguage/Headache\|Dolor de Cabeza]]
	*1-5 ~~years old~~		*1-5 años de edad
	*~~Seizures in children~~		*Convulsiones en Niños
	\|\|		\|\|
	*~~Food~~		*Alimentos
	*~~Fecal-Oral~~		*De heces a boca
	\|-		\|-
	\| [[Special:MyLanguage/Yersinia\|Yersinia]]\|\|1-5 ~~days~~\|\|		\| [[Special:MyLanguage/Yersinia\|Yersinia]]\|\|1-5 días\|\|
	*[[Special:MyLanguage/Appendicitis\|~~Appendicitis~~]] ~~mimic~~, [[Special:MyLanguage/RLQ pain\|~~RLQ pain~~]]		*Imitación de [[Special:MyLanguage/Appendicitis\|apendicitis]], [[Special:MyLanguage/RLQ pain\|dolor en el cuadrante inferior derecho(CID)]]
	*[[Special:MyLanguage/Fever\|~~Fever~~]]		*[[Special:MyLanguage/Fever\|Fiebre]]
	*[[Special:MyLanguage/Vomiting\|~~Vomiting~~]]		*[[Special:MyLanguage/Vomiting\|Vómitos]]
	*~~Kids and Young Adults~~		*Niños y Jóvenes Adultos
	\|\|		\|\|
	*~~Water~~		*Agua
	*~~Milk~~		*Leche
	*~~Pork~~		*Cerdo
	*~~Wild Animals~~		*Animales Silvestres
	*~~Fecal-Oral~~		*De Heces a Boca
	\|-		\|-
	\| [[Special:MyLanguage/Campylobacter\|Campylobacter]]\|\|1-7 ~~days~~\|\|		\| [[Special:MyLanguage/Campylobacter\|Campylobacter]]\|\|1-7 días\|\|
	*~~Low grade [[Special:MyLanguage/fever\|fever]]~~		*Fiebre de bajo grado
	*[[Special:MyLanguage/Abdominal pain\|~~Abdominal pain~~]]		*[[Special:MyLanguage/Abdominal pain\|Dolor abdominal]]
	*~~Kids and Young Adults~~		*Niños y jóvenes adultos
	*Guillain-~~Barre~~		*Enfermedad de Guillain-Barré
	\|\|		\|\|
	*~~Water~~		*Agua
	*~~Poultry~~		*Avicultura
	*~~Pets~~/~~Animals~~		*Mascotas/Animales
	\|-		\|-
	\| [[Special:MyLanguage/C. Diff\|C. Diff]]\|\|1-11 ~~Weeks~~\|\|		\| [[Special:MyLanguage/C. Diff\|C. Diff]]\|\|1-11 Semanas\|\|
	*~~Copious FOUL diarrhea~~		*Diarrea Copiosa y Fétida
	\|\|		\|\|
	*~~Antibiotic use~~: [[Special:MyLanguage/PCN\|~~PCN~~]], [[Special:MyLanguage/Clinda\|~~Clinda~~]], [[Special:MyLanguage/Cephalosporins\|~~Cephalosporins~~]]		*Uso de antibióticos: [[Special:MyLanguage/PCN\|NP]], [[Special:MyLanguage/Clinda\|Clindamicina]], [[Special:MyLanguage/Cephalosporins\|Cefalosporinas]]
	\|-		\|-
	\| [[Special:MyLanguage/Entamoeba\|Entamoeba]]\|\|1-11 ~~weeks~~\|\|		\| [[Special:MyLanguage/Entamoeba\|Entamoeba]]\|\|1-11 Semanas\|\|
	*[[Special:MyLanguage/Appendicitis\|~~Appendicitis~~]] ~~Mimic~~		*Imitación de [[Special:MyLanguage/Appendicitis\|apendicitis]]
	*[[Special:MyLanguage/Abdominal pain\|~~Abdominal pain~~]], [[Special:MyLanguage/nausea/vomiting\|~~nausea~~/~~vomiting~~]], [[Special:MyLanguage/diarrhea\|~~diarrhea~~]]		*[[Special:MyLanguage/Abdominal pain\|Dolor abdominal]], [[Special:MyLanguage/nausea/vomiting\|náuseas/vómitos]], [[Special:MyLanguage/diarrhea\|diarrea]]
	\|\|		\|\|
	*~~Water~~		*Agua
	*~~Sanitation~~		*Saneamiento
	*~~Travel~~		*Viajes
	\|}		\|}
	~~</div>~~

	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		==Diagnóstico Diferencial==
	=~~=Differential Diagnosis==~~
	~~</div>~~

	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}

Jhattery at 00:48, 1 February 2026

2026-02-01T00:48:40Z

← Older revision		Revision as of 00:48, 1 February 2026
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	\|\|		\|\|
	*Alimentos cocidos previamente (mayonesa, jamón, ensaladas)		*Alimentos cocidos previamente (mayonesa, jamón, ensaladas)
	\|\| ~~Yes~~		\|\| Sí
	\|-		\|-
	\| [[Special:MyLanguage/Bacillus cereus\|B. cereus]]		\| [[Special:MyLanguage/Bacillus cereus\|B. cereus]]
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	\|\|		\|\|
	*Alimentos cocidos previamente (arroz, verduras, frutas secas, carne)		*Alimentos cocidos previamente (arroz, verduras, frutas secas, carne)
	\|\| ~~Yes~~		\|\| Sí
	\|-		\|-
	\| [[Special:MyLanguage/Clostridium (not difficile)\|C. perfringens]]		\| [[Special:MyLanguage/Clostridium (not difficile)\|C. perfringens]]
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	\|\|		\|\|
	*Carnes y aves cocidas o recalentadas previamente		*Carnes y aves cocidas o recalentadas previamente
	\|\| ~~Yes~~		\|\| Sí
	\|-		\|-
	\| [[Special:MyLanguage/Vibrio cholera\|V. cholerae]]\|\| 11-72 horas \|\|		\| [[Special:MyLanguage/Vibrio cholera\|V. cholerae]]\|\| 11-72 horas \|\|

Jhattery: Created page with "{| class="wikitable" |+ EDAD no invasiva |- ! Especie!! Inicio !! Síntomas !! Transmisión !! Toxina preformada |- | Viral (norovirus, adenovirus, rotavirus) || 11-72 horas || Náuseas, vómitos, diarrea acuosa Calambres abdominales leves, mialgia || De Heces a Boca Alimentos o agua contaminados || No |- | Staph || 1-6 hrs || *Náus..."

2026-02-01T00:46:52Z

Created page with "{| class="wikitable" |+ EDAD no invasiva |- ! Especie!! Inicio !! Síntomas !! Transmisión !! Toxina preformada |- | Viral (norovirus, adenovirus, rotavirus) || 11-72 horas || *Náuseas, vómitos, diarrea acuosa *Calambres abdominales leves, mialgia || *De Heces a Boca *Alimentos o agua contaminados || No |- | Staph || 1-6 hrs || *Náus..."

← Older revision		Revision as of 00:46, 1 February 2026
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	===Características Clínicas y Causas===		===Características Clínicas y Causas===

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~
	{\| class="wikitable"		{\| class="wikitable"
	\|+ ~~Noninvasive AGE~~		\|+ EDAD no invasiva
	\|-		\|-
	! ~~Species~~!! ~~Onset~~ !! ~~Symptoms~~ !! ~~Transmission~~ !! ~~Preformed Toxin~~		! Especie!! Inicio !! Síntomas !! Transmisión !! Toxina preformada
	\|-		\|-
	\| Viral ([[Special:MyLanguage/norovirus\|norovirus]], [[Special:MyLanguage/adenovirus\|adenovirus]], [[Special:MyLanguage/rotavirus\|rotavirus]])		\| Viral ([[Special:MyLanguage/norovirus\|norovirus]], [[Special:MyLanguage/adenovirus\|adenovirus]], [[Special:MyLanguage/rotavirus\|rotavirus]])
	\|\| 11-72 ~~hrs~~		\|\| 11-72 horas
	\|\|		\|\|
	*~~Nausea~~, ~~vomiting~~, ~~watery diarrhea~~		*Náuseas, vómitos, diarrea acuosa
	*~~Mild abdominal cramps~~, ~~myalgia~~		*Calambres abdominales leves, mialgia
	\|\|		\|\|
	*~~Fecal-oral~~		*De Heces a Boca
	*~~Contaminated food or water~~		*Alimentos o agua contaminados
	\|\| No		\|\| No
	\|-		\|-
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	\|\| 1-6 hrs		\|\| 1-6 hrs
	\|\|		\|\|
	*~~Nausea~~, ~~severe vomiting~~, ~~diarrhea~~,		*Náuseas, vómitos severos, diarrea,
	*~~Mild abdominal cramping~~		*Calambres abdominales leves
	\|\|		\|\|
	*~~Previously cooked foods~~ (~~mayonaise~~, ~~ham~~, ~~salads~~)		*Alimentos cocidos previamente (mayonesa, jamón, ensaladas)
	\|\| Yes		\|\| Yes
	\|-		\|-
	\| [[Special:MyLanguage/Bacillus cereus\|B. cereus]]		\| [[Special:MyLanguage/Bacillus cereus\|B. cereus]]
	\|\| 1-6 ~~hrs~~		\|\| 1-6 horas
	\|\|		\|\|
	*~~Abrupt onset of nausea~~, ~~vomiting~~, ~~mild diarrhea~~		*Inicio brusco de náuseas, vómitos, diarrea leve
	\|\|		\|\|
	*~~Previously cooked foods~~ (~~rice~~, ~~vegetables~~, ~~dried fruits~~, ~~meat~~)		*Alimentos cocidos previamente (arroz, verduras, frutas secas, carne)
	\|\| Yes		\|\| Yes
	\|-		\|-
	\| [[Special:MyLanguage/Clostridium (not difficile)\|C. perfringens]]		\| [[Special:MyLanguage/Clostridium (not difficile)\|C. perfringens]]
	\|\| 8-24 ~~hrs~~		\|\| 8-24 horas
	\|\|		\|\|
	*~~Nausea~~, ~~minimal vomiting~~, ~~watery diarrhea~~		*Náuseas, vómitos mínimos, diarrea acuosa
	*~~Abd cramps~~		*Calambres abdominales
	\|\|		\|\|
	*~~Previously cooked or reheated meats and poultry~~		*Carnes y aves cocidas o recalentadas previamente
	\|\| Yes		\|\| Yes
	\|-		\|-
	\| [[Special:MyLanguage/Vibrio cholera\|V. cholerae]]\|\| 11-72 ~~hrs~~ \|\|		\| [[Special:MyLanguage/Vibrio cholera\|V. cholerae]]\|\| 11-72 horas \|\|
	*~~Explosive rice-water diarrhea~~		*Diarrea explosiva de tipo "arroz y agua"
	*~~Vomiting~~, ~~abdominal cramps~~		*Vómitos, calambres abdominales
	*~~Fever~~		*Fiebre
	\|\|		\|\|
	*~~Fecal-oral~~		*De Heces a Boca
	*~~Contaminated food or water~~		*Alimentos o agua contaminados
	\|\| No		\|\| No
	\|-		\|-
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	\|\| 1-4 wks		\|\| 1-4 wks
	\|\|		\|\|
	*~~Flatus~~, ~~bloating~~		*Flatulencia, distensión
	*~~Foul-smelling and fatty stools~~ (~~steatorrhea~~)		*Heces con mal olor y grasas (esteatorrea)
	\|\|		\|\|
	*~~Fecal-oral~~		*De Heces a Boca
	*~~Contaminated water~~		*Agua contaminada
	\|\| No		\|\| No
	\|}		\|}
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "===Características Clínicas y Causas==="

2026-02-01T00:38:54Z

Created page with "===Características Clínicas y Causas==="

← Older revision		Revision as of 00:38, 1 February 2026
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	==Antecedentes==		==Antecedentes==

	~~<div lang="en" dir="ltr" class="mw-content-ltr">~~		*La mayoría de la gastroenteritis aguda (EGA) es viral, no bacteriana
	*~~Most acute~~ gastroenteritis (~~AGE~~) is viral, ~~not bacterial~~		*[[Special:MyLanguage/rectal bleeding\|Sangre en las heces]] sugiere etiología bacteriana
	*[[Special:MyLanguage/rectal bleeding\|~~Bloody diarrhea~~]] ~~suggests bacterial etiology~~		*NO diagnosticar el vómito aislado como EDAD
	*~~Do NOT diagnose isolated vomiting as AGE~~
	~~</div>~~


	~~<div lang~~=~~"en" dir~~=~~"ltr" class~~=~~"mw-content-ltr">~~		===Características Clínicas y Causas===
	===~~Clinical Features and Causes===~~
	~~</div>~~

	<div lang="en" dir="ltr" class="mw-content-ltr">		<div lang="en" dir="ltr" class="mw-content-ltr">

Jhattery: Created page with "Gastroenteritis bacteriana"

2026-02-01T00:37:08Z

Created page with "Gastroenteritis bacteriana"

New page

<languages/>
''Véase [[Special:MyLanguage/Acute gastroenteritis (peds)|Gastroenteritis aguda (peds)]] para pacientes pediátricos''

==Antecedentes==

<div lang="en" dir="ltr" class="mw-content-ltr">
*Most acute gastroenteritis (AGE) is viral, not bacterial
*[[Special:MyLanguage/rectal bleeding|Bloody diarrhea]] suggests bacterial etiology
*Do NOT diagnose isolated vomiting as AGE
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
===Clinical Features and Causes===
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
{| class="wikitable"
|+ Noninvasive AGE
|-
! Species!! Onset !! Symptoms !! Transmission !! Preformed Toxin
|-
| Viral ([[Special:MyLanguage/norovirus|norovirus]], [[Special:MyLanguage/adenovirus|adenovirus]], [[Special:MyLanguage/rotavirus|rotavirus]])
|| 11-72 hrs
||
*Nausea, vomiting, watery diarrhea
*Mild abdominal cramps, myalgia
||
*Fecal-oral
*Contaminated food or water
|| No
|-
| [[Special:MyLanguage/S. aureus|Staph]]
|| 1-6 hrs
||
*Nausea, severe vomiting, diarrhea,
*Mild abdominal cramping
||
*Previously cooked foods (mayonaise, ham, salads)
|| Yes
|-
| [[Special:MyLanguage/Bacillus cereus|B. cereus]]
|| 1-6 hrs
||
*Abrupt onset of nausea, vomiting, mild diarrhea
||
*Previously cooked foods (rice, vegetables, dried fruits, meat)
|| Yes
|-
| [[Special:MyLanguage/Clostridium (not difficile)|C. perfringens]]
|| 8-24 hrs
||
*Nausea, minimal vomiting, watery diarrhea
*Abd cramps
||
*Previously cooked or reheated meats and poultry
|| Yes
|-
| [[Special:MyLanguage/Vibrio cholera|V. cholerae]]|| 11-72 hrs ||
*Explosive rice-water diarrhea
*Vomiting, abdominal cramps
*Fever
||
*Fecal-oral
*Contaminated food or water
|| No
|-
| [[Special:MyLanguage/Giardia|Giardia]]
|| 1-4 wks
||
*Flatus, bloating
*Foul-smelling and fatty stools (steatorrhea)
||
*Fecal-oral
*Contaminated water
|| No
|}
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
{| class="wikitable sortable"
|+ Invasive AGE
|-
! scope="col" | '''Species'''
! scope="col" | '''Onset'''
! scope="col" | '''Symptoms'''
! scope="col" | '''Transmission'''
|-
| [[Special:MyLanguage/Salmonella|Salmonella]]||6-72 hours||
*[[Special:MyLanguage/Fever|Fever]], relative bradycardia
*[[Special:MyLanguage/Abdominal pain|Abdominal pain]]
*Bloody diarrhea
*[[Special:MyLanguage/Headache|Headache]]
*Osteomyelitis in sickle cell
||
*Eggs
*Poultry
*Water
*Reptiles
|-
| [[Special:MyLanguage/Shigella|Shigella]]||1-3 days||
*[[Special:MyLanguage/Fever|Fever]]
*[[Special:MyLanguage/Abdominal pain|Abdominal pain]]
*Bloody diarrhea
*[[Special:MyLanguage/Headache|Headache]]
*1-5 years old
*Seizures in children
||
*Food
*Fecal-Oral
|-
| [[Special:MyLanguage/Yersinia|Yersinia]]||1-5 days||
*[[Special:MyLanguage/Appendicitis|Appendicitis]] mimic, [[Special:MyLanguage/RLQ pain|RLQ pain]]
*[[Special:MyLanguage/Fever|Fever]]
*[[Special:MyLanguage/Vomiting|Vomiting]]
*Kids and Young Adults
||
*Water
*Milk
*Pork
*Wild Animals
*Fecal-Oral
|-
| [[Special:MyLanguage/Campylobacter|Campylobacter]]||1-7 days||
*Low grade [[Special:MyLanguage/fever|fever]]
*[[Special:MyLanguage/Abdominal pain|Abdominal pain]]
*Kids and Young Adults
*Guillain-Barre
||
*Water
*Poultry
*Pets/Animals
|-
| [[Special:MyLanguage/C. Diff|C. Diff]]||1-11 Weeks||
*Copious FOUL diarrhea
||
*Antibiotic use: [[Special:MyLanguage/PCN|PCN]], [[Special:MyLanguage/Clinda|Clinda]], [[Special:MyLanguage/Cephalosporins|Cephalosporins]]
|-
| [[Special:MyLanguage/Entamoeba|Entamoeba]]||1-11 weeks||
*[[Special:MyLanguage/Appendicitis|Appendicitis]] Mimic
*[[Special:MyLanguage/Abdominal pain|Abdominal pain]], [[Special:MyLanguage/nausea/vomiting|nausea/vomiting]], [[Special:MyLanguage/diarrhea|diarrhea]]
||
*Water
*Sanitation
*Travel
|}
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==Differential Diagnosis==
</div>

{{Abdominal Pain DDX Diffuse}}

{{Nausea and vomiting DDX}}

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==Evaluation==
</div>

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*Assess hydration status
**Cap refill, skin turgor, respiratory rate
*Consider stool studies if:
**>10 stools in previous 24hr
**[[Special:MyLanguage/Traveler's diarrhea|Travel to high-risk country]]
**Fever
**Bloody stool
**Persistent diarrhea
</div>

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==Management==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
#[[Special:MyLanguage/oral rehydration therapy|Rehydration]] (PO preferred)
#*30mL(1oz)/kg/hr
#*[[Special:MyLanguage/Reduced-osmolarity oral rehydration solution|Reduced-osmolarity oral rehydration solution]]
#Antiemetic
#*[[Special:MyLanguage/Ondansetron|Ondansetron]] 0.15mg/kg/dose IV/PO
#[[Special:MyLanguage/Antibiotics|Antibiotics]]
#*Only consider in patients with invasive infection
#**[[Special:MyLanguage/Shigella|Shigella]], [[Special:MyLanguage/campylobacter|campylobacter]], [[Special:MyLanguage/E. coli|E. coli]], [[Special:MyLanguage/yersinia|yersinia]], [[Special:MyLanguage/vibrio|vibrio]]
#**Bloody stool with mucus and fever
#*NOT indicated for [[Special:MyLanguage/E. coli|E. coli]] O157:H7
#*NOT routinely indicated for salmonella
#**Exceptions: [[Special:MyLanguage/sickle cell|SCD]], [[Special:MyLanguage/IBD|IBD]], <3mo
#*[[Special:MyLanguage/Azithromycin|Azithromycin]] (able to tolerate PO)
#*'''OR''' [[Special:MyLanguage/ciprofloxacin|ciprofloxacin]]
#*'''OR''' [[Special:MyLanguage/TMP-SMX|TMP-SMX]]
#*[[Special:MyLanguage/Ceftriaxone|Ceftriaxone]] (parenteral)
</div>

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==Disposition==
</div>

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*Most can be discharged
*Admit
**Unable to tolerate PO
**Hemodynamic instability
**Significant comorbidities
</div>

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==See Also==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
*[[Special:MyLanguage/Acute gastroenteritis|Acute gastroenteritis]]
*[[Special:MyLanguage/Nausea and Vomiting|Nausea and Vomiting]]
*[[Special:MyLanguage/Acute gastroenteritis (peds)|Acute gastroenteritis (peds)]]
*[[Special:MyLanguage/Dehydration|Dehydration]]
*[[Special:MyLanguage/Acute diarrhea|Acute diarrhea]]
</div>

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==External Links==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
==References==
</div>

<div lang="en" dir="ltr" class="mw-content-ltr">
<references/>
</div>

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[[Category:ID]] [[Category:GI]]
</div>