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If indicated, urine cultures, chest radiography, and/or LP Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs, 16. For children who are unable to tolerate ORS via the oral route (with persistent vomiting), nasogastric feeding can be used to administer ORS. Gastroenteritis infecciosa hps dr carreòn, Gastroenteritis aguda por Carlos M. Montaño Pérez, Gastroenteritis en Pediatria Tratamiento Integral - DR ULISES REYES GOMEZ, Enfermedades diarreicas agudas (EDA's) e Infecciones Respiratorias Altas (IRA's), PARASITOLOGIA - Parasitos, Protozoos Intestinales, PARASITOLOGIA - Presentacion parasitos protozoos intestinale ultimo, PARASITOLOGIA - Parasitos protozoos intestinale, Crecimiento Y Desarrollo Y Vigilancia NiñO Sano2, Cuerpos ExtrañOs En VíAs Digestivas Y Respiratorias, prestadores turisticos CORREDOR CARCARANA oct 2022 (2).pdf. Lactobacillus GG) alter the composition of gut flora and assist in restoring normal gut function. Según la Sociedad Europea de . the second most common cause of death in children, Digestive System - . -�BRAT� diet and other restrictive diets are unnecessary and provide suboptimal nutrition Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs, 21. CAMPYLOBACTER Erythromycin is hardly used for diarrhea today. • The incidence of clinical illness peaks in children between 4 and 23 months of age. Calprotectina, una nueva determinación en Gammalab.La calprotectina calprotectina

  • Mortalidad en países en vías de desarrollo: 650/100,000 habitantes/año. Gastroenteritis aguda en el niño jmrecio. Translations in context of "per evitare di peggiorare la" in Italian-English from Reverso Context: Le pessime abitudini di rasatura possono, in effetti, seccare la pelle, dunque i ragazzi dovrebbero ricordarlo e radersi con attenzione per evitare di peggiorare la situazione. acute gastroenteritis is a disease characterized by changes in, Acute Gastroenteritis: An Approach - . Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. • S. dysenteriae type 1 (Sd1) — produces Shiga toxin, as does EHEC. In 1999, production was stopped after the vaccine was causally linked to intussusception in infants. Although often considered a benign disease, acute gastroenteritis remains a major cause of morbidity and mortality in children around the world, accounting for 1.34 million deaths annually in children younger than 5 years, or roughly 15% of all child deaths. Any antibiotic can trigger infection with C difficile, though penicillins, cephalosporins, and clindamycin are the most likely causes.3 Since 50% of neonates and young infants are colonized with C difficile, symptomatic disease is unlikely in children younger than 12 months.3, 8. filename: salmonella.ppt. inhibits intestinal peristalsis and has mild antisecretory properties. Gastroenteritis aguda Patología frecuente en pediatría Los niños menores de 3 años presentan 1,3 a 2,3 episodios anuales En EE.UU. 76 slides Pediatric gastroenteritis 1 berrick 2k views • 35 slides Acute gastroenteritis Pediatrics 2.2k views • 52 slides Gastroenteritis - Pharmacotherapy Kainat Panjwani, PharmD 12.5k views • 38 slides Gastroenteritis Lazoi Lifecare Private Limited 2k views • 11 slides Gastroenteritis Richard Saint Cyr MD 2k views • 20 slides Gastroenteritis Treatment Medication: Antimicrobials Generally not indicated C difficile- stop antibiotic & start metronidazole Cholera-tetracycline and doxycycline Giardia-metronidazole Cryptosporidium-metronidazole or Nitazoxanide Because most cases of acute gastroenteritis in developed and developing countries are due to viruses, antibiotics are generally not indicated. ORT Oral rehydration therapy Appropriate for mild to moderate dehydration Safer Less costly Administered in various clinical settings Fluid replacement should be over 3-4hrs 50ml/kg for mild dehydration 100ml/kg for moderate dehydration 10ml/kg for each episode of vomiting or watery diarrhea, ORT Contraindications to ORT Severe dehydration (≥10%) Ileus or intestinal obstruction Unable to tolerate (Persistent vomiting) Signs of shock Decreased LOC (Level of consciousness) or unconscious Unclear diagnosis Psychosocial situations. Create stunning presentation online in just 3 steps. La gastroenteritis está causada normalmente por una infección vírica, bacteriana o parasitaria. enteropathogenic e. coli subgroups that correlate well with toxicoinfection belong, Salmonella - . Unidad i digestivo - sindrome diarreico agudo - fernanda pineda gea - med... Enfermedad diarreica aguda pediatria sheila, Trastornos diarreicos y manejo del niño trabajo, DISEÑO DE INSTRUMENTOS DE INVESTIGACIÓN SOCIAL.pptx, Métodos de separación de mezclas GRUPO #7.pdf, Saneamiento Sostenible Descentralizado y cierre del ciclo de nutrientes.pptx. Nursing assessment • Assess hydration status • Input output chart • Assess stool(nature, consistency & frequency) • h/o travel to other country • Ask if child is on antibiotics, the food eaten recently & contact with contaminated person. Prevention Water, sanitation, and hygiene: • Safe water • Sanitation: houseflies can transfer bacterial pathogens • Hygiene: hand washing Safe food: • Cooking eliminates most pathogens from foods • Exclusive breastfeeding for infants • Weaning foods are vehicles of enteric infection Micronutrient supplementation: the effectiveness of this depends on the child’s overall immunologic and nutritional state; further research is needed. prof t rogers dept of clinical microbiology. initial vitals: hr, Mental Illness in the Pediatric Population - . • Vaccine Was licensed in 1998 for infants 2,4,6 mo. Prevention:- • Promotion of exclusive breast feeding so no other fluid or food should be given in 1st 6 months. We've updated our privacy policy. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. 教学目标. • Extraintestinal manifestations like osteomyelitis,septic arthritis,meningitis • Usually self limiting disease like food poisoning. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. The vaccine has been endorsed by the American Academy of Pediatrics (AAP). • Person-person spread uncommon because of large inoculum size. 16 month old boy with wheeze. Manuel Meléndez Mendoza 121568. Los síntomas del niño y los antecedentes de exposición ayudan al médico a confirmar el diagnóstico. ), Norwalk virus (?). ¿Quieres presentarlos de una forma creativa y original para llamar la atención de tu público? acute gastro-intestinal illness usually, GASTROENTERITIS - . World Health Organization � WHO � Kosek M, Bern C, Guerrant RL.�The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000.�Bull World Health Organ.�2003;81(3):197-204. acute infection of bowel which cause, Gastroenteritis - . niv seerpi & mark sears green river district health department. • Probiotics like non-pathological bacteria,can restore beneficial intestinal flora,decrease proinflammatory cytokines and increase anti-inflammatory factors • Lactobacillus bifidobacterium and lactobacillus rhamenosus reduced duration in Rota. Dr. Hugo Staines Orozco Etiologies: Bacterial Campylobacter, Salmonella, Shigella, E. coli, Yersinia, Clostridium difficile Presentation: High fevers Shaking chills Bloody bowel movements (dysentery) Abdominal cramping & fecal leukocytes *ETEC is unlikely to cause dysentery. Author: Gord Last modified by: Jay Green Created Date: 4/20/2009 5:19:10 AM Document presentation . prof. dr. tufan. • ORS can’t be given in shock,ileus,vomiting,high stool output>10cclKG • Home made remedies like carbonated beverages(soda),fruit juice are not suitable for rehydration or maintainance because of high osmolality and low Na concentration. Now customize the name of a clipboard to store your clips. 14. Acute Diarrhoea and Gastroenteritis in Childhood - Current health problems in students’ home countries. Review strategies to improve collaboration among interprofessional team members to enhance outcomes for children with gastroenteritis and decrease associated morbidity and mortality. REHYDRATION • Oral rehydration can be accomplished by drinking frequent small amounts of an oral rehydration salt solution. Start with a teaspoonful every five minutes in children and a tablespoonful every five minutes in older children and adults. Describe the presentation of a child with gastroenteritis. Additional therapy:- • Anti-motility(Loperamide) NO Role. prepared by: sharon, ANTIFUNGAL PROPHYLAXIS IN PEDIATRIC ACUTE LEUKEMIA - . 9,1%. • Poultry is an important source of Campylobacter infections in developed countries. Gastroenteritis infecciosa hps dr carreòn, Gastroenteritis infecciosa y enfermedad de hirschprung, 4.2 problemas gastrointestinales_del_nino, Gastroenteritis aguda por Carlos M. Montaño Pérez. Rolando Martínez Sánchez. ESTADO ACTUAL DEL TEMA La gastroenteritis aguda (GEA) es una de las principales causas de morbilidad y mortalidad en la infancia. Transmission • Fecal-oral • Contaminated water supplies • Poor hygiene • Food • Fomites. The primary manifestation is diarrhea, but it may be accompanied by nausea, vomiting, and abdominal pain. katharina verhaelen. We've updated our privacy policy. We've updated our privacy policy. Activate your 30 day free trial to continue reading. • Waterborne outbreaks of diarrhea caused by cryptosporidium commonly and others like:-Shigella, E.coli, Norovirus and Giardia. • Account for 1.5 million death of children/year globally. Consider: Duration, frequency, quality, quantity, last episode, +/- factors, associated symptoms, diet/med/travel/sick contact hx. You can read the details below. Symptoms of Gastroenteritis With gastroenteritis, the main. La base de esta pizza se elabora con 200 g de coliflor, 2 cucharadas de semillas de lino, 75 g de harina de arroz y 50 g de harina de garbanzos. Now customize the name of a clipboard to store your clips. • Micronutrient defficiency(Zinc,Iron). acute diarrhoea. incidence:-. retortijones (dolor de estómago), hinchazón o dolor. GLÁNDULAS ACCESORIAS: salivales, hígado y páncreas. Etiologies: Parasitic Giardia and Cryptosporidium <10% of cases Presentation: Watery stools Low-grade fever differentiated from viral gastroenteritis by a protracted course or history of travel to endemic areas, 9. Puede ser entre una hora a varias semanas, pero, habitualmente, es entre uno a tres días. Alternative antimicrobials for treating cholera in children are TMP-SMX (5 mg/kg TMP + 25 mg/kg SMX, b.i.d. umesh d. parashar, mbbs, mph lead, viral, Noroviruses - . Introduction • Very common reason to A&E • In third-world countries, gastroenteritis results in 3 million deaths annually • In HK • 1/3 rotavirus • 1/3 bacteria (mainly Salmonella) • 1/3 no organism identified (Nelson E et al; Guidelines for the Management of . Risk Factors:- • Environmental contamination of water and food. for 3 days), furazolidone (1.25 mg/kg, q.i.d. gastroenteritis in children dr. osama y. • If diarrhea is severe, anti diarrheal eg Imodium(Loperamide) is administered but not recommended for children below 6 years • Antiemetic for nausea & vomiting but not recommended for children below 6 years, NURSING MANAGEMENT SKIN CARE • Use barrier cream(eg Drapolene for nappy rash care for infant.) Usually vomiting will stop. Predictors of Symptom Worsening or Improvement using Remote Patient Reported ... physiological monitoring of a surgical patient.pptx, Multimodal Augmented Homeostasis; MMM2023 Keynote RJ.pptx, Clinical Examination of the Shoulder.pptx. acute care module jonathan bae, md. Especially attacked young animals Human : - . Activate your 30 day free trial to unlock unlimited reading. Extra: Por encima puedes añadir aguacate, fuente de vitamina E y grasas buenas, pollo (rico en proteínas) y cebolla morada que . En nuestro medio, constituye una las patologías más frecuentes en las consultas de Pediatría de Atención Primaria, siendo un proceso autolimitado para la mayoría de los niños. Atencion del niño. It appears that you have an ad-blocker running. GUIA DE PRACTICA CLINICA. Opiates are contraindicated, and the others have limited scientific evidence to outweigh risks) � Antiemetics currently antiemetics are not recommended in the treatment of AGE. acute gastroenteritis is a disease characterized by changes in, Acute Gastroenteritis: An Approach - . Salmonella. In secretoryDiharrea enterotoxin produced by microorganism cause inhibition of Na-Cl pump but not(glucose-Na) pump. • Although brush border of intestine is affected ,still satisfactory absorption of CHO,protiens and fats can occur. • Infection is associated with watery diarrhea and on occasion dysentery (acute bloody diarrhea). Activate your 30 day free trial to unlock unlimited reading. Rotavirus Faeco – oral transmission 6 – 24 months of age Sudden onset watery diarrhea and vomiting with little abdominal pain Self limiting in healthy individuals 1 – 6 day duration Seasonal - temperate climates: “winter gastro” - tropical climates: summer peak Treatment : symptomatic. Norwalk virus • “winter vomiting disease” 1968, Norwalk • Cause 40% of nonbacterial epidemics • Explosive epidemics • camps, cruise ships, nursing homes • Food borne illness • raw shellfish, Norwalk virus: Clinical Features • 24-48 hour incubation period • vomiting prominent • diarrhea 1-3 days • less severe than rotavirus • Small 27-35-nm single stranded RNA virus • Most common cause of GE outbreaks in older children &adults • Similar to staph food poisoning, How does Norwalk virus cause diarrhea? approach etiology diagnosis treatment, ACUTE GASTROENTERITIS IN CHİLDREN - . Diciembre 19, 2022. Work-Up Assessment of Dehydration Ideally, acute change in weight is the best way to determine degree of dehydration. Food like rice soup,vegetables,fruits and yogurt can be given in the recovery period. Delivered po or ng. 93 slides Gastroenteritis infecciosa y enfermedad de hirschprung ComiteDeCasosClinicos 530 views • 31 slides Gastroenteritis infecciosa MaryJose Santiago Benitez 419 views • 88 slides Gastroenteritis pediatria 46k views • 44 slides Diarrea Gastroenteritis Aguda Ita 3 jacque78 9.3k views • 43 slides Gastroenteritis en adultos 2017 Kenny Lopez Es el trastorno digestivo más frecuente en niños. • Guillain–Barré syndrome is a rare complication. professor and chairman department of family medicine osu center for, GASTROENTERITIS) - . Rotarix was efficacious in a large study, which reported that Rotarix protected patients with severe rotavirus gastroenteritis and decreased the rate of severe diarrhea or gastroenteritis of any cause.26 Recent large trials in both Latin America and Africa have also found Rotarix to be effective in decreasing diarrhea morbidity and mortality in children.27,28,29 Clinical trials reported that the vaccines prevented 74-78% of all rotavirus gastroenteritis casesn February 2006, the US Food and Drug Administration (FDA) approved the RotaTeq vaccine for prevention of rotavirus gastroenteritis. The second most common cause of death in children <5 years. • Person to person transmission occur in pathogens infectious in small inoculum ,like Shigella,campylobacter,EHEC,Norovirus, • Rotavirus, E.histolyticum and Giardia. We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. • These agents account for a relatively small proportion of cases of infectious diarrheal illnesses among children in developing countries. Identify the causes of pediatric gastroenteritis. Acute Gastroenteritis in pediatric population, 2. • One standard remedy is the WHO/UNICEF glucose-based Oral Rehydration Salts (ORS) solution, which contains Sodium , glucose, chloride, potassium, citrate. • Sugar improve absorption of electrolytes and water, but if too much is present in ORS solutions,   diarrhea can be worsened. • Young age. HEALTH EDUCATION • If the child still needs ORS after 24 hours, make a fresh solution. Background. salmonella. for 3 days), and norfloxacin. sunee panombualert, m.d. 浙江大学医学院附属儿童医院 江米足. Universidad Xochicalco Campus Tijuana webinar: march 15, 2013 . to review epidemiology of acute gastroenteritis to, GASTROENTERITIS - . • S. flexneri — dysenteric symptoms and persistent illness; most common in developing countries. Paediatric Nursing Dk.Norasmah phi 23 rd Intake. • Measles. • Stools are watery, colorless, and flecked with mucus. — Significant abdominal pain also suggests inflammatory diarrhea (this is a contraindication for loperamide use). gastroenteritis. Clipping is a handy way to collect important slides you want to go back to later. programa de promoción de la lactancia naterna basado en en la iniciativa Baby- Friendly Hospital Iniciative (BFHI)- Iniciativa Hospital Amigo de los Niños versus administración de consejos y cuidades médicos habituales. Javier Saucedo Villalobos 8º B. Treatment:- • Antibiotics are indicated in infants <3 months • In patients with immune deficiency • In patients with typhoid fever • In septicimia and localized infection • In chronic carrier before cholycystectomy, Shigella:- • There are 4 species (S.dysenteriae S.sonnei S.flexneri S.bodyii) • Aerobic non-motile G-ve rods • Transmitted by contaminated water and food • Person-person is common ,because the inoculum size is only 100 bacteria • Invasion of colonic mucosa with production of enterotoxin, Complications:- • Acute bloody diarrhea( tenesmus,crampy pain with fever) • Hemolytic uremic syndrome(acute renal failure,hemolytic anemie,thrombocytopenia) • Neurological complications (lethargy,coma and convulsions) • Reiter syndrome(conjunctivitis urethritis and arthritis), Treatment:- • Fluid and electrolyte correction • Antibiotics treatment in all children with shigellosis. • Rotavirus is associated with gastroenteritis of above-average severity. DIAPOSITIVAS 3 DE DICIEMBRE. dr mohamed abu nada pediatric neurology department dr. al rantisi specialized children, Acute Gastroenteritis - . Though some clinical studies have demonstrated that ondansetron can decrease vomiting and hospitalization. Views: 449, By: MarieAltmann prof t rogers dept of clinical microbiology. 2017;3(20): 56-60 MISCELÁNEA Manejo de la Gastroenteritis Aguda en Pediatría . Gastroenteritis (Stomach Flu): Symptoms, causes, diagnosis and treatment (1) - Gastroenteritis, also known as stomach flu, is a medical condition that is characterized by inflammation of the gastrointestinal tract. The SlideShare family just got bigger. Breastfed infants -Continue breastfeeding throughout the rehydration and maintenance phases. • Rarely septicimia and septic shock. Diciembre 09. Create stunning presentation online in just 3 steps. • There is a potential for epidemic spread; any infection should be reported promptly to the public health authorities. definitions and terms: acute gastroenteritis (age): diarrheal disease. Account for 1.5 million death of children/year globally. Manuel Meléndez Follow what is gastroenteritis?. 57 Nuber Científ. Work-Up Labs The vast majority of children presenting with acute gastroenteritis do not require serum or urine tests Moderate-severe dehydration: Electrolytes, bicarbonate, and urea/creatinine Fecal leukocytes and stool culture Evidence of systemic infection-complete workup: CBC and blood cultures. Si hace mucho calor, bañarlo y colocar al bebe en un lugar fresco, la temperatura alta aumenta el riesgo de deshidratación. Clinical evaluation The initial clinical evaluation of the patient should focus on: • Assessing the severity of the illness and the need for rehydration • Identifying likely causes on the basis of the history and clinical findings, Approach to Peds Dehydration Initial Resuscitation Determine % dehydration Define the type of dehydration Determine the type and rate of rehydration fluids, Degree of Dehydration Mild dehydration (3-5%) Moderate dehydration (6-9%) Sever dehydration (10-15%), The skin pinch is less useful in infants or children with marasmus or kwashiorkor, or obese children, Parameters of dehydration 3-5% 6-9% >10% Mental status N ill , not toxic lethargic Respiratory Rate N tachypnoea acidotic Capillary refill N <2s 2 – 4s > 4s Blood pressure N N hypotensive Urine output N to down down minimal The best 3 individual examination signs are: Prolonged Cap refill time Abnormal Skin turgor Abnormal resp pattern, Three major classes of dehydration based on relative losses of Na and Water Isonatremic dehydration (80%) Hypernatremic dehydration (15%) Hyponatremic dehydration (5%), Dehydration Volume depletion - contraction of total IV plasma pool Dehydration – loss of plasma-free water disproportionate to loss of sodium Isonatremic volume depletion : most common in “dehydrated” children --- VOLUME DEPLETION Na and H20 lost in proportionate quantities Excessive extrinsic loss of fluids Hyponatremic volume depletion Volume depletion with hyponatremia Plasma volume contraction with free water excess e.g child with diarrhea given tap water to replenish losses Hypernatremic volume depletion Volume depletion + dehydration Plasma volume contraction + free water loss, Isonatremic dehydration By far the most common Equal losses of Na and Water Na = 130-150 No significant change between fluid compartments No need to correct slowly, Hypernatremic Dehydration Water loss > sodium loss Na >150mmol/L Water shifts from ICF ( intracelular fluid) to ECF Child appears relatively less ill More intravascular volume Less physical signs Alternating between lethargy and hyperirritability, Hypernatremic Dehydration Physical findings Dry doughy skin Increased muscle tone Correction Correct Na slowly If lowered to quickly causes massive cerebral edema intractable seizures, Hyponatremic Dehydration Sodium loss > Water loss Na <130mmol/L Water shifts from ECF to ICF Child appears relatively more ill Less intravascular volume More clinical signs Cerebral edema Seizure and Coma with Na <120, Hyponatremic Dehydration Correction Must again be performed slowly unless actively seizing Rapid correction of chronic hyponatremia thought to contribute to…. Para hacer tus diapositiva apoyate en la revisión bibliografica que realizarón tu y tus compañeros y en la GPC. who's the artist?. paolo aquino, m.d., m.p.h. Click here to review the details. en Change Language Síndrome diarreico infantil y deshidratacionSíndrome diarreico infantil y des... Sx diarreico, colon irritable, dispepsia.pptx. Azithromycin dosage for children can range (depending on body weight) from 5 mg to 20 mg per kilogram of body weight per day, once daily for 3–5 days. • In inflammatory diharrea extensive histological damage,release of cytokines leads to increase crypt secretion of Chloride ion by increasing c-AMP.Uncoupling of both Na-H,Hco3-CL –and Na-Glucose uptake. The SlideShare family just got bigger. Description. Enteral feeding should be continued during recovery from episode of diarrhea. By: DrDwayne kentab,m.d., faap, facep. La gastroenteritis aguda es una de las enfermedades más frecuentes en los niños y la segunda causa de morbilidad y mortalidad en el mundo. • Because severe dehydration can rapidly cause permanent injury or even death, intravenous rehydration is the initial treatment of choice for that condition. Gastroenteritis aguda en la infancia Terapéutica secuencial actual en Atención Primaria. Open navigation menu. ingresan anualmente por este motivo unos 220.000 niños Diagnóstico clínico en un niño con diarrea y que puede presentar o no náuseas, vómitos, dolor abdominal o fiebre. 9 month old male visiting jhb with his parents and brother, Newborn vomiting: Bilious - . NB ½ darrows contains K, Electrolytes Acidosis Assess on blood gas Bicarbonate supplement : 1/3 x base deficit x body weight Hyponatremia Treat if Na < 125 Calculate Na deficit = (Desired Na – Measured Na) x 0.6 x kg Safe rate of change = 12mmol/L rise / day Hypernatremia pure free water deficit Calculate [(Na – 145) /2]x [4ml/kg] x wt (kg) Safe rate of change = 12mmol/L decline/day, Severe Dehydration Management of severe dehydration requires IV fluids Fluid selection and rate should be dictated by The type of dehydration The serum Na Clinical findings Aggressive IV NS bolus remains the mainstay of early intervention in all subtypes, Isonatremic Dehydration Calculate the fluid deficit Deficit (cc’s) = % dehydration x body wt D5½NS is fluid of choice (½ deficit – the bolus) over the first 8hrs Add maintenance and any ongoing losses to above Further ½ the deficit replaced over the next 16hrs Monitor electrolytes and U/O, Hypernatremic Dehydration Fluid deficit = (Current Na/Desired Na – 1) x 0.6 x body wt Replace with D50.2%NS Replace over 48hrs Reduce sodium by no more than 10mEq/L/24hrs (½ deficit – the bolus) over the first 24hrs Add maintenance and any ongoing losses to above Further ½ the deficit replaced over the next 24hrs, Hyponatremic dehydration Na deficit = (Nadesired- Nacurrent) x 0.6 x Weight (kg) Divide above by Na in mEq/L within the replacement fluid 154 mEq in NS 77 mEq in D5½ NS 513 in 3% saline divide by deficit x 2 to determine rate at 0.5mEq/L/hr, Hyponatremic Dehydration If seizing Correct with 3% Saline bolus Target a Na of 120 Further correction beyond this with D5½ NS If not Seizing Correct with D5½ NS Target a Na of 130 Watch for Central Pontine Myelinolysis More likely in chronic hypo-Na with less Sx Correct slowly at rate of 0.5mEq/L/hr. Etiologies: Viral 70-85% of AGE in developed countries Rotavirus: 1/3 of all pediatric AGE hospitalizations in U.S. • In children, hypoglycemia can lead to convulsions and death. HEALTH EDUCATION • Encourage hand washing before and after every meals and snacks • During red tides outbreak, avoid eating shellfish • Wash all raw food properly • Avoid cross contamination and maintain hygiene during food preparation eg cutting board • Drink boiled water • Don’t drink from unfamiliar places such as parks, lakes and river. nomenclature incidence clinical syndromes gastroenteritis typhoid, Update on Epidemiology and Management of Norovirus - . • There is an acute onset of nausea, vomiting, and diarrhea that may be watery or dysenteric. Activate your 30 day free trial to unlock unlimited reading. GASTROENTERITIS • An infection or inflammation of the digestive tract, particularly the stomach . Activate your 30 day free trial to continue reading. • Prolongation of diharrea with resultant malnutrition • Secondary infections. Bacterial Etiology:- • Salmonella • Two main species with many different serotypes(S.Enterica S.bongori)Serotypes are divided according to somatic O antigen and flagella H antigen. Incidence. Replacement phase Existing deficit %dehydration x body weight x 10 = ml 50% given over first 8 hours, the rest over next 16hrs + Maintenance fluids Calculation : 100ml/kg first 10 kg 50ml/kg next 10kg 25ml/kg for each kg above 20kg Give fluids as 0.45%NaCl + 5% dextrose Add 10mmol KCl to each 500 ml NB . Definitions and Terms: Acute Gastroenteritis (AGE): diarrheal disease of rapid onset, with or without accompanying symptoms, signs, such as nausea, vomiting, fever, or abdominal pain Uploaded on Aug 28, 2012 Celeste Marty Download Presentation Acute Gastroenteritis in pediatric population • Once rehydration is complete food should be reintroduced to replace ongoing losses by emesis or diharrea. • Infants and the elderly appear to be at the greatest risk. Se puede acompañar de nauseas, rápida. In case you need help on any kind of academic writing visit website ⇒ ⇐ and place your order, Do not sell or share my personal information, 1. It appears that you have an ad-blocker running. • Every child <5 years has 3.6 episode of diarrhea/year. Give ORS until diarrhea & vomiting subsides • For older children – give ORS, avoid spicy food, give dry foods eg biscuits, drink diluted juice and bland food as tolerated, Symptoms of dehydration • sunken eyes & fontanelles • Dry mucous membrane • Loss of skin turgor • Weight loss • Reduce urine output • Change in mental status ie confusion, delirium • Sign of shock eg low BP and tachycardia, NURSING MANAGEMENT ANXIETY DUE TO DISCOMFORT • Administer analgesic & antibiotics as prescribed. Adjunta las diapositivas de tu clase aquí! • ORS does not stop diarrhea. Treatment Feeding and nutrition -Normal diet as rapidly as possible. Some studies have demonstrated decreased ER stays and increased parent satisfaction with ORS therapy over IV NO difference in duration of illness or hospitalization rates. enfermedad celiaca. paolo aquino, m.d., m.p.h. Treatment Fluid Management Oral rehydration solutions (ORS) -carbohydrate (glucose or rice syrup) & electrolytes (Na, K, Cl, citrate, HCO3-) -Takes advantage of a specific sodium-glucose transporter (SGLT-1) to increase the reabsorption of sodium, which leads to the passive reabsorption of water. • The presence of an animal in the cooking area is a risk factor in developing countries. incidence:-. However, depending on the infecting serotype and especially in children, they may also cause gastroenteritis. Gastroenteritis is an inflammation of the intestines that causes diarrhea, abdominal cramps, nausea, loss of appetite, and other symptoms of digestive upset. • Asymptomatic infection is very common in developing countries and is associated with the presence of cattle close to dwellings. Gastroenteritis in Infancy & Childhood - . acute diarrhoea, An Experimental Study on Acute Gastroenteritis Disease - Gastroenteritis caused by infection of shigella species are, gastroenteritis - Gastroenteritis is an inflammation or infection of the digestive tract, mainly the stomach and, Gastroenteritis - . Tap here to review the details. ámbito de la Pediatría sobre los sistemas de retención infanti página 9 ERRORES DE DIAGNÓSTICO Fiebre, vómitos y diarrea, no siempre una infección banal página 20 PROGRAMA DE AUTOEVALUACIÓN Urgencias cardiológicas página 17 ARTÍCULOS COMENTADOS Sociedad Española de Urgencias de Pediatría ISSN: 16965752 D. Legal: M . • Enteroinvasive E. coli (EIEC) — bloody mucoid diarrhea; fever is common. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Statistics Worldwide: diarrheal disease is leading cause of pediatric morbidity and mortality 1.4 billion episodes of diarrhea annually 1.5-2.5 million deaths annually in children <5yo (19% of all child deaths- 98% of these deaths occurring in the developing world), 6. salmonella. The greatest danger presented by gastroenteritis is dehydration. INFECTION CONTROL • Proper hand washing • Practice barrier nursing • Placed patient in isolation room. We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Diarrheagenic Escherichia coli. Los órganos que conforman el sistema digestivo se pueden agrupar en: ÓRGANOS PRINCIPALES: cavidad bucal, faringe, esófago, estómago, intestino delgado e intestino grueso. Download Free PDF. cause : e. coli. You can read the details below. • Mortality due to diarrhea has declined cause of Rotavirus vaccine, improved nutritional status, better management of disease. • Lack of exclusive breast feeding. • If child vomits, wait ten minutes and give it ORS again. Physical Signs . Statistics in the United States: > 1.5 million outpatient visits/year 200,000 hospitalizations/year 300 deaths/year 9% of all hospitalizations of children <5yo Children <3yo estimated at 1.3-2.3 episodes/child/year, 5. objectives. Gastroenteritis aguda (GEA) en lactantes durante el primer año de vida. We've encountered a problem, please try again. • Diarrhea (with or without blood) develops, and fever lasting 3 weeks or more. She is diagnosed with Gastroenteritis. With gastroenteritis, your stomach and intestines are irritated and inflamed. Incidence:- • The second most common cause of death in children <5 years. In addition to restoring beneficial intestinal flora, probiotics may enhance host protective immunity such as down-regulation of pro-inflammatory cytokines and up-regulation of anti-inflammatory cytokines. Acute gastroenteritis in children - . outline. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. ANÁLISIS DE LA SITUACIÓN. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. causes infections in humans and vertebrates, enteric fever. an-Approach to diarrhea-by dr. rkdhaugoda,ctgu- 2014, Gastroenteritis in children ,Dr.youssef quda, Pediatrics 5th year, 4th lecture (Dr. Adnan), Acute Gastroenteritis for Adults and Children, Virginia Mason Internal Medicine Residency, Jnana Prabodhini Educational Resource Center, Food borne animal parasites, viruses and food borne biohazards, Food Borne animal parasites, viruses and food borne biohazards, Diarrhea - a detailed study (symptoms, management ,all medical aspects), Intestinal Obstruction Powerpoint Presentation. Profesor asociado de la Universidad de . Retrieved 12/16/2010. We've encountered a problem, please try again. Acute Gastroenteritis in pediatric population . a 3 week-old boy. Reporte de Inteligencia Turística por Media Más. outline. • S. sonnei — mildest illness; seen most commonly in developed countries. Views: 462, By: DrDwayne HKCEM College Tutorial Gastroenteritis in Paediatrics Author Dr. CH chung Revised by Dr. Chang Wai Yin James Oct, 2013. introducing the artiste formerly, Persistence and Inactivation of Norovirus in Fresh Produce Chains - . Reporte de Inteligencia Turística por Media Más. La gastroenteritis es una enfermedad caracterizada de una inflamación del tubo digestivo, que involucra tanto estómago como intestino delgado. Every child <5 years has 3.6 episode of diarrhea/year. acute diarrhoea, Acute Gastroenteritis - . Account for 1.5 million death of children/year globally. jie chen , md ,phd children hospital zhe jiang university. infant : acute gastroenteritis adult : Acute Diarrhoea and Gastroenteritis in Childhood - Current health problems in students’ home countries. Clipping is a handy way to collect important slides you want to go back to later. salmonella. 1970-1979. a new and unfamiliar agent, escherichia coli o27:h20. Infectología: Dr. Christopher Roberts Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs, 18. E.Coli O157H7 Epidemic / sporadic outbreaks Contaminated food, partially cooked beef Verotoxin producing EHEC Affects 3 – 5yr olds Prodromal gastroenteritis followed by > acute renal insufficiency > hemolytic anemia > thrombocytopenia. She is crying and seems very irritable. Diagnosis of rotavirus • Electron microscopy • Small intestine • Stool • Antigen in stool • commercial ELISA • PCR, nucleic acid probes • No RBC or WBC in stool, Rotavirus Clinical Syndromes • Asymptomatic carriers • Diarrheal illness • 2-3 day incubation period • diarrhea, vomiting fever 3-7 days • high infectivity • Complications • dehydration • chronic diarrhea • dissemination • NEC. Formula fed infants -Restart feeding once the rehydration phase is complete (ideally in 2-4 h). Seasonal variation: increased in winter and decreased in summer. • Leading cause of severe, dehydrating gastroenteritis among children. • Infants are more prone to infection because of decrease intestinal reserve , gastric acidity and lack of specific immunity.

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