The majority of people with diarrhea do not need to be tested, according to new clinical practice guidelines from the Infectious Diseases Society of America (IDSA) on the diagnosis and management of infectious diarrhea. The guidelines are intended for use by healthcare professionals who care for children and adults with suspected or confirmed infectious diarrhea and offer recommendations on when to test, when to treat, and when to notify public health officials. Among the recommendations and highlights:
- Most people with diarrhea do not need to be tested.
- Those who should be considered for diagnostic testing include children aged <5 years, the elderly, people who are immune-compromised, and those with bloody diarrhea, severe abdominal pain or tenderness, or signs of sepsis.
- 7 tables are included that clinicians can quickly reference for information about the various ways people acquire the microbes, exposure conditions, post-infectious symptoms, and clinical presentation, as well as recommended antimicrobial, fluid, and nutritional management.
- The tables also help clinicians assess when a person with diarrhea should be tested and provided treatment considerations.
Shane AL, Mody RK, Crump JA, et al. 2017 Infectious Diseases Society of America clinical practice guidelines for the diagnosis and management of infectious diarrhea. [Published online ahead of print October 19, 2017]. Clin Infect Dis. doi:10.1093/cid/cix669.
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