Acute diarrhea primary prevention: Difference between revisions
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*According to the ACG Clinical Guideline, effective measures for the primary prevention of acute diarrhea include:<ref name="pmid27068718">{{cite journal |vauthors=Riddle MS, DuPont HL, Connor BA |title=ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults |journal=Am. J. Gastroenterol. |volume=111 |issue=5 |pages=602–22 |year=2016 |pmid=27068718 |doi=10.1038/ajg.2016.126 |url=}}</ref> | *According to the ACG Clinical Guideline, effective measures for the primary prevention of acute diarrhea include:<ref name="pmid27068718">{{cite journal |vauthors=Riddle MS, DuPont HL, Connor BA |title=ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults |journal=Am. J. Gastroenterol. |volume=111 |issue=5 |pages=602–22 |year=2016 |pmid=27068718 |doi=10.1038/ajg.2016.126 |url=}}</ref> | ||
**[[Counseling]] for diarrhea prevention may be done for patients and their close contacts. Education is also recommended for the following population: | **[[Counseling]] for diarrhea prevention may be done for patients and their close contacts. Education is also recommended for the following population: | ||
***Immunodeficient individuals | ***[[Immunodeficiency|Immunodeficient individuals]] | ||
***Pregnant women | ***[[Pregnancy|Pregnant women]] | ||
***Parents of young children, and the elderly | ***Parents of young children, and the elderly | ||
**[[Counseling]] prior to travel to ensure avoidance of high-risk foods | **[[Counseling]] prior to travel to ensure avoidance of high-risk foods | ||
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***Swimming | ***Swimming | ||
***Sexual contact when symptomatic | ***Sexual contact when symptomatic | ||
**Additional infection control measures include: | **Additional [[infection control]] measures include: | ||
***Use of gloves and gowns | ***Use of gloves and gowns | ||
***Appropriate food safety practices to prevent cross-contamination | ***Appropriate food safety practices to prevent cross-contamination | ||
| Line 31: | Line 31: | ||
***Use of [[Probiotic|probiotics]] is not recommended | ***Use of [[Probiotic|probiotics]] is not recommended | ||
***High risk groups may be given [[antibiotic]] [[chemoprophylaxis]] | ***High risk groups may be given [[antibiotic]] [[chemoprophylaxis]] | ||
**[[Vaccine|Vaccines]]:<ref name="pmid29194529">{{cite journal |vauthors=Shane AL, Mody RK, Crump JA, Tarr PI, Steiner TS, Kotloff K, Langley JM, Wanke C, Warren CA, Cheng AC, Cantey J, Pickering LK |title=2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea |journal=Clin. Infect. Dis. |volume=65 |issue=12 |pages=1963–1973 |year=2017 |pmid=29194529 |doi=10.1093/cid/cix959 |url=}}</ref> | |||
* Vaccines:<ref name="pmid29194529">{{cite journal |vauthors=Shane AL, Mody RK, Crump JA, Tarr PI, Steiner TS, Kotloff K, Langley JM, Wanke C, Warren CA, Cheng AC, Cantey J, Pickering LK |title=2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea |journal=Clin. Infect. Dis. |volume=65 |issue=12 |pages=1963–1973 |year=2017 |pmid=29194529 |doi=10.1093/cid/cix959 |url=}}</ref> | ***[[Typhoid vaccine (Patient information)|Typhoid vaccine]]: Oral and injectable | ||
** Typhoid | ***A live attenuated [[cholera vaccine]] (single-dose oral vaccine) is recommended for adults 18–64 years of age, travelling to endemic areas. | ||
** A live attenuated cholera vaccine (single-dose oral vaccine) is recommended for adults 18–64 years of age, travelling to endemic areas. | |||
==References== | ==References== | ||
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Latest revision as of 20:16, 29 July 2020
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Acute Diarrhea Microchapters |
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Acute diarrhea primary prevention On the Web |
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American Roentgen Ray Society Images of Acute diarrhea primary prevention |
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Risk calculators and risk factors for Acute diarrhea primary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Overview
Primary prevention of acute diarrhea includes measures such as counseling in patients and their close contacts. In addition, counseling prior to travel and hand washing using alcohol-based sanitizers are other recommended practices. Hand washing is particularly important for prevention of community-acquired diarrhea outbreaks in cruise ships or institutions.
Primary Prevention
- According to the ACG Clinical Guideline, effective measures for the primary prevention of acute diarrhea include:[1]
- Counseling for diarrhea prevention may be done for patients and their close contacts. Education is also recommended for the following population:
- Immunodeficient individuals
- Pregnant women
- Parents of young children, and the elderly
- Counseling prior to travel to ensure avoidance of high-risk foods
- Hand washing using alcohol-based sanitizers for prevention of community-acquired diarrhea outbreaks in cruise ships or institutions. Hand hygiene is essential in the following cases:
- Before eating
- Before and after handling food
- After handling garbage
- After touching animals or their feces
- After using the toilet
- After changing diapers
- Affected individuals should avoid the following activities:
- Swimming
- Sexual contact when symptomatic
- Additional infection control measures include:
- Use of gloves and gowns
- Appropriate food safety practices to prevent cross-contamination
- Primary prophylaxis:
- Travelers are treated with Bismuth subsalicylates as primary prophylaxis for acute diarrhea
- Use of probiotics is not recommended
- High risk groups may be given antibiotic chemoprophylaxis
- Vaccines:[2]
- Typhoid vaccine: Oral and injectable
- A live attenuated cholera vaccine (single-dose oral vaccine) is recommended for adults 18–64 years of age, travelling to endemic areas.
- Counseling for diarrhea prevention may be done for patients and their close contacts. Education is also recommended for the following population:
References
- ↑ Riddle MS, DuPont HL, Connor BA (2016). "ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults". Am. J. Gastroenterol. 111 (5): 602–22. doi:10.1038/ajg.2016.126. PMID 27068718.
- ↑ Shane AL, Mody RK, Crump JA, Tarr PI, Steiner TS, Kotloff K, Langley JM, Wanke C, Warren CA, Cheng AC, Cantey J, Pickering LK (2017). "2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea". Clin. Infect. Dis. 65 (12): 1963–1973. doi:10.1093/cid/cix959. PMID 29194529.