mukuslu ishal

The use of a fecal leukocyte test or fecal lactoferrin to guide more appropriate use of cultures is “imprecise and probably unnecessary.”

With a few exceptions, most patients can adequately rehydrate with water, juice, sports drinks, soups, and salty crackers.

Do not treat acute diarrhea with probiotics and prebiotics except for postantibiotic diarrhea.

Do not conduct empiric antibiotic therapy in acute diarrheal infection, except in cases of TD in which a bacterial cause is deemed highly likely. Most community-acquired acute diarrhea is viral in origin.

Treat TD with a single-dose or 3-day course of quinolones or single-dose azithromycin (1000 mg), except for suspected or cultured Shigella, which requires a 5-day course.

Endoscopic evaluation is not recommended for this duration of symptoms.

Specific handwashing measures and alcohol-based hand sanitizers have limited value for most TD but could be useful in preventing cruise ship outbreaks of norovirus and institutional outbreaks, or in areas of endemic diarrhea.

For prophylaxis of TD, consider bismuth subsalicylate two tablets (2.1 g) four times daily at meals and bedtime to provide 60% risk reduction for trips up to 2 weeks but usually not for longer trips; lower doses are associated with reduced protection.

Do not use prebiotics, probiotics, and synbiotics (combinations of prebiotics and probiotics) for TD prophylaxis.

TD= traveler's diarrea... Cocuklarda gorulen bir hastalik degildir. Burada tavsiye edilen ilaclar, cocuklara verilmez..