GI

Card Set Information

Author:
sini
ID:
188058
Filename:
GI
Updated:
2012-12-08 20:24:49
Tags:
Bacterial gastroenteritis
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Description:
Bacterial Gastroenteritis
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  1. Bacillus cereus
    - Source
    - S/S
    - Tx
    • Source: Fried Rice
    • S/S: Vomiting (within hrs); diarrhea later
    • Tx: self limited
  2. Campylobacter jejuni
    - Source
    - S/S
    - Tx
    • Source: poultry (2nd most common foodborne bacterial GI infection)
    • S/S: Bloody diarrhea; Guillain-Barre syndrome
    • Tx: hydration; erythromycin
  3. Clostridium botulinum
    - Source
    - S/S
    - Tx
    • Source: honey, home-canned foods
    • S/S: flaccid paralysis
    • Tx: botulism anti-toxin (can't give to infants)
  4. Clostridium difficile
    - Source
    - S/S
    - Tx
    • Source: antibiotic-induced suppression of normal colonic flora
    • S/S: watery diarrhea, gray pseudomembranes on colonic mucosa
    • Tx: metronidazole, vancomycin
  5. Escherichia coli (enterotoxigenic)
    - Source
    - S/S
    - Tx
    • Source: food/water - traveler's diarrhea
    • S/S: Watery diarrhea
    • Tx: hydration; self-limited
  6. E. coli type O157:H7 (enterohemorrhagic)
    - Source
    - S/S
    - Tx
    • Source: ground beef; indirect fecal contamination
    • S/S: Bloody diarrhea; high risk of HUS
    • Tx: hydration; self-limited - antibiotics an worsen S/S b/c of release of toxins
  7. Staphylococcus aureus
    - Source
    - S/S
    - Tx
    • Source: room-temperature food
    • S/S: Vomiting (within several hours of eating)
    • Tx: self-limited
  8. Salmonella species
    - Source
    - S/S
    - Tx
    • Source: eggs, poultry, milk, fresh produce - MOST COMMON foodborne GI infection
    • S/S: nausea, bloody diarrhea
    • Tx: hydration, self-limited - tx immunocompromised with fluroroquinolone
  9. Shigella species
    - Source
    - S/S
    - Tx
    • Source: food/water, overcrowding
    • S/S: severe bloody diarrhea; risk of HUS
    • Tx: hydration, ciprofloxacin, TMP-SMX in severe cases
  10. Vibrio cholerae
    - Source
    - S/S
    - Tx
    • Source: water, seafood
    • S/S: copious watery diarrhea, signs of dehydration
    • Tx: hydration** tetracycline and doxycycline decreases disease length
  11. Vibrio parahaemolyticus
    - Source
    - S/S
    - Tx
    • Source: Seafood
    • S/S: abdominal pain, watery diarrhea (within 24hrs of eating)
    • Tx: hydration, self-limited
  12. Yersenia enterocolitica
    - Source
    - S/S
    - Tx
    • Source: pork
    • S/S: abdominal diarrhea, bloody diarrhea
    • Tx: hydration

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