Cited by 284Viral gastroenteritis research and epidemiologySalmonella and Campylobacter epidemiologyChild Nutrition and Water Access

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A millennium update on pediatric diarrheal illness in the developing world.

O’Ryan, Miguel, Prado, Valeria, Pickering, Larry K.·2005·Seminars in Pediatric Infectious Diseases

DOI 10.1053/j.spid.2005.12.008

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Abstract

More than one billion diarrhea episodes occur every year among children younger than 5 years of age in socioeconomically developing countries causing 2 to 2.5 million deaths. More than twenty viral, bacterial, and parasitic enteropathogens are currently associated with acute diarrhea. Rotavirus and diarrheagenic Escherichia coli are the most common pathogens responsible for acute diarrhea episodes in children; Shigella spp., Salmonella spp, Campylobacter jejuni/coli, Vibrio cholerae, Aeromonas spp, and Plesiomonas spp. occur more commonly in poorer areas and infections caused by protozoa and helminthes occur mainly in areas where environmental sanitation is significantly deteriorated. Initial clinical assessment of a child with diarrhea should focus on obtaining an accurate evaluation of hydration and nutritional status. Assessment of stool characteristics (e.g., liquid non-bloody stools vs. dysenteric or bloody stools) is a key feature in determining potential pathogens causing an acute diarrhea episode. Diagnostic guidelines are discussed in the article. The major therapeutic intervention for all individuals with diarrhea consists of fluid and electrolyte therapy. When antimicrobial therapy is appropriate, selection of a specific agent should be made based upon susceptibility patterns of the pathogen or information on local susceptibility patterns. Current guidelines for administering appropriate antimicrobial treatment are provided in the article. Preventive measures include careful personal hygiene, especially promotion of hand washing. Immunizations currently or soon to be available for Salmonella serotype Typhi, cholera prevention, and rotavirus are discussed.

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Authors: O’Ryan, M., Prado, V., & Pickering, L. K.
Affiliations: University of Chile (CL)
Centers for Disease Control and Prevention (US)
Corresponding author: O’Ryan, Miguel
ORCID: O’Ryan, Miguel
Venue: Seminars in Pediatric Infectious Diseases
Publisher: Elsevier BV
Published: 2005-04
Volume: 16
Issue: 2
Pages: 125-136
ISSN: 1045-1870 (ISSN-L)
DOI: 10.1053/j.spid.2005.12.008
OpenAlex: W2033517112
Cited by: 283
References: 138
Citations by year: 2026: 4 · 2025: 1 · 2024: 5 · 2023: 13 · 2022: 9 · 2021: 7 · 2020: 6 · 2019: 7 · 2018: 13 · 2017: 10 · 2016: 15 · 2015: 23 · 2014: 21 · 2013: 25 · 2012: 22
FWCI: 8.03
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Seminars in Pediatric Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Keywords: childhood diarrhea, acute diarrhea, enteric pathogens, rotavirus, diarrheagenic Escherichia coli, Shigella, Salmonella, Campylobacter, Vibrio cholerae, Aeromonas, Plesiomonas, helminths, protozoa, dehydration, nutritional status, stool characteristics, stool examination, fluid and electrolyte therapy, antimicrobial therapy, hand washing, hygiene, rotavirus vaccine, cholera vaccine, developing countries
MeSH terms: Acute Disease, Animals, Child, Preschool, Developing Countries, Diarrhea, Escherichia coli, Humans, Hygiene, Immunization, Infant, Rotavirus, Sanitation, Skin Care, Eukaryota

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A millennium update on pediatric diarrheal illness in the developing world.

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