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JCOM Abstract


J Clin Outcomes Manage 
2006 Jul;13 (7):382-391
Management of acute infectious diarrhea
Stepan C, Liou I, Surawicz CM

Program Audience Primary care physicians. Educational Needs Addressed Worldwide, acute infectious diarrhea remains a major cause of morbidity and mortality among children younger than 5 years. Recent estimates suggest that diarrhea accounts for 1.4 to 2.5 million deaths per year in children worldwide and about 500 every year in the United States. In U.S. adults, the incidence of diarrhea is still high (0.72 episodes per person-year), with the elderly at greatest risk. Age is also an important risk factor for death following hospitalization for gastroenteritis, with a case-fatality ratio higher in the elderly than in children. Travelerís diarrhea is another challenge in treatment and prevention, with a risk of about 7% in travelers to developed countries and 20% to 50% in travelers to the developing world. Thus, it is important for clinicians to understand the management of acute diarrhea with respect to evaluation, treatment, and prevention. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. Describe the epidemiology of acute infectious diarrhea 2. Describe the approach to clinical assessment of the patient with acute infectious diarrhea 3. Know the steps that characterize early supportive treatment of acute infectious diarrhea 4. Discuss the appropriate use of antimicrobial therapy in acute infectious diarrhea 5. Understand the strategies used to prevent acute infectious diarrhea

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