gastroenteritis pediatría ppt

Views: 570, By: Uchiha You can read the details below. Central Pontine Myelinolysis Fluctuating LOC Pseudobulbar palsy Quadraparesis, Electrolytes 1 Hypernatremia : Na > 145meq/L Causes : - Water loss > electrolyte loss e.g. Diagnosis of rotavirus • Electron microscopy • Small intestine • Stool • Antigen in stool • commercial ELISA • PCR, nucleic acid probes • No RBC or WBC in stool, Rotavirus Clinical Syndromes • Asymptomatic carriers • Diarrheal illness • 2-3 day incubation period • diarrhea, vomiting fever 3-7 days • high infectivity • Complications • dehydration • chronic diarrhea • dissemination • NEC. Extra: Por encima puedes añadir aguacate, fuente de vitamina E y grasas buenas, pollo (rico en proteínas) y cebolla morada que . loperamide, opiates, bismuth subsalicylate) are not recommended for use in AGE. -Lactose-free formulas are unnecessary; 80% of children could tolerate full strength milk. • Diarrhea (with or without blood) develops, and fever lasting 3 weeks or more. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. initial vitals: hr, Mental Illness in the Pediatric Population - . Acute infection of bowel which cause diarrhea and vomiting Most common disorder in childhood. You can read the details below. Gastroenteritis Kevin Mosquera. Tratado de pediatría continúa con su tradición de constituirse en una fuente de información esencial para los pediatras generalistas y los subespecialistas pediátricos a la hora de diagnosticar y tratar a los niños y adolescentes de todo el mundo. Clipping is a handy way to collect important slides you want to go back to later. Clinical manifestations:- • Incubation period <48 hrs. On examination, her temperature is 38.9 c, pulse 125 beats and respiration of 30.She is also moderately dehydrated. We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. outline. • Rehydrate until symptoms of dehydration subsides • Continue breast feeding • ½ strength milk as tolerated. - Fatty foods and foods high in simple sugars should be avoided. • Zink defficiency is known also to increase mortality in pneumonea,measles and diharrea. http://www.nhsdirect.nhs.uk/checksymptoms/topics/gastroenteritis. joseph a. iocono, m.d. Rotarix was efficacious in a large study, which reported that Rotarix protected patients with severe rotavirus gastroenteritis and decreased the rate of severe diarrhea or gastroenteritis of any cause.26 Recent large trials in both Latin America and Africa have also found Rotarix to be effective in decreasing diarrhea morbidity and mortality in children.27,28,29 Clinical trials reported that the vaccines prevented 74-78% of all rotavirus gastroenteritis casesn February 2006, the US Food and Drug Administration (FDA) approved the RotaTeq vaccine for prevention of rotavirus gastroenteritis. Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. La etiología más frecuente son las infecciones virales y el diagnóstico es generalmente sindrómico. We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Parasitic agents Giardia intestinalis, Cryptosporidium parvum, Entamoeba histolytica, and Cyclospora cayetanensis most commonly cause acute diarrheal illness in children. Usually vomiting will stop. Los síntomas del niño y los antecedentes de exposición ayudan al médico a confirmar el diagnóstico. GASTROENTERITIS created by: Katherine L. Laud, SN 2. location, location, location… . CAMPYLOBACTER Erythromycin is hardly used for diarrhea today. Adsorbents: • Kaolin-pectin, activated charcoal, attapulgite — Inadequate proof of efficacy in acute adult diarrhea, Anti- emetics A single dose of oral Ondansetron (a serotonin antagonist anti-emetic) in children with G/E and dehydration reduces vomiting, facilitate oral rehydration and suitable for the use in emergency department, Non-Pharmacological Management of Chronic Pain, Next Generation Sequencing NGS in the Clinic-Considerations for Molecular Pathologists, Neonatal and paediatric immunology relevant to HIV persistence. Acute Gastroenteritis - . Clean food preparation & preservation. university of kentucky. WAFA SAMA'N Pediatrics MD. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. the second most common cause of death in children, Digestive System - . Trauma leve Evaluacin valuacin del trauma levePaciente con TCE leve, riesgo bajo de complicaciones mnimasNo amerita manejo intrahospitalario Monitorizacin de trauma leve Vigilancia domiciliaria No impedir el sueo horas posteriores al evento Despertar cada 3 hrs para evaluarlo . WAFA SAMA’N Pediatrics MD. 2022. presente de indicativo irregularidades 1Elsa Nunes.ppt, orgenesyevolucindelacomunicacinhumana1-221128214423-8b3da07b.pdf. Breastfed infants -Continue breastfeeding throughout the rehydration and maintenance phases. salvador dalí born on may 11, 1904 had a brother by the same, Viral and Parasitic Gastroenteritis - . 浙江大学医学院附属儿童医院 江米足. • S. flexneri — dysenteric symptoms and persistent illness; most common in developing countries. Opiates are contraindicated, and the others have limited scientific evidence to outweigh risks) � Antiemetics currently antiemetics are not recommended in the treatment of AGE. ingresan anualmente por este motivo unos 220.000 niños Diagnóstico clínico en un niño con diarrea y que puede presentar o no náuseas, vómitos, dolor abdominal o fiebre. We've updated our privacy policy.

• Mortalidad general en México: 6.9/100,000 habitantes por año. Campylobacter is prevalent in adults and is one of the most frequently isolated bacteria from the feces of infants and children in developing countries. We've encountered a problem, please try again. En nuestro medio es un proceso generalmente autolimitado. Diarrhea Classification • Pathophysiology • Osmotic • Secretory • Exudation • Abnormal motility • Duration • Acute (< 2 weeks) • Chronic (> 2 weeks), Osmotic diarrhea • Def: Increased amounts of poorly absorped, osmotically active solutes in gut lumen • Interferes with reabsorption of water • Solutes are ingested • magnesium • sorbitol • malabsorption of food (mucosal injury, lactase deficiency), Secretory diarrhea • Excess secretion of electrolytes, fluid across mucosa • Usually coupled with decrease in absorption • Watery, high-volume diarrhea with dehydration • Enterotoxins: Cholera, E. coli, food poisoning, Rotavirus (? Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. professor and chairman department of family medicine osu center for, GASTROENTERITIS) - . She is diagnosed with Gastroenteritis. The SlideShare family just got bigger. • Poultry is an important source of Campylobacter infections in developed countries. approach etiology diagnosis treatment, Acute Gastroenteritis in pediatric population - . 2003; 52(RR16): 116. approach etiology diagnosis treatment, Acute Diarrhoea and Gastroenteritis in Childhood - Current health problems in students’ home countries. 黃顯宗. • Enteroinvasive E. coli (EIEC) — bloody mucoid diarrhea; fever is common. Though some clinical studies have demonstrated that ondansetron can decrease vomiting and hospitalization. Download. incidence:-. Shigella species. outline. By accepting, you agree to the updated privacy policy. Acute Gastroenteritis WAFA SAMA’N Pediatrics MD. • Vomiting is common; fever is rare. Open navigation menu. • Racecadotril ( acetetorphan) is an enkephalinase inhibitor (nonopiate) with antisecretory activity, and is now licensed in many countries in the world for use in children. Trauma leve. • Every child <5 years has 3.6 episode of diarrhea/year. Gastroenteritis aguda en la infancia Terapéutica secuencial actual en Atención Primaria. It appears that you have an ad-blocker running. • Infection affects proximal small bowel • Patchy mucosal injury • Malabsorption • ? Etiologies: Viral 70-85% of AGE in developed countries Rotavirus: 1/3 of all pediatric AGE hospitalizations in U.S. • Stools are watery, colorless, and flecked with mucus. En los países en desarollo, donde los niños son más . 16 month old boy with wheeze. inflammation of stomach or intestines inhibits nutrient absorption and excessive h 2 o and, Viral Gastroenteritis - . • Enteroaggregative E. coli (EAggEC) — watery diarrhea in young children; persistent diarrhea in children and adults with human immunodeficiency virus (HIV). definition. Manuel Meléndez Follow loperamide, opiates, bismuth subsalicylate) are not recommended for use in AGE. Looks like you’ve clipped this slide to already. The SlideShare family just got bigger. Predictors of Symptom Worsening or Improvement using Remote Patient Reported ... physiological monitoring of a surgical patient.pptx, Multimodal Augmented Homeostasis; MMM2023 Keynote RJ.pptx, Clinical Examination of the Shoulder.pptx. GASTROENTERITIS
  • A nivel mundial hay 3.5 episodios de diarrea por persona por año. Treatment Feeding and nutrition -Normal diet as rapidly as possible. by dr. tamer hassan. Scribd es red social de lectura y publicación más importante del mundo. Dr. Hugo Staines Orozco Clinical signs and symptoms can be utilized to determine degree of dehydration, 15. consultant pediatric emergency medicine king abdulaziz medical city - riyadh Síndrome diarreico infantil y deshidratacionSíndrome diarreico infantil y des... Sx diarreico, colon irritable, dispepsia.pptx. PEDIATRIC ACUTE KIDNEY INJURY - Pediatric acute kidney injury. Peak isolation rates are found in children 2 years of age and younger. Some studies have demonstrated decreased ER stays and increased parent satisfaction with ORS therapy over IV NO difference in duration of illness or hospitalization rates. Unidad i digestivo - sindrome diarreico agudo - fernanda pineda gea - med... Vomito, Estreñimiento, Dolor abdominal y Parasitosis intestinal, Insuficiencia Arterial y Trombosis Venosa Profunda, Tomografía Computada y Resonancia Magnética de la Columna Vertebral, Síndrome Nefrótico (glomerulopatías primarias), Hiperbilirrubinemia del Recién Nacido (Ictericia Neonatal), Exploración de Cuello y Cadenas Ganglionares, Categorias epidemiologicas: Persona, tiempo y Lugar, INFORME_ESTADISTICO_INDOT_GESTION_2014.pdf, 18.- U3. acute diarrhoea. Sindrome intestino irritable calprotectina. Pediatric Population - . • Malnourished children develop severe &prolonged illness. Azithromycin dosage for children can range (depending on body weight) from 5 mg to 20 mg per kilogram of body weight per day, once daily for 3–5 days. Se puede acompañar de nauseas, rápida. Incidencia de GEA. GLÁNDULAS ACCESORIAS: salivales, hígado y páncreas. Paediatric Nursing Dk.Norasmah phi 23 rd Intake. Gastroenteritis aguda Patología frecuente en pediatría Los niños menores de 3 años presentan 1,3 a 2,3 episodios anuales En EE.UU. Identify the causes of pediatric gastroenteritis. what that it is ? For treating most types of common bacterial infection, the recommended azithromycin dosage is 250 mg or 500 mg once daily for 3–5 days. • Animals are the major reservoir for Salmonellae. Give ORS until diarrhea & vomiting subsides • For older children – give ORS, avoid spicy food, give dry foods eg biscuits, drink diluted juice and bland food as tolerated, Symptoms of dehydration • sunken eyes & fontanelles • Dry mucous membrane • Loss of skin turgor • Weight loss • Reduce urine output • Change in mental status ie confusion, delirium • Sign of shock eg low BP and tachycardia, NURSING MANAGEMENT ANXIETY DUE TO DISCOMFORT • Administer analgesic & antibiotics as prescribed. Puede ser entre una hora a varias semanas, pero, habitualmente, es entre uno a tres días. • Antibiotics associated pseudomembranous colitis is due to Clostridium defficile. However, depending on the infecting serotype and especially in children, they may also cause gastroenteritis. Lactobacillus GG) alter the composition of gut flora and assist in restoring normal gut function. acute diarrhoea, Acute Gastroenteritis - . Download Free PDF . Acute Gastroenteritis: A Case Discussion - Ryan em c. dalman md mba - 070070. acute gastroenteritis: a case discussion. 9,1%. • Viral enteritis enhance mucosal permeability to macro molecules leading to increase incidence of food allergy. INFECTION CONTROL • Proper hand washing • Practice barrier nursing • Placed patient in isolation room. approach etiology diagnosis treatment, CPG on Acute Gastroenteritis - . Rolando Martínez Sánchez. • Measles. Reference Dennehy PH.�Acute diarrheal disease in children: epidemiology, prevention, and treatment.�Infect Dis Clin North Am.�Sep�2005;19(3):585-602.� "NHS Direct: Gastroenteritis". jie chen , md ,phd children hospital zhe jiang university. Although often considered a benign disease, acute gastroenteritis remains a major cause of morbidity and mortality in children around the world, accounting for 1.34 million deaths annually in children younger than 5 years, or roughly 15% of all child deaths. Views: 462, By: DrDwayne • V. cholerae serogroups O1 and O139 cause rapid and severe depletion of volume. 教学目标. causes infections in humans and vertebrates, enteric fever. Treatment:- • Correct dehydration • Antimotility drugs are contraindicated because they increase incidence of perforation • Antibiotics are not used in simple enteritis because they increase resistance prolonged bacterial shedding &carrier state. niv seerpi & mark sears green river district health department. The primary manifestation is diarrhea, but it may be accompanied by nausea, vomiting, and abdominal pain. Food like rice soup,vegetables,fruits and yogurt can be given in the recovery period. • S. dysenteriae type 1 (Sd1) — produces Shiga toxin, as does EHEC. Viral causes of gastroenteritis • Rotavirus • Calcivirus(Norwalk) • Enteric Adenovirus • Astrovirus • Others Torovirus,Coronavirus and Pesivirus, Rotavirus • Mostly in infants between3-24 months. Tap here to review the details. It appears that you have an ad-blocker running. charles e. henley d.o.,m.p.h. ics type 4 incident. Clipping is a handy way to collect important slides you want to go back to later. World Health Organization � WHO http://www.who.int/topics/diarrhoea/en � Kosek M, Bern C, Guerrant RL.�The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000.�Bull World Health Organ.�2003;81(3):197-204. Incidence:- • The second most common cause of death in children <5 years. If indicated, urine cultures, chest radiography, and/or LP Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs, 16. wafa sama’n pediatrics md. Acute lactose intolerance is seen in some patients ,so they should be given Lactose free formula like replacing some of milk requirements with yogurt or milk free diet like comminuted chicken or elemental milk. sunee panombualert, m.d. • In inflammatory diharrea extensive histological damage,release of cytokines leads to increase crypt secretion of Chloride ion by increasing c-AMP.Uncoupling of both Na-H,Hco3-CL –and Na-Glucose uptake. Delivered po or ng. Incidence:-. Alternative antimicrobials for treating cholera in children are TMP-SMX (5 mg/kg TMP + 25 mg/kg SMX, b.i.d. • All serotypes (> 2000) are pathogenic for humans. prof. dr. tufan. 20cc/kg of isotonic IV fluids over one hour Repeat as necessary Continue replacement for stools ** ongoing losses can be matched at approximately 10cc/kg for each stool & 2cc/kg for each emesis episode. department of peditric, An Experimental Study on Acute Gastroenteritis Disease - Gastroenteritis caused by infection of shigella species are, gastroenteritis - Gastroenteritis is an inflammation or infection of the digestive tract, mainly the stomach and, Gastroenteritis - . Etiology:- • Feco-oral route transmission. It appears that you have an ad-blocker running. -�BRAT� diet and other restrictive diets are unnecessary and provide suboptimal nutrition Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs Several studies have found that combinations of clinical signs and symptoms may have better sensitivity and specificity for detecting dehydration in children than individual signs, 21. Clipping is a handy way to collect important slides you want to go back to later. GASTROENTERITIS • An infection or inflammation of the digestive tract, particularly the stomach . • Account for 1.5 million death of children/year globally. DDX Food poisoning Lactose intolerance Malabsorption syndromes Irritable bowel syndrome Diabetic Ketoacidosis Appendicitis Peptic Ulcer Disease Foreign Body Ingestion Intussusception Volvulus Hemolytic Uremic Syndrome Pyloric Stenosis Hepatitis Urinary Tract Infections and Pyelonephritis Inflammatory Bowel Disease Septic shock Pancreatitis. The diarrhea will stop by itself. Paediatric Nursing Dk.Norasmah phi 23 rd Intake. Treatment Fluid Management Factors: Status of patient & dehydration degree Oral rehydration therapy -as effective as IV fluids in treatment of mild to moderate dehydration both OP & IP. • Because severe dehydration can rapidly cause permanent injury or even death, intravenous rehydration is the initial treatment of choice for that condition. Complications:- • Dehydration. 31 slides Gastroenteritis en adultos 2017 Kenny Lopez 2.3k views • 35 slides Gastroenteritis infecciosa pediatria Almendra HI 5k views • 17 slides Diarreas y planes de hidratación Victoria Morales Coronado 3.2k views • 41 slides Gastroenteritis infecciosa hps dr carreòn juan manuel carreon guerrero 8.8k views • 93 slides Advertisement ENTERIC INFECTIONS - . • Person to person transmission occur in pathogens infectious in small inoculum ,like Shigella,campylobacter,EHEC,Norovirus, • Rotavirus, E.histolyticum and Giardia. Caliciviruses, astroviruses, and enteric adenoviruses Presentaion: Low-grade fever Vomiting followed by copious watery diarrhea (up to 10-20 bowel movements per day) Symptoms persisting for 3-8 days, 7. Worldwide, inadequate treatment of gastroenteritis kills 5 to 8 million people per year Uploaded on Feb 07, 2013 Sumayah Buthainah + Follow gastroenteritis Views: 336, By: Reddy Azithromycin is widely available and has the convenience of single dosing. Infectious diarrhea is commonly referred to as gastroenteritis. acute gastroenteritis. Enteral feeding should be continued during recovery from episode of diarrhea. 93 slides Gastroenteritis infecciosa y enfermedad de hirschprung ComiteDeCasosClinicos 530 views • 31 slides Gastroenteritis infecciosa MaryJose Santiago Benitez 419 views • 88 slides Gastroenteritis pediatria 46k views • 44 slides Diarrea Gastroenteritis Aguda Ita 3 jacque78 9.3k views • 43 slides Gastroenteritis en adultos 2017 Kenny Lopez the genus salmonella consists of bacilli that parasitise the intestines, Escherichia coli Gastroenteritis - . GASTROENTERITIS GASTROENTERITIS AGUDA AGUDA DEFINICION: DEFINICION: Trastorno caracterizado por aumento en el Trastorno caracterizado por aumento en el numero de deposiciones y/o disminución numero de deposiciones y/o disminución en su consistencia, de instauración en su consistencia, de instauración rápida. The greatest danger presented by gastroenteritis is dehydration. tm. Definition. GASTROENTERITIS). ACUTE DISSEMINATED ENCEPHALOMYELITIS - . ámbito de la Pediatría sobre los sistemas de retención infanti página 9 ERRORES DE DIAGNÓSTICO Fiebre, vómitos y diarrea, no siempre una infección banal página 20 PROGRAMA DE AUTOEVALUACIÓN Urgencias cardiológicas página 17 ARTÍCULOS COMENTADOS Sociedad Española de Urgencias de Pediatría www.seup.org ISSN: 16965752 D. Legal: M . La base de esta pizza se elabora con 200 g de coliflor, 2 cucharadas de semillas de lino, 75 g de harina de arroz y 50 g de harina de garbanzos. Gastroenteritis . 3 Gastroenteritis aguda (GEA) Etiología de la GEA n February 2006, the US Food and Drug Administration (FDA) approved the RotaTeq vaccine for prevention of rotavirus gastroenteritis. programa de promoción de la lactancia naterna basado en en la iniciativa Baby- Friendly Hospital Iniciative (BFHI)- Iniciativa Hospital Amigo de los Niños versus administración de consejos y cuidades médicos habituales. dr mohamed abu nada pediatric neurology department dr. al rantisi specialized children, Acute Gastroenteritis: An Approach - . • These agents account for a relatively small proportion of cases of infectious diarrheal illnesses among children in developing countries. Views: 682, By: DrDwayne • There is a potential for epidemic spread; any infection should be reported promptly to the public health authorities. • Newborns usually are asymptomatic some may develop NEC outbreaks in nurseries. katharina verhaelen. inhibits intestinal peristalsis and has mild antisecretory properties. • If child vomits, wait ten minutes and give it ORS again. Now customize the name of a clipboard to store your clips. may 2015 ce condell medical center ems system site code: 107200e-1215. Acute Gastroenteritis - . 13. Currently, two vaccines have been approved: a live oral vaccine (RotaTeq™) made by Merck for use in children, and GSK’s Rotarix™.

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