Algorithm for the Management of Acute Diarrhea - Flowchart

Algorithm for the Management of Acute Diarrhea - Flowchart

Algorithm for the Management of Acute Diarrhea - Flowchart

«Flowchart»

Acute Diarrhea

Acute Diarrhea

Acute Diarrhea

Acute Diarrhea

End

End

End

Consider empirical treatment before evaluation with (^* ) metronidazole and with (^† ) quinolone.

Consider empirical treatment before evaluation with (^* ) metronidazole and with (^† ) quinolone.

Consider empirical treatment before evaluation with (^* ) metronidazole and with (^† ) quinolone.

^* ^†

WBCs, white blood cells.

WBCs, white blood cells.

WBCs, white blood cells.

History and physical exam

History and physical exam

History and physical exam

Likely infectious

Likely infectious

Likely infectious

Likely noninfectious

Likely noninfectious

Likely noninfectious

Evaluate and treat accordingly

Evaluate and treat accordingly

Evaluate and treat accordingly

Institute fluid and electrolyte replacement

Institute fluid and electrolyte replacement

Institute fluid and electrolyte replacement

Mild (unrestricted)

Mild (unrestricted)

Mild

Moderate (activities altered)

Moderate (activities altered)

Moderate

Severe (incapacitated)

Severe (incapacitated)

Severe

Institute fluid and electrolyte replacement

Institute fluid and electrolyte replacement

Institute fluid and electrolyte replacement

Institute fluid and electrolyte replacement

Institute fluid and electrolyte replacement

Institute fluid and electrolyte replacement

Stool microbiology studies

Stool microbiology studies

Stool microbiology studies

Empirical treatment + further evaluation

Empirical treatment + further evaluation

Empirical treatment + further evaluation

Select specific treatment

Select specific treatment

Select specific treatment

Pathogen found

Pathogen found

Pathogen found

Yes^†

Yes^†

^† † Yes[†]

No

No

No

Observe

Observe

Observe

Resolves

Resolves

Resolves

Persists^*

Persists^*

^* * Persists[*]

Yes^†

Yes^†

^† † Yes[†]

No

No

No

Antidiarrheal agents

Antidiarrheal agents

Antidiarrheal agents

Resolves

Resolves

Resolves

Persists^*

Persists^*

^* * Persists[*]

Fever 38.5°C, bloody stools, fecal WBCs, immunocompromised or elderly host

Fever 38.5°C, bloody stools, fecal WBCs, immunocompromised or elderly host

Fever 38.5°C, bloody stools, fecal WBCs, immunocompromised or elderly host