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samenvatting reizigersdiarree
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samenvatting over reizigersdiaree
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REIZIGERSDIARREEDef: passage van > 3 ongevormde stoelgang/24h + 1 of meer symptomen
- Nausea, abdominale krampen, braken, koorts & fecale urgentie
Impact korte termijn: incapaciteit, economisch
Impact lange termijn: PI-IBS, chronische GI ziekte
GASTROENTERITIS
Acute reizigers diarree (90% bac)
- Vaak viraal, soms unicellulaire parasieten
Chronische reizigers diaree
- Vaak unicellulair (giardiasis)
- Soms bacterieel
BACTERIEEL
BELANGRIJKE OORZAKEN
Amebic colitis
Bacillary dysentery (shigella dysenteria, s. flexneri, s. boydii, s. sonnei)
Cholera
Salmonella typhi
Malaria
Chronische diarree
ERNSTIGHEID INFECTIE
Aanwezigheid van koorts, dysenterie, algemeen slechte toestand
(Abdominale pijn)
(Duratie langer 3 dagen)
(Aanwezigheid van mucus)
, ACUTE DIARREE
WATERIG, GEEN KOORTS
Meeste vormen van reizigersdiaree
Vaak viraal
(staphylococcus aureus diarree (neurotoxine) (cholera)
Behandeling : rehydratatie via ORS, (loperamide), AB niet aangeraden
WATERIG, WEL KOORTS
Vaak virale infecties bij kinderen
Malaria
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