Zusammenfassung
Die infektiöse Diarrhö gehört zu den häufigsten Infektionen überhaupt. Eine große Vielfalt verschiedener Erreger kommt als Auslöser infrage. Die Transmission erfolgt in Deutschland meist über kontaminierte Lebensmittel, seltener als Schmierinfektion, bei enteralen Viren auch direkt per Tröpfcheninfektion. In Deutschland werden mehr als 90% der zum Robert Koch-Institut gemeldeten Fälle durch folgende 4 Erreger verursacht: Norovirus, Rotavirus, Campylobacter und Salmonellen. Die Therapie der infektiösen Diarrhö ist in erster Linie supportiv. Bei entzündlichem Bild, blutiger Diarrhö, prolongiertem Verlauf, Immunsuppression, Komorbidität und bei vermuteten Ausbrüchen sollten eine gezielte Erregerdiagnostik erfolgen sowie eine spezifische Therapie erwogen werden.
Abstract
Infectious diarrhea belongs to the most frequent infections worldwide and can be elicited by a wide array of microbial pathogens. In developed countries transmission occurs much more frequently from contaminated food as compared to direct person-to-person contact, except for enteric viruses which can also be transmitted by aerosol formation after vomiting. In Germany, more than 90% of cases are caused by the four pathogens Norovirus, Rotavirus, Campylobacter and Salmonella. Therapy of infectious diarrhea is mainly supportive. In cases with a severe or prolonged course, signs of inflammation, bloody stool, immunosuppression, comorbidity and in suspected outbreaks, fecal microbial analysis should be performed and a specific therapy should be considered if indicated.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00108-011-2976-3
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Epple, HJ., Zeitz, M. Enteritis infectiosa. Internist 52, 1038–1046 (2011). https://doi.org/10.1007/s00108-011-2862-z
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DOI: https://doi.org/10.1007/s00108-011-2862-z