title: [Etiology, diagnosis and course of infectious diarrhea in the Liestal canton hospital (5-year retrospective study)].
abstract: Between 1987 and 1991 219 patients (1.3% of all hospitalized patients) with acute infectious diarrhea were investigated retrospectively. 52% of the patients were hospitalized and 48% were outpatients. In 55% the inducing diarrhea microorganism could be identified. The most frequently detected pathogens were endemic Salmonella sp. and Campylobacter jejuni (65%). Imported diarrheas (Shigella sp. and parasites) were rare, as only 15% of the patients had a history of travel. All Clostridium difficile infections were associated with antibiotic treatment. The stool examinations for bacteria were positive in 92/160 patients (57%). Stool examinations for occult blood or fecal leukocytes were highly useful in detecting the infectious agent. In 70% of the patients with positive occult blood test or 81% of the patients with fecal leukocytes, an infectious agent in the stool was found. All patients recovered with few complications. 31% of the patients were treated by antibiotics because of septic disease or pathogenic parasites.
authors.affiliation: Abteilung für Gastroenterologie, Kantonsspital Basel.
authors.forename: F
authors.initials: F
authors.lastname: Galli
authors.forename: K
authors.initials: K
authors.lastname: Gyr
authors.forename: A
authors.initials: A
authors.lastname: Pulwitt
authors.forename: R
authors.initials: R
authors.lastname: Meier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001419:Bacteria / Q000302:isolation & purification*; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D005243:Feces / Q000166:cytology / Q000382:microbiology; D005260:Female; D016481:Helicobacter Infections / Q000382:microbiology; D006801:Humans; D007239:Infections / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D009780:Occult Blood; D012189:Retrospective Studies; D012480:Salmonella Infections / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Atiologie, Abklärung und Verlauf der infektiösen Diarrhoe am Kantonsspital Liestal (retrospektive 5-Jahres-Studie).