title: [Acute diarrhea: proposal for outpatient management].
abstract: In the majority of the cases, an acute diarrhea is mild and of spontaneously favorable evolution. It is however necessary to know how to recognize the situations being able to lead to complications, in particular to identify the invasive, inflammatory diarrheas, characterized by the presence of fever, abdominal pains, mucus and\or blood. The identification of leukocytes by microscopy or lactoferrine test is helpful. Empiric quinolones treatment is recommended in the presence of dysenteric syndrome (T > 38 degrees C, > 6 stods/24 h 00, abdominal pain muco-purulent diarrhea), advanced age, significant comorbidities, immunosuppression or presence of an endovascular prothesis.
authors.affiliation: PMU. serge.de-valliere@hospvd.ch
authors.forename: Serge
authors.initials: S
authors.lastname: de Vallière
authors.forename: Olivier
authors.initials: O
authors.lastname: Pasche
authors.forename: Christian
authors.initials: C
authors.lastname: Felley
authors.forename: Jacquez
authors.initials: J
authors.lastname: Cornuz
mesh_terms: D000208:Acute Disease; D000553:Ambulatory Care; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003967:Diarrhea / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D015532:Rehydration Solutions / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D015532:Rehydration Solutions