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Reintam Blaser, A; Deane, AM; Fruhwald, S.
Diarrhoea in the critically ill.
Curr Opin Crit Care. 2015; 21(2):142-153
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Autor/innen der Med Uni Graz:
Fruhwald Sonja
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Abstract:
To summarize existing evidence on definition, epidemiology, mechanisms, risk factors, consequences, outcome and management of diarrhoea in the critically ill. In health, diarrhoea is defined as the passage of three or more loose or liquid stools per day. In the critically ill, the diagnosis is yet to be formalized and reported prevalence of diarrhoea varies according to the definition used. Recent studies estimate the prevalence between 14 and 21% and describe risk factors for diarrhoea in critically ill patients. The precipitant of diarrhoea always needs to be identified, as targeted therapies are important for several causes. Although the majority of patients with diarrhoea require only supportive care, it is always essential to exclude, or confirm and treat infectious diarrhoea. There is little evidence to support delaying or withdrawing provision of enteral nutrition in patients with diarrhoea, and we recommend continuing enteral nutrition whenever possible. However, the consequences of diarrhoea - hypovolaemia, electrolyte disturbances, malnutrition, skin lesions and contamination of wounds - should be avoided or at least recognized promptly. A definition of diarrhoea and a practical approach to identify the precipitant and to manage diarrhoea in critically ill patients are proposed.
Find related publications in this database (using NLM MeSH Indexing)
Critical Illness -
Diagnosis, Differential -
Diarrhea - epidemiology
Diarrhea - etiology
Diarrhea - physiopathology
Diarrhea - therapy
Enteral Nutrition - methods
Humans -
Risk Factors -
Severity of Illness Index -

Find related publications in this database (Keywords)
Clostridium difficile
diarrhoea
enteral nutrition
infectious diarrhoea
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