Salmonellosis other diagnostic studies: Difference between revisions
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====Lactoferrin Testing==== | ====Lactoferrin Testing==== | ||
Some studies advocate the importance to test for [[fecal]] [[lactoferrin]]. This test is considered more sensitive than simple microscopic examination of [[PMN]]. However, its cost and high rate of [[false-positive]]s in breast-fed children, limit its application.<ref name="pmid11170940">{{cite journal| author=Guerrant RL, Van Gilder T, Steiner TS, Thielman NM, Slutsker L, Tauxe RV et al.| title=Practice guidelines for the management of infectious diarrhea. | journal=Clin Infect Dis | year= 2001 | volume= 32 | issue= 3 | pages= 331-51 | pmid=11170940 | doi=10.1086/318514 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11170940 }} </ref> | Some studies advocate the importance to test for [[fecal]] [[lactoferrin]]. This test is considered more sensitive than simple microscopic examination of [[PMN]]. However, its cost and high rate of [[false-positive]]s in breast-fed children, limit its application.<ref name="pmid11170940">{{cite journal| author=Guerrant RL, Van Gilder T, Steiner TS, Thielman NM, Slutsker L, Tauxe RV et al.| title=Practice guidelines for the management of infectious diarrhea. | journal=Clin Infect Dis | year= 2001 | volume= 32 | issue= 3 | pages= 331-51 | pmid=11170940 | doi=10.1086/318514 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11170940 }} </ref><ref name="pmid8953074">{{cite journal| author=Hines J, Nachamkin I| title=Effective use of the clinical microbiology laboratory for diagnosing diarrheal diseases. | journal=Clin Infect Dis | year= 1996 | volume= 23 | issue= 6 | pages= 1292-301 | pmid=8953074 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8953074 }} </ref><ref name="pmid8815110">{{cite journal| author=Choi SW, Park CH, Silva TM, Zaenker EI, Guerrant RL| title=To culture or not to culture: fecal lactoferrin screening for inflammatory bacterial diarrhea. | journal=J Clin Microbiol | year= 1996 | volume= 34 | issue= 4 | pages= 928-32 | pmid=8815110 | doi= | pmc=PMC228919 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8815110 }} </ref><ref name="pmid7993149">{{cite journal| author=Miller JR, Barrett LJ, Kotloff K, Guerrant RL| title=A rapid test for infectious and inflammatory enteritis. | journal=Arch Intern Med | year= 1994 | volume= 154 | issue= 23 | pages= 2660-4 | pmid=7993149 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7993149 }} </ref> | ||
===Colonoscopy=== | ===Colonoscopy=== | ||
Revision as of 02:20, 22 August 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2] Jolanta Marszalek, M.D. [3]
Overview
Other Diagnostic Studies
Stool Cultures
Stool cultures in adequate culture media, allow the correct identification of the pathogen responsible for the infectious diarrhea. The identification of the organism allow specific treatment of the disease, as well as appropriate follow-up recommendations.[1]
Lactoferrin Testing
Some studies advocate the importance to test for fecal lactoferrin. This test is considered more sensitive than simple microscopic examination of PMN. However, its cost and high rate of false-positives in breast-fed children, limit its application.[1][2][3][4]
Colonoscopy
For some cases of bloody diarrhea of unknown origin, a colonoscopy is indicated. It contributes to the diagnosis by confirming or ruling out conditions such as ulcerative colitis or malignancy.[1]
References
- ↑ 1.0 1.1 1.2 Guerrant RL, Van Gilder T, Steiner TS, Thielman NM, Slutsker L, Tauxe RV; et al. (2001). "Practice guidelines for the management of infectious diarrhea". Clin Infect Dis. 32 (3): 331–51. doi:10.1086/318514. PMID 11170940.
- ↑ Hines J, Nachamkin I (1996). "Effective use of the clinical microbiology laboratory for diagnosing diarrheal diseases". Clin Infect Dis. 23 (6): 1292–301. PMID 8953074.
- ↑ Choi SW, Park CH, Silva TM, Zaenker EI, Guerrant RL (1996). "To culture or not to culture: fecal lactoferrin screening for inflammatory bacterial diarrhea". J Clin Microbiol. 34 (4): 928–32. PMC 228919. PMID 8815110.
- ↑ Miller JR, Barrett LJ, Kotloff K, Guerrant RL (1994). "A rapid test for infectious and inflammatory enteritis". Arch Intern Med. 154 (23): 2660–4. PMID 7993149.