Non-inflammatory acute diarrhea

Question 1

how do you treat giarda

Answer 1

Metronidazole, tinidazole

Paromomycin is safe in pregnancy

Symptomatic but studies negative, consider empiric tx

Household/day care should be tested & treated

Water must be filtered, not just chlorinated – boil water for 1 minute, disposal of diapers/good hand hygiene

Question 2

how do you treat severe ETEC

Answer 2

fluoroquinolones

Question 3

how do you treat cholera

Answer 3

Mild or moderate = oral rehydration is adequate
½ tsp table salt + 6 tsp of sugar + 1L water

IV fluids for severe hypovolemia (lactated ringers)

Antimicrobial therapy = shorten illness course for severely ill patients: tetracyclines, macrolides, fluoroquinolones