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Diarrheal Disease in the Hospitalized Patient

Published online by Cambridge University Press:  02 January 2015

Peter H. Gilligan
Peter H. Gilligan*
Affiliation:
Clinical Microbiology-Immunology Laboratories, North Carolina Memorial Hospitaland Departments of Microbiology & Immunology and Medicine, School of Medicine, University of North Carolina
*
Department of Microbiology & Immunology, School of Medicine, University of North Carolina, Chapel Hill, NC 27514
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Extract

In the past 15 years, our knowledge of the pathogenesis and etiologic agents of diarrheal disease has expanded rapidly. No longer is it scientifically appropriate or cost effective for the laboratory simply to culture a stool for Salmonella and Shigella and to do a wet mount for amebae. Today we have a plethora of agents including, but not limited to, Campylobacter, Yersinia, Clostridium difficile, Escherichia coli, Aeromonas, Plesiomonas, vibrios, rotavirus, Norwalk agent, Giardia, and Cryptosporidium, which have all been suggested to be agents of diarrheal disease. Given such a wide range of possibilities, what approaches should be taken to determine the etiologic agent of diarrheal disease in the hospitalized patient in an era of cost containment?

Type
Special Sections
Information
Infection Control & Hospital Epidemiology , Volume 7 , Issue 12 , December 1986 , pp. 607 - 609
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1986

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