Diagnostic Procedures and Treatment of Infectious Colitis Yusuke Saitoh 1 , Takahiro Sasaki 1 , Ryuji Sugiyama 1 , Ryuji Sukegawa 1 , Yuhei Inaba 1 , Motoya Tominaga 1 , Kenichiro Ozawa 1 , Masaki Taruishi 1 , Mikihiro Fujiya 2 1Digestive Disease Center, Asahikawa City Hospital Asahikawa, Japan 2Division of Gastroenterology and Hematology Oncology, Department of Medicine, Asahikawa Medical College, Asahikawa, Japan Keyword: 感染性腸炎 , 食中毒 , 炎症性腸疾患 , 補液 , 抗菌薬 pp.391-398
Published Date 2018/4/25
DOI https://doi.org/10.11477/mf.1403201322
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 For the differential diagnosis of infectious colitis as well as to obtain its precise diagnosis, the evaluation of clinical findings is of utmost importance. A detailed disease history can help narrow down the diagnostic possibilities and lead to the precise diagnosis of infectious colitis. Definite diagnosis can be obtained by supplementing tests such as bacterial examinations with stool or blood samples, biochemistry, and genetic tests. The combined application of the imaging studies of ultrasound, CT scan, radiography, or colonoscopy for the analyses of the location, shape, and alignment of the lesions is useful for differentially diagnosing infectious colitis from IBD. The correction of dehydration by drip infusion, dietary therapy, and administration of adequate antibiotic drugs are considered to be most important approaches for the treatment of infectious colitis. In case of incomplete information on the disease-causing bacteria, the administration of new quinolone or fosfomycin is recommended as an empiric therapy.

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