Management of bloody diarrhoea in children in primary care

doi:10.1136/bmj.39542.440417.BE

BMJ 2008;336:1010-1015 (3 May), doi:10.1136/bmj.39542.440417.BE

Clinical Review

Management of bloody diarrhoea in children in primary care

M Stephen Murphy, senior lecturer in paediatrics and child health, consultant paediatric gastroenterologist¹^,2

¹ Division of Reproductive and Child Health, Medical School, University of Birmingham, Birmingham B15 2TT, ² Birmingham Children’s Hospital NHS Foundation Trust, Birmingham B4 6NH

m.s.murphy@bham.ac.uk

The first 150 words of the full text of this article appear below.

Bloody diarrhoea is an uncommon symptom in children, and itmay indicate the presence of serious disease. This review focuseson children presenting in a primary care setting. The non-specialistshould be aware of the likely causes, initial management, andindications for specialist referral. The emphasis is on childrenin the developed world, although traveller’s diarrhoeais also considered. The epidemiology and management of thiscondition are different in the developing world, where infectiouscauses predominate. In recent years the reported incidence ofinflammatory bowel disease increased greatly in the developedworld and important advances have been made in its management.This diagnosis should always be considered carefully.

I used the Medline databaseto search for evidence from the literature. Randomised controlledtrials, meta-analyses, and Cochrane reviews were used when relevantand available. Other sources of evidence included large caseseries and cohort studies. I obtained information on the incidence. . . [Full text of this article]

Common causes
Less common or rare causes
Commoncauses
Less commonor rare causes
Resources for healthcareprofessionals
Resourcesfor parents

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

Relevant Articles

Test early for verotoxin producing Escherichia coli: Roland L Salmon, Meirion R Evans, Brendan W Mason, and Dirk Werber
BMJ 2008 336: 1147-1148. [Extract] [Full Text] [PDF]

Study of infectious intestinal disease in England: rates in the community, presenting to general practice, and reported to national surveillance: Jeremy G Wheeler, Dinesh Sethi, John M Cowden, Patrick G Wall, Laura C Rodrigues, David S Tompkins, Michael J Hudson, and Paul J Roderick
BMJ 1999 318: 1046-1050. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

Pollock, K. G. J., Stewart, A., Beattie, T. J., Todd, W. T. A., Ahn, C. K., Tarr, P. I., Cowden, J. M. (2009). From diarrhoea to haemolytic uraemic syndrome - when to seek advice. J Med Microbiol 58: 397-398 [Full text]
Salmon, R. L, Evans, M. R, Mason, B. W, Werber, D. (2008). Test early for verotoxin producing Escherichia coli. BMJ 336: 1147-1148 [Full text]

Rapid Responses:

Read all Rapid Responses

What about general paediatrics: Glyn Jones
bmj.com, 2 May 2008 [Full text]
General paediatricians - The 'missing' link: Cheri Mathews John, et al.
bmj.com, 6 May 2008 [Full text]
Zinc supplementation in diarrhea: Cesar Augusto Guevara-Cuellar, et al.
bmj.com, 9 May 2008 [Full text]
Management of bloody diarrhoea in children should include early testing for Verotoxin (Shigatoxin) producing (VT+) Escherichia coli: Roland L. Salmon, et al.
bmj.com, 10 May 2008 [Full text]