<p>Acute infectious gastroenteritis (AGE) is one of the most common pediatric diseases. Infants and young children are most frequently affected, with around 1–2&#xa0;episodes per year. In Germany norovirus infections are most frequently reported in under 5‑year-olds, followed by rotavirus, <i>Campylobacter</i> and <i>Salmonella</i> infections. In this revised version of the guidelines on acute infectious gastroenteritis in infancy, childhood and adolescence, many recommendations were modified or newly introduced. This was necessary because of the wider availability of gastroenteritis panels for multiplex polymerase chain reaction (PCR) as a&#xa0;diagnostic option, different assessments regarding the benefits of probiotic treatment in AGE, new data on the administration of ondansetron for vomiting and new treatment options for <i>Clostridioides difficile</i> infections. New chapters on parental needs and research requirements have also been added. From the perspective of choosing wisely, widely used but unnecessary diagnostic and therapeutic measures are explicitly discouraged.</p>

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Aktualisierte Leitlinie „Akute infektiöse Gastroenteritis“

  • Carsten Posovszky,
  • Almuthe Christine Hauer,
  • Florian Schmid,
  • Anna-Maria Schneider,
  • Stephan Buderus,
  • Philip Wintermeyer,
  • Kathrin Krohn,
  • Rüdiger Adam,
  • Jan de Laffolie

摘要

Acute infectious gastroenteritis (AGE) is one of the most common pediatric diseases. Infants and young children are most frequently affected, with around 1–2 episodes per year. In Germany norovirus infections are most frequently reported in under 5‑year-olds, followed by rotavirus, Campylobacter and Salmonella infections. In this revised version of the guidelines on acute infectious gastroenteritis in infancy, childhood and adolescence, many recommendations were modified or newly introduced. This was necessary because of the wider availability of gastroenteritis panels for multiplex polymerase chain reaction (PCR) as a diagnostic option, different assessments regarding the benefits of probiotic treatment in AGE, new data on the administration of ondansetron for vomiting and new treatment options for Clostridioides difficile infections. New chapters on parental needs and research requirements have also been added. From the perspective of choosing wisely, widely used but unnecessary diagnostic and therapeutic measures are explicitly discouraged.