Book ISBN electronic: 978-1-61002-077-0
Bacterial enteritis should be considered in the child with fever and bloody diarrhea.
A thorough history, including diet, travel, and other exposure as well as physical examination findings can aid in distinguishing between bacterial pathogens.
Stool culture should be performed prior to initiation of antibiotics for bloody diarrhea.
Initial management of suspected bacterial enteritis should focus on rehydration and in most cases can be accomplished with oral rehydration therapy.
Uncomplicated salmonellosis does not require antibiotic treatment in the immunocompetent host. However, treatment should be considered in high-risk cases including children younger than 3 months and children with underlying gastrointestinal disorders, hemoglobinopathies, and immunosuppression.
Management goals for children with bacterial enteritis should include return to an age-appropriate diet as soon as possible. Restrictive diets are not recommended during acute diarrheal episodes
Succinct Pediatrics: Evaluation and Management of Infectious Diseases and Dermatology
Laura E. Norton, MD, James Christopher Day, MD, 2016. "Gastroenteritis", Succinct Pediatrics: Evaluation and Management of Infectious Diseases and Dermatology, Leonard G. Feld, MD, PhD, MMM, FAAP, John D. Mahan, MD, FAAP