지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: Stool exams are a useful tool for the early presumptive diagnosis of infectious bacterial diarrhea in the Emergency Department (ED). CT scans are often used to increase the physician’s level of certainty and to facilitate patient triage by identifying the source of pain in most patients with an acute abdomen in the ED. This study was designed to investigate the correlation between stool exams and abdominal CT in patients with acute diarrhea visiting the ED.
Methods: We conducted a retrospective study in the emergency department of a national university hospital from January 1, 2012 to June 30, 2013. The subjects consisted of 156 patients with acute diarrhea and abdominal pain who had stool exam results and abdominal CT findings. We divided the patients into three groups according to the stool exam results. Simultaneously, we evaluated their CT findings of the bowel and adjacent structures.
Results: A total of 156 patients were enrolled. Frequency of abnormal CT findings showed statistically significant correlation with stool exams (p-value <0.001). Abnormal CT findings increased as WBCs and RBCs in stool increased (pvalue <0.001).
Conclusion: The stool exam was a statistically significant predictive variable in indirectly determining the severity of acute diarrhea and it showed correlation with the frequency of abnormal CT findings. It is suggested that stool exams can be used as a susceptible marker for predicting the probability of severe infectious colitis, and for making an early decision regarding close medical attention.
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참고문헌 (17)
참고문헌 신청
Kroser JA / 1996 / Evaluation of the adult patient with diarrhea / Primary Care : Clinics in Office Practice 23:629~647
Thielman NM / 2004 / Clinical practice. Acute infectious diarrhea / N Engl J Med 350:38~47
Brownlee HJ, Jr / 1990 / Management of acute nonspecific diarrhea / Am J Med 88:1S
Goodgame R / 2006 / A Bayesian approach to acute infectious diarrhea in adults / Gastroenterol Clin North Am 35:249~273
Savola KL / 2001 / Fecal leukocyte stain has diagnostic value for outpatients but not inpatients / J Clin Microbiol 39:266~269
Thielman NM / 2004 / Clinical practice. Acute infectious diarrhea / N Engl J Med 350:38~47
Brownlee HJ, Jr / 1990 / Management of acute nonspecific diarrhea / Am J Med 88:1S
Goodgame R / 2006 / A Bayesian approach to acute infectious diarrhea in adults / Gastroenterol Clin North Am 35:249~273
Savola KL / 2001 / Fecal leukocyte stain has diagnostic value for outpatients but not inpatients / J Clin Microbiol 39:266~269
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