DEFINITION OF DIARRHOEA

  *passage of loose watery stools

  *more than 3 times a day

  *recent change in consistency

  *duration of 3-7 days

PROBLEM STATEMENT

  *I.8 billion episodes

  *3.2 million deaths per year

MODE OF TRANSMISSION

  *feco-oral

  *food and water borne

  *direct

  *fomites and fingers

CAUSATIVE ORGANISMS

  *viruses eg.rotavirus adenovirus

  *bacteria eg. shigelle ,vibrio cholerae

  *protozoans eg.giardia , entamoeba histolytica

 CLINICAL  FEATURES

-diarrhoea ,vomitting, abdominal pains

-fever

signs of dehydration-marked thirst ,sunken eyes ,dry tongue ,reduced skin turgor

-feeble pulse

- low bp

-diminished urine out put

MANAGEMENT

*fluid replacement

-replace established losses

-on -going losses

normal daily requirement.

*antibiotic therapy