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Acute infectious diarrhea Detailed clinical and exposure history should be obtained to ascertain causes Patient with fever or bloody diarrhea should be evaluated for enteric pathogens, especially if antimicrobial agents would be beneficial Travelers diarrhea If uncomplicated and unless treatment is indicated, diagnostic testing is not recommended If diarrhea lasts 14 days or longer, stool testing should be performed (including testing for parasitic infections) Multiple-pathogen nucleic acid amplification test results should be interpreted with caution and within the appropriate clinical contextthese assays detect DNA and not necessarily viable organisms Testing for fecal leukocytes or lactoferrin is typically not useful because of low sensitivity and specificity Postinfection and extraintestinal manifestations associated with enteric infections are common Enteric Bacterial Infections Compared to viral infections, enteric bacterial infections are relatively uncommon causes of acute diarrhea, and the indiscriminate culturing of stool from patients with acute diarrhea produces few positive findings, with an unacceptably high cost per culture with positive results

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