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Chronic diarrhea (alternate spelling: diarrhoea) of infancy, also called toddler's diarrhea, is a common condition typically affecting up to 1.7 billion children between ages 6–30 months worldwide every year, usually resolving by age 4.
Outbreaks of rotavirus A diarrhoea are common among hospitalised infants, young children attending day care centres, and elderly people in nursing homes. [75] [135] An outbreak caused by contaminated municipal water occurred in Colorado in 1981. [136] During 2005, the largest recorded epidemic of diarrhoea occurred in Nicaragua.
Diarrhea is the spelling in American English, whereas diarrhoea is the spelling in British English. Slang terms for the condition include "the runs", "the squirts" (or "squits" in Britain [13]) and "the trots". [14] [15] The word is often pronounced as / ˌ d aɪ ə ˈ r iː ə / DY-ə-REE-ə.
The condition is usually caused by Gram-positive enteric commensal bacteria of the gut (). Clostridioides difficile is a species of Gram-positive bacteria that commonly causes severe diarrhea and other intestinal diseases when competing bacteria are wiped out by antibiotics, causing pseudomembranous colitis, whereas Clostridium septicum is responsible for most cases of neutropenic enterocolitis.
Front cover of a PCHR from the late 1990s. The paper based child health record as used by the UK National Health Service [1] is popularly known as the "Red Book." It is given to the parents on or just after the birth of their child, and is used by parents to record standard health details such as height and weight as well as developmental milestones such as first words and first time walking. [2]
The trust increased private income by 18.9% from 2014 to 2016, a total of £43 million. 80% of its private patient income comes from overseas. [8] Income rose to £55.2 million in 2106/7. In July 2017 £24.4 million was overdue from patients based abroad, mostly in cases of sponsorship by a government or other international organisation.
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Generally speaking, viral gastroenteritis accounts for 21–40% of the cases of infectious diarrhea in developed countries. [ 29 ] Norovirus is the leading cause of gastroenteritis among adults in America accounting for about 90% of viral gastroenteritis outbreaks. [ 18 ]