Diarrheal disease and DRGs

Escherichia Coli in Diarrheal Disease

Transmission is by the fecal-oral route. Pili (fimbriae) allow the bacteria to colonize the ileal mucosa. Cytotonic enterotoxins (encoded on plasmid or bacteriophage DNA) induce watery diarrhea. Plasmid-encoded invasion factors permit invasion of the mucosa, and plasmidor bacteriophage-encoded cytotoxic enterotoxins induce tissue damage; the presence of either of these factors induces a host in...

Diarrheal Disease and Childhood Pneumonia in Cambodia

The vast majority of deaths from diarrhea occur in low-resource countries such as Cambodia, where families are at high risk for the disease as a result of living in poor sanitary conditions and not having access to safe water or to lifesaving treatment. Malnourished children are most at risk of dying due to severe diarrhea and a general lack of understanding among parents about the causes, symp...

Parasitic diarrheal disease: drug development and targets

Diarrhea is the manifestation of gastrointestinal infection and is one of the major causes of mortality and morbidity specifically among the children of less than 5 years age worldwide. Moreover, in recent years there has been a rise in the number of reports of intestinal infections continuously in the industrialized world. These are largely related to waterborne and food borne outbreaks. These...

Rotavirus genotypes and severity of diarrheal disease.

Urgencies and DRGs

Introduction Flat rates based on Diagnosis Related Groups (DRGs) are being introduced in a growing number of countries to remunerate acute inpatient treatment. In doing so, it will have to be decided – among other things – whether inpatient emergency services should be remunerated separately from the DRG flat rates or as part of them. Without separate remuneration, there may be a perception, or...