Symptoms of acute gastroenteritis (<2-weeks):

Vomiting, diarrhea, colicky abdominal pain

Consider other causes of non-infective diarrhea

Presence of:
- Immunocompetent host with high grade fever more than 3 days, or in sepsis
- Suspected enteric fever
- Dysenteric diarrhea (passage of grossly bloody stool)
- Recently traveled internationally with body temperature ≥ 38.5 °C and/or signs of sepsis.
- Immunocompromised host

*In the absence of these features, the aetiology is usually viral in origin and antibiotic therapy is not
needed

No Yes

Refer hospital for microbiologic

Initiate symptomatic treatment
investigations and pathogen directed
e.g. encourage clear fluid intake, ORS
treatment