Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately. (See "Society guideline links: Acute diarrhea in children" and "Society guideline links: Clostridioides difficile infection".)
International
●World Health Organization (WHO): Acute diarrhoeal disease in complex emergencies – Critical steps (2018)
●World Gastroenterology Organisation (WGO): Global guidelines on acute diarrhea in adults and children – A global perspective (2012)
●WHO: First steps for managing an outbreak of acute diarrhoea (2010)
●WHO: Guidelines for the control of shigellosis, including epidemics due to Shigella dysenteriae type 1 (2005)
●WHO: The treatment of diarrhoea – A manual for physicians and other senior health workers, 4th revision (2005)
Canada
●Public Health Agency of Canada (PHAC): Canadian Immunization Guide
•Cholera and enterotoxigenic Escherichia coli (ETEC) travellers' diarrhea vaccine (2017)
•Rotavirus vaccine (2016)
●Choosing Wisely Canada: Don't prescribe prophylactic antibiotics to prevent travellers' diarrhea (2021)
●National Advisory Committee on Immunization (NACI): An Advisory Committee Statement (ACS) on rotavirus vaccines and intussusception, update (2016)
United States
●Advisory Committee on Immunization Practices (ACIP): Adult immunization schedule – Recommendations for ages 19 years or older, United States, 2022 (2022)
●Choosing Wisely: Do not order a comprehensive stool ova and parasite (O&P) microscopic exam on patients presenting with diarrhea less than seven days’ duration who have no immunodeficiency or no history of living in or traveling to endemic areas where gastrointestinal parasitic infections are prevalent. If symptoms of infectious diarrhea persist for seven days or longer, start with molecular or antigen testing and next consider a full O&P microscopic exam if other testing is negative (2020)
●American Society of Transplantation (AST): Guidelines on intestinal parasites including Cryptosporidium, Cyclospora, Giardia, & microsporidia, Entamoeba histolytica, Strongyloides, schistosomiasis, & echinococcus (2019)
●Centers for Disease Control and Prevention (CDC): Guidelines for the management of acute diarrhea after a disaster (2019)
●CDC: Yellow Book 2020 – Health Information for International Travel (published 2019)
•Campylobacteriosis
•Cholera
•Cryptosporidiosis
•Cyclosporiasis
•Giardiasis
•Norovirus
•Salmonellosis (nontyphoidal)
•Shigellosis
•Travelers' diarrhea
•Typhoid and paratyphoid fever
•Yersiniosis
●Choosing Wisely: Do not routinely test for community gastrointestinal stool pathogens in hospitalized patients who develop diarrhea after day 3 of hospitalization (2019)
●Infectious Diseases Society of America (IDSA): Clinical practice guidelines for the diagnosis and management of infectious diarrhea (2017)
●American College of Gastroenterology (ACG): Clinical guideline ─ Diagnosis, treatment, and prevention of acute diarrheal infections in adults (2016)
●CDC: Guideline for the prevention and control of norovirus gastroenteritis outbreaks in healthcare settings (2011)
●CDC: Updated norovirus outbreak management and disease prevention guidelines (2011)
●American Society for Gastrointestinal Endoscopy (ASGE): Guideline on the role of endoscopy in the management of patients with diarrhea (2010)
United Kingdom
●UK Health Security Agency (UKHSA): The Green Book
•Rotavirus (2013, updated 2015)
•Cholera (2013)
●Norovirus Working Party: Guidelines for the management of norovirus outbreaks in acute and community health and social care settings (2012)
Australia-New Zealand
●Australian Technical Advisory Group on Immunisation (ATAGI): The Australian Immunisation Handbook
•Rotavirus (2022)
•Cholera (2021)
●Choosing Wisely Australia: Do not investigate or treat for faecal pathogens in the absence of diarrhoea or other gastro-intestinal symptoms (2016)
