Gastroenteritis is an inflammation of the gastrointestinal tract involving both the stomach and small intestine, which results in diarrhoea and vomiting, and sometimes abdominal pain. It is usually caused by a virus: most commonly rotavirus and norovirus, but also adenovirus and astrovirus. Other major infectious causes include Campylobacter, Escherichia coli, Vibrio cholerae and some other bacteria, as well as protozoa. Viruses, particularly rotavirus, cause about 70% of gastroenteritis episodes in children, while norovirus is the leading cause of gastroenteritis among adults in America, causing over 90% of outbreaks.
Transmission can be from consumption of improperly prepared foods or contaminated water, or by close contact with infectious individuals. Good sanitation practices and a convenient supply of uncontaminated water are important for reducing infection. Personal measures such as hand washing with soap can decrease incidence by as much as 30%. An estimated 2 billion cases of gastroenteritis occurred globally in 2015, mainly among children and people in developing countries, resulting in 1.3 million deaths. Gastroenteritis is usually an acute and self-limiting disease that does not require medication; the main treatment is rehydration using oral rehydration therapy. A rotavirus vaccine is available.