Bacterial enteritis

Description:

This inflammatory disease of a small bowel of bacterial genesis.

Symptoms of Bacterial enteritis:

At bacterial and viral diseases the headache, symptoms of intoxication, temperature increase are observed. An important symptom is the diarrhea. The chair happens 2 — 6 times a day, weighing 1 — 2 kg (it is normal — about 200 g), liquid, to bile impurity. Watery excrements to 10 — 15 times a day are noted seldom.

The patient is pale. Language is laid over, dryish. At big ponosa symptoms of dehydration of an organism — mucous dry, skin flabby are noted, its turgor is lowered, the stomach which sank down at accumulation of gases is blown up. In the course of a palpation diffusion morbidity in mezogastralny area is defined. Can be slightly increased a spleen and a liver. In blood — a leukocytosis neutrophylic, the increased SOE. In Calais the increased amount of starched grains, undigested muscle fibers, fat, a cellulose, slime, leukocytes, accumulations of a cylindrical epithelium come to light, washed.

Reasons of Bacterial enteritis:

Are among etiological agents of bacterial enteritis: the typhus, tifoparatifozny, toxi-infectious  enterita caused by typroid, paratyphoid  microflora, streptococci, other bacteria which can be the cause of toksiko-bacterial  infection of food. Cholera is a striking example of bacterial enteritis.

Treatment of Bacterial enteritis:

The bed rest is necessary at the easy course of acute bacterial  enteritis within 3 — 5 days. At the heavy course of acute bacterial  enteritis with signs of disturbance of water and electrolytic exchange and intoxication the bed rest is obligatory for 7 — 15 days.
At intoxication treatment begins with a gastric lavage, purpose of Carbolenum (on 1 g 3 — 4 times a day), a cleansing enema. Within the first 1 — 2 days mineral water (1 — 2 bottles a day), tea, kissel, compote are necessary (liquids about 2 l a day are given). Then the diet gradually extends: the wiped groat or vegetable soups, rice or semolina porridge on butter, light meat in a melkorubleny look, boiled frikadel, the steamed cutlets, milk soups, tvorozhnik, etc. The diet extends gradually taking into account fermentative and putrefactive processes in intestines.
At disturbance of water and electrolytic exchange and intoxication 5% glucose solution, isotonic solution of sodium chloride, Polyglucinum, Aminopeptidum, Phillips's solutions are kapelno intravenously entered (in a total dose to 2 — 3 l a day). Sulfanamide drugs are appointed (Ftalazolum — on 1 g 4 times a day, Disulforminum — on 1 g of 4 — 6 times, Salazosulfapyridinum — on 1 g 3 times).
Antibiotics are applied only at a heavy current of enterit of bacterial character (levomycetinum — on 0,5g 4 times a day, tetracycline — to 0,25g 4 times a day, streptomycin — on 0,25g intramusculary 4 times a day).
At a candidiasis of intestines are shown curdled milk or лактобактерин — on 3 — 6 doses 3 times a day or бификол — on 1 ampoule 2 times a day, nystatin — on 500 000 PIECES 3 — 4 times a day.
For reduction of diarrhea Intestopanum (on 0,240g 2 — 3 times a day, it is effective also at an amoebic coloenteritis), a papaverine or Nospanum are used.