ehsherihioza - an acute intestinal infection, which is caused by pathogenic Escherichia coli.The disease is manifested by inflammation of the mucous membrane of the intestines, general intoxication, fever, dehydration.
ehsherihioza causative pathogenic variants are representative of the normal microflora of the intestinal Escherichia coli (E. coli).The bacteria are not killed in the external environment, remain viable in water, soil and household items for about three months.Pathogens ehsherihioza well tolerated drying, but are killed by boiling or when they are exposed to disinfectants.
E. coli not only able to persist in food, while it rather quickly multiplies in them.
ehsherihioza ill adults, but the cup is manifested in children.The carrier of infection is a sick man.For ehsherihioza characterized by fecal-oral mechanism of transmission.The causative agent is released with feces from sick people, and then it gets into the food, soil, water, on everyday o
Infectious agents are introduced into the digestive tract and reach the small intestine, where they are fixed on the mucosa and begin to reproduce, resulting in the destruction of mucosal cells.Toxin ehsherihioza particular pathogen causes destruction of the walls of blood vessels of the gut, which may lead to the development of necrosis (tissue necrosis, cells).
Infants diagnosed enteropathogenes ehsherihioza (EPE), which usually occurs in children between three and twelve months.It weakened children with various comorbidities, babies who are bottle-fed.
ehsherihioza may occur and in newborns, especially premature or children at risk.
for diseases characterized by both isolated cases and outbreaks.
Enteroinvasive ehsherihioza (EIE) in children of all ages, but most often it affects children between two and six years.Among the varieties of this disease clinic EIE studied in detail.
Infection of children occurs through contact and food from the mother or from the medical staff.The carrier may be ehsherihioza and sick child, especially dangerous communication with an acute form of the disease.At risk are babies who are fed artificially.In such cases, E. coli enters the body through the milk mixture, and through insufficiently washed and specially treated dishes.You also can not exclude the occurrence of an endogenous pathway ehsherihioza children.This contributes to the penetration of EPKP (enteropathogenic strains of Escherichia coli) in the upper sections of the intestine.The disease spreads among children who suffer from dysbiosis, children with weakened immune systems.
Another cause of the disease is associated with climatic conditions.In hot countries, the risk of ehsherihioza increases not only in children but also in adults.
One of the important factors ehsherihioza serve the living conditions of the people here should include home improvement, getting all family members of high-quality food, clean water, and their compliance with the rules of personal hygiene.
disease begins in the acute form.Generally, the incubation period lasts no more than 8 days.In frail infants and toddlers at a mass infection it can be reduced to 1 - 2 days.
are three forms of flow ehsherihioza:
- Mild.The symptoms of intoxication are expressed clearly.The patient there is a weakness, loss of appetite, mild, aching pain in the abdomen, the body temperature can not be changed.The chair is not more than 5 times a day liquid consistency.
- moderate form.Symptoms expressed brighter.The body temperature rises to 39 degrees.The patient was shivering, there is a weakness, headaches, pain in the abdomen.In this form ehsherihioza vomiting may occur.The stools are profuse and watery with mucus, green.Chair up to 10 times per day.
- In severe ehsherihioza body temperature can rise above 39 degrees, the patient chair palpitations, sometimes more than 10 times per day.Gradually increase in symptoms of dehydration due to loss of water during heavy vomiting and diarrhea.This form of the disease manifests itself rarely.
When diagnosing ehsherihioza primarily conducted crop pathogens, which is taken from vomit or feces.In a generalized form of the disease is planting of bile, blood, urine, cerebrospinal fluid.
To date, laboratory diagnostics ehsherihioza also practiced a method for determining the presence of toxins in the stool of the patient.
In severe form of the disease the patient's blood test shows the presence of hemolytic anemia, and elevated levels of urea and creatinine.
to treat ehsherihioza used drugs in accordance with the degree of severity of the disease, and at the same time takes into account the period of the disease and the patient's age.
necessary use of antibiotics, the patient is prescribed polymyxin M, nifuroxazide, nalidixic acid for 5 days, treatment ehsherihioza severe form requires the use of broad spectrum antibiotics.
appointed probiotics (lactobacilli and bifidobacteria) After the cancellation of antimicrobials;to improve digestion processes take enzyme preparations (Creon, mezim forte, pancreatin, abomin, Festal).
With the development of dehydration the patient requires emergency therapy aimed at replenishing the amount of fluid lost.
ehsherihioza treatment in infants and sick children under the age of one year, children under two years old with medium severe and severe disease was compulsory in infectious diseases hospitals.
important condition for treatment ehsherihioza a light diet, which is aimed at limiting the amount of fat consumed, reducing the amount of digestible carbohydrates, while maintaining standards of protein consumed.Reduce the amount of salt consumed, banned products that contribute to irritation of the mucous membrane of the gastrointestinal tract (mustard, horseradish, soft drinks).The patient can not eat fatty meats, fish, sausages.Excluded are canned, all kinds of meats, pickles, mushrooms.Under the strict prohibition of chocolate and other confectionery products.
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