Therapy of diarrheal diseases


 * We start the therapy immediately, the initial therapy is always the same.
 * Adjustment of water and mineral metabolism is necessary.
 * For milder toxoinfections, this adjustment of metabolism is usually sufficient.
 * Tea is also served, slightly sweetened, or mineral water without bubbles.
 * WHO Rehydration Solution.
 * Valík's solution – for children, it contains more glucose, less K and Na.
 * For home preparation we need 4 tablespoons of sugar, 1 teaspoon of baking soda, ¾ teaspoons of salt, a cup of orange juice and than we add to all this water to 1 liter.
 * Severe course with vomiting – nasogastric tube is used in infants, in adults – i. v.
 * ATB do not use unless we have a causal diagnosis.
 * We use Endiaron as a disinfectant – 3-6 tablets a day, we do not take it for more than 5-7 days.
 * Adsorption – coal is usually without effect.
 * Do not use antispasmodics and antimotilics.

Use of antibiotics
The choice of antibiotics:
 * Controversial effect, it is necessary to CONSIDER treatment: they reduce the number of microbes, they do not usually affect the duration of the disease, the length of microbial excretion.
 * If bakteremia occurs – ATBs are indicated, as a prevention of sepsis and metastatic inflammatory lesions (organ absceses).
 * ETEC – cotrimoxazole, trimethoprim;
 * EPEC – cotrimoxazole;
 * EHEC – cotrimoxazole;
 * Shigella – cotrimoxazole, ampicillin (amoxicillin is ineffective), quinolones;
 * Campylobacter – fluoroquinolones, erythromycin;
 * Salmonella – cotrimoxazole, fluoroquinolones;
 * Vibrio cholerae – furazolidone (resistance is very rarely), doxycycline, cotrimoxazole, erythromycin, norfloxacin;
 * Clostridium difficile – metronidazole, vancomycin, teicoplanin.

Related articles

 * Antidiarrics