Therapy of diarrheal diseases
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- 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.
| H2O | 1 liter |
| NaCl | 3,5 g |
| NaHCO3 | 2,5 g |
| KCl | 1,5 g |
| glucose | 20 g |
- 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[edit | edit source]
- 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).
The choice of antibiotics:
- 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.
Links[edit | edit source]
Related articles[edit | edit source]
Sources[edit | edit source]
- BENEŠ, Jiří. Studijní materiály [online]. ©2010. [cit. 2010]. <http://jirben.wz.cz>.
References[edit | edit source]
- HAVLÍK, Jiří, et al. Infektologie. 2. edition. Praha : Avicenum, 1990. pp. 393. ISBN 80-201-0062-8.
- LOBOVSKÁ, Alena. Infekční nemoci. 1. edition. Praha : Karolinum, 2001. pp. 263. ISBN 80-246-0116-8.
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