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 intestinal flora 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 is not only able to remain in food while it pretty quickly multiplies in them.
Ehsherihioza ill adults, but it appears the bowl in children. The carrier of infection is a sick man. For ehsherihioza characteristic fecal-oral mechanism of transmission. The causative agent is released with the feces of sick people, and then it gets into food, soil, water, household items and to post on the human hand, and that causes the infection.
Infectious agents are introduced in the digestive tract and reach the small intestine, where they are fixed on the mucosa and begin to proliferate, leading to the destruction of the mucosal cells. Particular toxin ehsherihioza pathogen causes destruction of blood vessel walls intestine that may lead to the development of necrosis (tissue necrosis, cells).
In young children diagnosed enteropathogenes ehsherihioza (EPE), which occurs more often in children between three and twelve months. It weakened children with various comorbidities, kids who are bottle-fed.
Ehsherihioza may occur and the newborn, especially premature or children at risk.
For the disease characterized as isolated cases and outbreaks.
Enteroinvasive ehsherihioza (EIE) in children of all ages, but most of them children suffer from two and up to six years. Among the varieties of this disease clinic EIE studied in detail.
Infection of children takes place contact-by food from the mother or from the medical staff. The carrier may be ehsherihioza and sick child, especially dangerous communication in the 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 intestine. The disease is spreading among children who suffer 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 members of the family of high-quality food, clean water, and their compliance with the rules of personal hygiene.
The disease begins in the acute form. Generally, the incubation period lasts for more than 8 days. In frail infants and toddlers at a mass infection, he may be reduced to 1 - 2 days.
There 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 stomach, the body temperature can not be changed. The stool 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. Profuse and watery stools 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 severe vomiting and diarrhea. This form of the disease manifests itself very rarely.
When diagnosing ehsherihioza primarily conducted crop pathogens, which is taken from vomit or feces. In a generalized form of the disease seeding is done from the bile, blood, urine, cerebrospinal fluid.
To date, laboratory diagnosis 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.
For treatment ehsherihioza used drugs in accordance with the severity of the disease, it is also taken into account in this period of illness, and patient's age.
It is necessary to use antibacterial agents, the patient appoint polymyxin M nifuroxazide, nalidixic acid for 5 days, the treatment of severe ehsherihioza requires the use of broad-spectrum antibiotics.
After the abolition of antibacterial agents are appointed by the probiotics (lactobacilli and bifidobacteria); to improve digestion processes take enzyme preparations (Creon, mezim forte, pancreatin, abomin, festal).
With the development of dehydration patients need emergency treatment, aimed to fill the amount of fluid lost.
Treatment ehsherihioza in newborns and sick children aged under one year, children up to two years from the middle of heavy and severe forms of the disease shall be required in the infectious diseases hospital.
An important condition for treatment ehsherihioza a light diet, which is aimed at limiting the amount of fat consumed, reducing the amount of digestible carbohydrates, maintaining standards of protein consumed. Reduce the intake of salt, banned products that contribute to irritation of the mucous membrane of the gastrointestinal tract (mustard, horseradish, carbonated beverages). The patient can not eat fatty meat, fish, sausage. Excluded are canned, all kinds of meats, pickles, mushrooms. Under the strict ban on chocolate and other confectionery products.