Bacillary dysentery

When it comes to bacillary dysentery, I believe many of my friends will be very scared. Because bacillary dysentery is one of the most contagious diseases, and its clinical manifestations and symptoms include chills, abdominal pain, and even bloody stools. In severe cases, it may even cause drowsiness, coma, respiratory failure, etc. How to treat bacillary dysentery?

In fact, bacterial dysentery is very harmful to our human body. In addition, this type of disease mainly occurs in children and adolescents. In addition to being related to bad hygiene habits, it is also related to infections such as some bacteria and viruses. Here I will introduce to you the treatment methods of bacillary dysentery.

Bacillary dysentery

Bacillary dysentery is abbreviated as bacillary dysentery. It is an intestinal infectious disease caused by Shigella (Shigella dysenteriae). The main clinical manifestations include chills, fever, abdominal pain, diarrhea, tenesmus, and mucus, pus and blood in the stool. Toxic bacillary dysentery has an acute onset, sudden high fever, repeated convulsions, drowsiness, coma, rapid onset of circulatory and respiratory failure, while intestinal symptoms are mild or absent, and the condition is serious. Bacillary dysentery occurs year-round, more often in summer and autumn. It is a common and frequently occurring disease in my country. This disease can be treated with effective antibiotics and has a high cure rate. Poor therapeutic effects or chronicity are often caused by lack of formal treatment, untimely treatment, improper use of drugs or infection with drug-resistant strains.

Causes

1. Source of infection: The source of infection includes patients and carriers. Among patients, acute and non-acute typical bacillary dysentery and chronic latent bacillary dysentery are the main sources of infection.

2. Transmission route: Shigella dysenteriae is excreted in the feces of patients or carriers, and is transmitted through contaminated hands, food, water sources or daily contact, or indirectly through flies, cockroaches, etc., and eventually enters the digestive tract through the mouth to infect susceptible people.

3. Population susceptibility: The general population is susceptible to Shigella dysenteriae, with preschool children being more susceptible, which is related to poor hygiene habits. Adult patients have reduced body resistance and more opportunities for contact infection. In addition, there is no consolidation of immunity after suffering from the same type of bacillary dysentery, and there is no cross-immunity between different bacterial groups and different serotypes of Shigella dysenteriae, resulting in repeated infection or reinfection and repeated illness.

treat

1. Treatment of acute bacillary dysentery

(1) General treatment: bed rest and gastrointestinal isolation. Provide an easily digestible, high-calorie, high-vitamin diet. For patients with high fever, abdominal pain, and dehydration, antipyretics, antispasmodics, oral salt rice soup, or oral rehydration salts (ORS) should be given. Those who vomit require intravenous rehydration, 1500ml to 3000ml per day. (2) Due to the increase in drug-resistant strains, it is best to use ≥ 2 antimicrobial drugs for pathogen treatment.

2. Treatment of toxic dysentery

(1) For anti-infection, sensitive antibacterial drugs should be selected and used in combination, administered intravenously, and then switched to oral administration after the patient's condition improves. (2) Control high fever and convulsions. (3) Treatment of circulatory failure: basically the same as the treatment of septic shock. The main ones are: ① expand effective blood volume; ② correct acidosis; ③ cardiotonic treatment; ④ relieve vasospasm; ⑤ maintain acid-base balance; ⑥ apply glucocorticoids. (4) Prevent and treat cerebral edema and respiratory failure.

3. Treatment of chronic bacillary dysentery

(1) Find the cause and treat it accordingly. Avoid excessive fatigue, do not let your abdomen get cold, and do not eat raw or cold food. People with weak constitution should use immune enhancers in time. When an imbalance in intestinal flora occurs, avoid the abuse of antibiotics and immediately stop using resistant antibiotics. Use enzyme-producing lactobacillus instead to facilitate the growth of anaerobic bacteria in the intestines. (2) For patients with long-term intestinal mucosal lesions, retention enema therapy is also used.

Regarding the treatment of bacillary dysentery, in fact, bacillary dysentery can be easily transmitted through contact with contaminated food, even water sources, or patients carrying the bacteria. In addition, preschool children are extremely susceptible to illness and infection because of their fragile bodies. Therefore, guardians of children must supervise them to wash their hands frequently after going out, which can greatly prevent the occurrence of such diseases.