bacterial enteritis
Introduction
Introduction to bacterial enteritis Bacterial enteritis is a type of digestive medicine inflammation, which includes Salmonella, Aspergillus, Escherichia coli, etc., caused by unsanitary eating habits. The basic clinical manifestations are more frequent diarrhea, a large amount of watery stools, no pus and blood, generally no abdominal pain, no urgency, often accompanied by vomiting, prone to dehydration, electrolyte imbalance and acidosis, systemic poisoning symptoms are mild. Treatment with antibiotics, amoxicillin, penicillin, etc. Before going to the hospital, you should go to the hospital for routine stool testing and bacterial culture to select the appropriate antibiotic according to the type of growing bacteria. Oral administration of garlic, brocade grass. Mild dehydration and vomiting is not heavy, can be oral rehydration, WHO recommended oral solution is sodium chloride, sodium bicarbonate, potassium chloride, glucose or sucrose, add water. If the dehydration or vomiting is severe, intravenous saline, isotonic sodium bicarbonate and potassium chloride solution, and glucose can be intravenously administered. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: fecal-oral infection Complications: dehydration, electrolyte imbalance, respiratory acidosis
Cause
Cause of bacterial enteritis
Pathogenic factors (80%):
Bacterial enteritis see enteritis caused by Escherichia coli, Salmonella, Yersinia (causing intestinal colitis), Bacillus piluls, Campylobacter jejuni, Clostridium (Canine hemorrhagic gastroenteritis). E. coli, commonly known as E. coli, was discovered by Escherich in 1885 and has been considered a part of the normal gut flora for a long period of time and is considered a non-pathogenic bacterium. .
Other factors (20%):
Common symptoms of bacterial enteritis are abdominal pain, diarrhea, fatigue, fever, etc., generally cold foods are not clean, may cause bacterial enteritis.
Prevention
Bacterial enteritis prevention
1. Do a good job in environmental sanitation, strengthen toilet and manure management, eliminate flies and breeding grounds, and mobilize people to eliminate flies.
2. Strengthen food hygiene and water source management, especially for individuals and food vendors to conduct health supervision and inspection.
3. The cooks and caregivers of the collective units and child care institutions should regularly check the stool and do bacterial culture.
Complication
Bacterial enteritis complications Complications dehydration electrolyte disorder respiratory acidosis
Dehydration, electrolyte imbalance and acidosis are prone to occur, and symptoms of systemic poisoning are mild. Dehydration and acidosis are the main fatal causes of acute diarrhea. The carbon dioxide produced by metabolism in the body is usually excreted through the breath. The rest of the waste needs to be transported through the kidneys and excreted from the urine. When dehydration, the amount of urine is reduced due to the loss of water in the body. In severe cases, there is no urine. This will reduce the discharge of waste from metabolism in the body and accumulate in the body, causing symptoms of poisoning in the body. In addition to respiratory changes, the clinical manifestations can be There is fatigue and nervousness and nervous system symptoms.
Symptom
Bacterial enteritis symptoms Common symptoms Diarrhea, defecation, sensation, urgency, feces, pus, bloody stool, feces with green abdominal pain
Enterotoxin-induced bacterial enteritis : the pathogen mainly infects the small intestine, so the basic clinical manifestations are more frequent diarrhea, a large amount of watery stool, no pus and blood, generally no abdominal pain, no urgency, often accompanied by vomiting, prone to dehydration, electrolytes Disorders and acidosis, mild symptoms of systemic poisoning.
Invasive bacterial enteritis : The basic clinical manifestations of this type of enteritis are: systemic toxemia, high fever, septic shock in critically ill patients. Large can be mucus pus and blood, it will be less, it will be more. Abdominal pain is obvious, with paroxysmal colic.
Examine
Examination of bacterial enteritis
The main symptoms of bacterial enteritis are diarrhea, stomach pain, and some can cause fever, usually pay attention to your diet, should be light, do not eat irritating food, but also eat softer Digested, mainly vegetarian, vegetables and fruits, soybeans, etc. Usually pay more attention to drinking water, keep the stomach smooth. The following checks can be made:
1, electrolyte examination; 2, stool microscopy; 3, vomit examination; 4, sigmoidoscopy.
Diagnosis
Diagnosis and identification of bacterial enteritis
Generally judged according to the history of epidemiology and clinical manifestations. Further diagnosis depends on laboratory tests. Bacterial enteritis can be used for vomiting and stool culture, and pathogens can be diagnosed. Some pathogens such as Salmonella infection can be used for blood culture. Eat less greasy food during treatment, focus on light diet, and feel comfortable, which is conducive to the recovery of the disease.
