Intestinal bacillus: what is it and methods of treating the disease
Escherichiosis, caused by enteroinvasive chopsticks, causes damage to the large intestine.The disease develops with the emergence of general toxification symptoms: weakness, headache, chills, fever.After a few hours there are cramping pains in the lower abdomen.Diarrhea arises, the stool is watery and plentiful at first.But as the colon is affected, colitis develops.Symptoms of this condition are frequent liquid or mushy stools with an admixture of mucus, blood veins.This variant of escherichiosis is characterized by a benign course.Temperature and stool are normalized after one or three days.
Escherichiosis caused by enteropathogenic rods occurs in the form of enterocolitis, and in neonates( especially premature babies) can acquire a systemic character in the form of sepsis.The intestinal form of Escherichiosis is characterized by general toxication symptoms, as well as vomiting, a watery stool of yellowish color with mucus.The septic form of the disease occurs with a much more pronounced intoxication syndrome.The baby greatly raises his temperature, he refuses to feed, tears, pustules appear on the skin.
For escherichiosis caused by enterohemorrhagic sticks, the symptoms of intoxication are poorly expressed, the temperature often remains normal.On the foreground are the symptoms of enterocolitis: a liquid watery stool up to five times a day.Soon, hemorrhagic colitis develops, which is accompanied by severe pain in the abdomen, tenesmus, and also a stool with blood.Approximately 5% of patients develop dangerous complications in a week after the hemolytic-uremic syndrome, as well as thrombocytopenic purpura.
Intestinal swab in urine and smears
If the rules of personal hygiene are not respected, and during intercourse, the E. coli is able to penetrate the vagina.In the future, this microorganism provokes the development of vaginitis and colpitis, and with a decrease in immunity the bacterium is able to penetrate the urinary organs and cause their inflammation( cystitis, pyelonephritis).
To diagnose diseases of the urogenital system, a urine test tank must be produced.However, the presence of E. coli in the urine does not always indicate the presence of the disease.Bacteria found in small numbers may mean that the woman did not perform the proper hygiene procedures before taking the test.However, if at least 102-104 E. coli are detected in the urinalysis in the presence of symptoms of the disease, this indicates an inflammatory process in the kidneys or the bladder.
In men, the E. coli is often the cause of prostatitis, orchitis, or epididymitis.
Treatment of Escherichia coli
Treatment of escherichiosis should be performed in a hospital.Mild forms of infection do not require the appointment of antibacterial agents.In case of moderate forms of coli infection, antibiotics from the group of fluoroquinolones( norfloxacin, ofloxacin) are prescribed.In severe form of escherichiosis, drugs from the group of cephalosporins( cefotaxime), fluoroquinolones with aminoglycosides are attributed.
Equally important is the restoration of the normal water-electrolyte balance.So, in the absence of signs of dehydration, preference is given to oral rehydration( regridron, oralit).In the presence of dehydration, parenteral infusion agents are prescribed( "Acesol", "Trisol", etc.).
After the course of antibiotic therapy, patients are often prescribed eubiotics.
Grigorova Valeria, medical reviewer