Международная научно
-
практическая конференция
«Современные аспекты инфекционных
заболеваний»
77
DIAGNOSIS END TREATMENT OF ACUTE INTESTINAL INFECTIONS
Shadjalilova M.S.
Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
Relevance
Acute intestinal infections (AII) are predominantly found among young
children, accounting for 43.5% of all hospitalized patients. The lethality rate in AII
cases has consistently remained low, at 0.1% over the past 10 years.
The purpose of the research
The purpose of this report was to study the specific features of the diagnosis
and treatment of AII in children of young age.
Research materials
The object of investigation was the supervision of 225 children at the age of
4 months to 3 years.
Research results
The performance of immunological investigations, including PCR diagnosis in
children with acute intestinal infections (AII), should be routine for the early
etiological interpretation of diarrhea. Each hospital that admits patients with AII
should have data on antibiograms of the main infectious agents such as salmonella,
shigella, escherichia, and others. The risk of developing AII is directly related to the
child’s age –
the younger the child, the higher the risk of developing diarrhea. Lethal
outcomes were caused by pulmonary edema in 80.0% of cases and by infectious toxic
shock in 46.6% of patients. Treatment of intestinal infections with antibacterial agents
induces the development of intestinal dysbiosis of various severity degrees in
100% of cases and may cause antibiotic-associated diarrhea (AAD) with the infectious
agent Clostridium difficile. The presence of diarrhea, fever, and blood in the feces
should always alert the physician. These intestinal infections are most often induced
by invasive microorganisms. In cases of disease recurrence, treatment with antibiotics
appears to be ineffective.
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