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Treatment of dysentery (shigellosis)
Last reviewed: 20.11.2021
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Treatment of dysentery (shigellosis) can be carried out at home.
Diet is the most important component in the complex treatment of shigellosis.
- When mild forms are prescribed food that corresponds to the age of the child, the food should be mechanically processed. In the acute period, vegetables and fruits containing a large amount of fiber are excluded, as well as sharp ones. Salted, fatty, fried and pickled products. The total volume of food in the first 1-2 days reduces by 15-20% of physiological needs. Food is given in warm form in 5-6 receptions.
- With moderate forms, fractional feeding is prescribed with a decrease in the daily volume of food by 20-30% during the first 2-3 days. With the improvement of the general condition, the disappearance of symptoms of intoxication and bowel dysfunction, the food volume is quickly brought to a physiological norm, and the diet is expanded.
- In severe forms, if possible, immediately perform fractional meals with a decrease in food volume by 40-50% in the first 2-3 days. In the following days, the daily volume of food is increased by 10-15% daily and lengthens the intervals between feedings.
Antibiotics are usually prescribed for severe forms of dysentery (shigellosis) and preferably with sensitivity taken into account in the shigella circulating in the area (region) . Apply gentamycin, polymyxin M. Ampicillin, amoksiklav, amoxicillin, neviramon. With moderate and light forms of shigellosis, it is better to prescribe nitrofurans (furazolidone, nifuroxazide), 8-hydroxyquinolines (chlorohinaldol, etc.). The course of treatment should not exceed 5-7 days.
In the case of shigella isolation after a course of antibacterial therapy, the repeated administration of antibiotics and chemotherapy drugs, even taking into account the sensitivity of the isolated strain, is not recommended. In these cases, it is more expedient to prescribe a dysenteric bacteriophage, stimulating therapy, an immunoglobulin complex preparation (CIP) for 1 to 5 doses for 5 days in a 5-7-day course. With persistent bowel dysfunction, bacterial preparations are shown (acipol, bifystim, bifidumbacterin, lactobacterin, etc.), prebiotics (lactofiltrum), enzyme preparations (microgranulated pancreatin - mikrazim), phyto- and physiotherapy.