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Treatment of salmonellosis in adults
Last reviewed: 23.04.2024
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Mode and diet for salmonellosis
Treatment of salmonellosis begins with the appointment of bed rest, especially with severe intoxication and loss of fluid. Palatny - with an average and light current.
Diet - table number 4. From the diet exclude foods that irritate the stomach and intestines, dairy products, as well as refractory fats.
Medicinal treatment of salmonella
Etiotropic treatment of salmonellosis
Treatment of salmonellosis of moderate and severe localized form is carried out with the appointment of the following drugs - entericx two capsules three times a day for 5-6 days; chlorohinaldol 0.2 g 3 times a day for 3-5 days. The generalized form is ciprofloxacin 500 mg twice a day; ceftriaxone 2 g once a day intramuscularly or intravenously 7-14 days. With all forms of bacteriocarriers and a decreed category of persons, a bacteriophage salmonella is administered two tablets three times a day or 50 ml twice a day for 30 min before meals for 5-7 days; sanguiritrin two tablets 3-4 times a day 7-14 days.
Pathogenetic treatment of salmonella
Rehydration therapy. Oral (with dehydration of I-II degree and absence of vomiting): glucosolan, tsitroglucosolan, regidron. Rehydration is carried out in two stages, the duration of the first stage - up to 2 hours, the second - up to 3 days. The volume of 30-70 ml / kg, the rate of 0.5-1.5 l / h, the temperature of 37-40 ° C. Parenteral: chloe, trisol. Rehydration is carried out in two stages, the duration of the first stage - up to 3 hours, the second - according to indications (it is possible to switch to oral administration of liquid). The volume is 55-120 ml / kg, the average speed is 60-120 ml / min.
Detoxification therapy. Only in the treatment of dehydration. Glucose, rheopoliglyukine 200-400 ml is intravenously drip.
Eubiotics and biopreparations: baktisubtil one capsule 3-6 times a day for 1 hour before meals, linex two capsules three times a day 2 weeks; lactobacillus acidophilus + kefir fungi (acipol) one tablet three times a day; bifidobacteria bifidum (bifidumbacterin) for five doses three times a day 1-2 months. Hilak forte 40-60 drops three times a day 2-4 weeks.
Sorbents: hydrolysis lignin (polyphepan) one tablespoon 3-4 times a day for 5-7 days; activated carbon (carbolong) 5-10 g three times a day for 3-15 days; smectite dioctahedral (neosmectin) one powder three times a day for 5-7 days.
Enzyme therapy: pancreatin one powder three times a day for 2-3 months; We use forte for one tablet three times a day for 1 month; Oraza one teaspoon three times a day 2-4 weeks during a meal.
Antidiarrheal drugs: calcium gluconate 1-3 grams 2-3 times a day, indomethacin 50 mg three times a day after 3 hours for 1-2 days, Powder Kassirsky one powder three times a day.
Spasmolytics: drotaverine (no-shpa) to 0.04 g three times a day, papaverine to 0.04 g three times a day.
Additional methods of treatment of salmonellosis (surgical, physiotherapeutic, sanatorium-resort)
It is necessary to wash the stomach with a no-probe method, if the patient's condition permits.
Approximate terms of incapacity for work
The length of stay in a hospital with a localized form is up to 14 days, with a generalized form - 28-30 days. The extract is performed after a clinical recovery and a negative result of bacteriological examination of the stool, which is carried out 2 days after the end of treatment. Patients of the decreted group are discharged after two control studies of feces (the first - not earlier than the 3rd day after the end of treatment, the second - after 1-2 days). Patients who do not excrete the pathogen are allowed to work.
Clinical examination
Workers of the food industry and public catering establishments are subject to a prophylactic medical examination for 3 months with a monthly single examination of stool. The persons salmonellae are not allowed to work for 15 days and are assigned to another job. During this period, they spend 5-fold study of stool and a single-bile. If the bacterial release lasts more than 3 months. They are transferred to another job for a period of at least 1 year and are examined once every 6 months. At the end of this period, a 5-fold study of the stool and a single bile with an interval of 1-2 days is performed. With negative results, such patients are removed from the register and admitted to the main job; with positive - suspended from work.
[10], [11], [12], [13], [14], [15],
Memo for the patient
Successful treatment of salmonellosis in adults requires compliance with the diet for 2-3 months with the exception of spicy foods, alcohol, refractory animal fats, milk. After generalized forms, it is necessary to limit the physical load for 6 months.