What medicine does acute bacillary dysentery take good fast?

summary

Bacillary dysentery is a common intestinal infectious disease in children, which is caused by Shigella. Clinically, the main symptoms are fever, abdominal pain, diarrhea, tenesmus, and loose stool with mucus and pus. Toxic dysentery is a critical clinical type of bacillary dysentery, with acute onset, rapid development, severe condition, frequent convulsions and shock, and easy to cause death. Therefore, early diagnosis and timely treatment are necessary. What medicine does acute bacillary dysentery take good fast? Next, I'd like to share my views with you.

What medicine does acute bacillary dysentery take good fast?

Symptomatic treatment, active control of high fever, the use of drugs and physical cooling. Oral administration of Smecta and peficam in convalescence can accelerate the control of diarrhea. Berberine combined with norfloxacin, or ofloxacin, or ciprofloxacin is the first choice for antibacterial treatment. The course of treatment was 3-5 days.

Severe cases and infants under 6 months old can choose the following drugs: ① cefotaxime, adult, 1g, 1 / 12h, intramuscular injection; Children 50-100 mg / (kg · d). ② The dosage of cefotaxime and ceftriaxone was the same as that of ①. ③ For those allergic to penicillin, amikacin can be used, 80 mg for adults each time, 1 / 12 h, intramuscular injection. Children were given 2-5mg / (kg · d). Tobramycin, 80mg (80000 U) for adults, once every 8-12h, 4mg / (kg · d) for children, twice intramuscular injection or intravenous drip.

Liquid therapy for mild patients, must be oral enough liquid to prevent dehydration. If there was dehydration, oral rehydration salt was used to correct dehydration (rice soup with salt, salt and sugar water, ORS). For severe dehydration, intravenous rehydration and oral rehydration were used at the same time. This disease is damp heat in the large intestine. If the heat is more severe than dampness, Baitouweng Decoction should be modified. In the heat heavy, Gegen Qinlian decoction.

matters needing attention

1. According to infectious disease general nursing routine nursing. Digestive tract isolation. The contacts were observed for 7 days. 2. Record the in and out volume in detail. Continue to eat at will. Adequate supply of water and electrolytes to ensure normal urine volume. 3. For the patients whose course of disease is less than 24 hours, the temperature, blood pressure, respiration, consciousness, complexion and limb circulation were observed every 2 hours. Timely detection of severe (toxic) patients. 4. Keep perianal skin clean and dry to prevent erosion.