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Salmonellosis and other acute intestinal diarrheal infections

Training target: using diagnostic algorithms, be able to establish a diagnosis of salmonellosis, escherichiosis and other acute intestinal diarrheal diseases, determine the clinical form, severity, stage of the disease, and prescribe adequate treatment; conduct dispensary observation.

Assignment for independent study of the topic. Using a textbook and lecture material to acquire the necessary basic knowledge, learn the following sections for practical training:

5) pathogenesis, clinical symptomatology of salmonellosis (localized and generalized forms);

6) pathogenesis, clinical symptomatology of escherichiosis;

7) pathogenesis, clinical symptomatology of undifferentiated acute enterocolitis;

8) clinical and laboratory criteria for the diagnosis of salmonellosis and other acute intestinal diarrheal infections;

9) the principles of etiotropic and pathogenetic therapy of patients with salmonellosis, escherichiosis and other acute intestinal diarrheal infections;

10) the volume and content of emergency care for patients with severe salmonellosis and other acute intestinal diarrheal diseases in the medical unit;

11) the accounting procedure and the content of the follow-up observation for patients with salmonellosis, escherichiosis and other enterocolitis.

Test your knowledge by answering the following questions:

- determination of acute intestinal diarrheal infections; common signs in the clinical symptom complex of acute intestinal diarrheal diseases;

- causative agents of acute intestinal diarrheal infections;

- clinical and laboratory indicators, on the basis of which it is possible to diagnose salmonellosis, escherichiosis and other acute intestinal diarrheal diseases;

- The basic principles of treatment of undifferentiated acute enterocolitis;

- the volume of emergency care for patients with severe salmonellosis.

The solution of situational clinical problems No. 3, 6, 7, 8, 40.

Materials for independent preparation for a practical lesson on the stages of diagnosis and treatment. In order to clarify the indicative basis of actions during the examination of patients with salmonellosis and other acute intestinal diarrheal infections, analyze the algorithms, diagrams and tables located in accordance with the phased diagnostic treatment.

Scheme No.

Diagnostic algorithm for salmonellosis and other acute intestinal diarrheal infections

Clinical assessment of the course

gastrointestinal form of salmonellosis

Clinical manifestations of dehydration (according to V.I.
Pokrovsky)

Algorithm for the diagnosis of typhoid-like and septic forms of salmonellosis

- features of the clinical course of salmonellosis - a generalized (septic) form, the difference from the symptoms of typhoid-paratyphoid disease;

- Signs of generalization of the infection (bacteremia) in salmonellosis;

- the nature of the temperature curve in the generalized form of salmonellosis;

- the most typical features of the stool of a patient with salmonellosis;

- the duration of the incubation period with salmonellosis, escherichiosis, staphylococcal poisoning with enterotoxin;

- clinical features of various forms of salmonellosis;

- the main clinical signs that distinguish acute dysentery from the gastrointestinal form of salmonellosis, escherichiosis;

- common features of the generalized form of salmonellosis and typhoid-paratyphoid diseases;

- laboratory methods for the diagnosis of salmonella and other acute intestinal diarrheal diseases; terms of their application;

- characteristic of the hemogram of a patient with salmonellosis;

- methods of laboratory studies proving the role of isolated pathogenic and conditionally pathogenic intestinal microorganisms in the etiology of this acute intestinal diarrheal disease;

- the specifics of etiotropic therapy of acute enterocolitis depending on the etiological diagnosis;

- differences in the principles, methods and means of treatment of patients with salmonellosis, escherichiosis and acute dysentery;

- the main medical measures in the provision of emergency care (intensive care) to patients with severe salmonellosis in a medical unit;

- military medical expert decision of the VVK (VLK) in relation to patients with acute intestinal diarrheal infections.



Tasks for self-monitoring in the clinical evaluation of laboratory tests

Evaluate a blood test of a patient with a gastroenteroenterocolitic variant of salmonellosis: hemoglobin 156 g / l, erythrocytes 5.5 x 1012 / l, SGE 30 pg, leukocytes 15.4 x 109 / l, neutrophils 82% (stab 6%, segmented 76%), eosinophils 0, basophils 0, lymphocytes 15%, monocytes 3%; ESR 2 mm / h; in blood plasma sodium 125 mmol / l, potassium 3.2 mmol / l; hematocrit 0.58.

Prescribe recipes: by mouth, chloramphenicol, ciprofloxacin, furazolidone; for intravenous administration solutions of Ringer, Lobari, Trisol, Quartasol
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Salmonellosis and other acute intestinal diarrheal infections

  1. Acute intestinal infections
    Scope of examination 1. Acute intestinal infections - a group of diseases including dysentery, salmonellosis, escherichiosis, foodborne toxic infections, the clinical manifestations of which are dyspeptic disorders, intoxication and dehydration. 2. The source of infection is a sick person and a carrier, salmonellosis is spread by domestic animals and rodents; infection pathway -
  2. Acute intestinal infections (codes A 02, A 05, A 09)
    Definition A combined group of infectious diseases occurring with a predominant lesion of the gastrointestinal tract in the form of acute gastrointestinal enterocolitis, enterocolitis, colitis with clinical equivalents in the form of abdominal pain, vomiting, diarrhea, and in severe cases with symptoms of toxicosis and exicosis. Statistics. Pathological infection in the Russian Federation 350-450 cases per 100,000
  3. Acute intestinal infections
    Healthy people become infected with dysentery, typhoid fever, cholera, salmonellosis and other diseases that affect the intestines from sick people or bacteria that release pathogens from the intestines. These are the most common diseases called “dirty hands diseases”, the pathogens of which penetrate the human body only through the mouth with food prepared
  4. Acute intestinal infections
    Healthy people become infected with dysentery, typhoid fever, cholera, salmonellosis and other diseases that affect the intestines from sick people or bacteria that release pathogens from the intestines. These are the most common diseases called “dirty hands diseases”, the pathogens of which penetrate the human body only through the mouth with food prepared with
  5. Acute intestinal infections
    Conditions that occur with intestinal infections that require emergency care include fever, dehydration, and toxic toxic shock. Fever Emergency care for fever is carried out in two directions - drug therapy and physical methods (see the “Fever” section), Dehydration shock (exicosis) Due to age-related features, dehydration shock with
  6. Acute intestinal infections
    Acute intestinal
  7. Sinar diarrhea - acute intestinal infections
    Conditions requiring emergency care for acute intestinal infections are associated with dehydration syndrome. Leading symptoms: • diarrhea, vomiting; • thirst, dry mouth; • dry skin; • hypothermia. Etiology. The cause of diarrhea syndrome is intestinal infections; foodborne toxic infections, dysentery, enterocolitis, cholera. Loss of fluid with diarrhea, vomiting leads to dehydration of tissues and
  8. Abstract. Intestinal infections and their prevention. Distinctive signs of intestinal infections from food poisoning of microbial nature, 2011
    “Intestinal infections and their prevention. Distinctive signs of intestinal infections from foodborne infections of a microbial nature ”Acute intestinal infections include typhoid, paratyphoid A and B, dysentery, cholera, infectious hepatitis, etc. This group of diseases is characterized by the same type of localization of the pathogen (intestines), the same mechanisms and ways of infection (fecal -oral, contact-household),
  9. Acute gastrointestinal bleeding
    Clinical characteristics of acute gastrointestinal bleeding Gastrointestinal bleeding is divided into ulcerative and non-ulcer. Ulcerative bleeding occurs with ulcers of the stomach and duodenum. These are the most common causes of gastrointestinal bleeding. A small proportion of bleeding is accompanied by non-ulcer bleeding: benign and malignant tumors of the stomach,
  10. Acute gastrointestinal bleeding
    The main causes of gastrointestinal bleeding are chronic and acute ulcers of the stomach and duodenum, neoplasms, erosive hemorrhagic gastritis, portal hypertension with varicose veins of the esophagus. DIAGNOSTICS = For the bleeding of ulcerative etiology, the identification of pain and dyspeptic syndrome in the past, exacerbation of pain several days before
  11. Acute gastrointestinal bleeding
    Complications of many diseases of various etiologies. Their most common causes are chronic and acute gastric ulcers to the duodenum, neoplasms, erosive hemorrhagic gastritis, portal hypertension. D - ka: The identification of pain and dyspeptic syndrome in the past, aggravation of pain several days or weeks before hemorrhage, is characteristic of bleeding of ulcerative etiology,
  12. Acute gastrointestinal bleeding
    The most common causes: ulcers of dilated veins of the esophagus, ulcers and erosion of the stomach and duodenum, tumors of various localization, diverticula, ulcerative colitis, hemorrhoids. Symptoms of Bleeding in the lumen of the gastrointestinal tract have two periods: latent and explicit. The latent period begins when blood enters the digestive tract, and appears common
  13. Acute gastrointestinal bleeding
    DIAGNOSTICS The main sign of latent bleeding is “causeless” anemia. Massive bleeding is characterized by a decrease in blood pressure, increased heart rate and a decrease in minute volume, generalized spasm of the vessels. With bleeding into the lumen of the gastrointestinal tract, two periods are distinguished. = The latent period is manifested by common signs of blood loss: fainting, tinnitus, dizziness,
  14. Acute and chronic bleeding from the gastrointestinal tract
    There are many causes of gastrointestinal bleeding. Bleeding develops according to one of two primary mechanisms: 1. Violation of the integrity of the mucous membrane, leading to exposure of deep vessels, their erosion. For example, bleeding from a stomach ulcer, bleeding from the intestines during infectious or idiopathic processes, from the small and large intestines during ischemia. 2.
  15. Intestinal anthroponotic infections and their prevention
    Acute intestinal infections include typhoid fever, paratyphoid A and B, dysentery, cholera, salmonellosis, infectious hepatitis A, etc. These intestinal infections are characterized by the same localization of the pathogen (intestines), the same infection mechanism (fecal-oral), a similar clinical picture of the disease (gastrointestinal upset) and the same principles for their prevention. Sources of
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