Foodborne diseases in children

Of foodborne disease in children have the same etiology as adults. Increasingly ill children that had dysentery and indigestion. In infants foodborne diseases occur more difficult than for adults and older children.
The disease starts acutely. The temperature rises to high numbers. You receive repeated vomiting, diarrhea (up to 20 times a day) with admixture of mucus, flatulence. Developing dehydration, disturbed cardiovascular activity. The disease may last for 2-3 weeks. Often there are otitis, pneumonia. Possible recurrence of the disease.
Diagnosis of foodborne diseases is based on data from epidemiological anamnesis, clinical picture of the disease, the positive results of bacteriological examinations of faeces, urine, vomit, wash water, the blood, and the remnants of food. With 5-7-th day of illness put an agglutination reaction and the reaction of indirect haemagglutination.
Treatment. In mild disease with symptoms of gastritis and gastroenteritis not require special treatment. Shows excessive drinking. Often recover after washing stomach, which is produced during the first 8 hours. disease (sometimes later).
In severe and moderate clinical course in need of urgent medical aid. Shows the early copious lavage with a weak solution of bicarbonate of soda or clean water and the use of salt laxatives. In the absence of Tolstoy probe the patient is recommended to drink in a few receptions up to 10 cups of solution of bicarbonate of soda or water. Prescribe bed rest, heating pad to the feet, light diet, warm drink.
If symptoms of dehydration and fall of cardiovascular activity impose, depending on the condition of the patient subcutaneously (intravenously) drip isotonic solution of sodium chloride or 5% glucose solution (up to me). At the same time add 1 ml of 0.2% solution of norepinephrine or 1 ml of 0.1% solution of epinephrine; injected 10-20 ml of 10% solution of sodium chloride.
With the collapse of the injected 1% solution mezatona dose of 0.3-0.5 ml subcutaneously or 0.1 - 0.3 ml intravenously.
Intravenous also saline № 1 (see Cholera). Pour the blood plasma. Injected subcutaneously kordiamin 2 ml, 1 ml of caffeine and other cardio-vascular equipment.
In severe cases prescribed chloramphenicol 0.5 g 4 times a day; in the layering secondary bacterial flora used in combination with tetracycline or erythromycin.
In the treatment of children antibacterial drugs prescribed rare.

Of foodborne disease in children have the same etiology that in adults. Foodborne diseases occur at any age, but in children under 1 year less often because of the special nature of breastfeeding and the closer conditions of storage and cooking.
Regardless of etiology P. when so noted a sharp sudden onset; vomiting, diarrhea, abdominal pain, intoxication, fever, often convulsions; observed the fall of cardiovascular activity. Due to the large loss of fluid with vomiting and loose stool in children is rapidly developing dehydration, disturbed salt metabolism.
When P. so often chair profuse, watery yellow or green. Almost always celebrated the admixture of mucus in the stool, and in more severe cases, there may be a mixture of blood. Sometimes the stools are very frequent, but usually diarrhea is the main symptom.
In some cases the prevalent symptoms of General intoxication, others have a more pronounced symptoms of gastro-intestinal tract. In some cases, the disease occurs very easily - without breaking the General condition in the form of short dysfunction of gastrointestinal tract.
The severity of clinical manifestations P. T. mainly determined by the reactivity of the organism of the child. In children of early age P. T. proceed much more difficult than for adults and older children.
Diagnosis of P. T. in children is based on the anamnesis (simultaneous disease several children who consumed the same food), and on the basis of clinical manifestations. Etiological diagnosis of foodborne disease install using bacteriological examination. The research material are vomit or washing water of the stomach, feces, blood, and remains of food (the supposed source of the disease).
Treatment. Regardless of etiology P. so it is necessary as early as possible to do the washing stomach, in the presence of pronounced toxicosis and dehydration - intravenous drip infusion 5-10% glucose solution with saline infusion plasma or polyvinylpyrrolidone in an amount corresponding to the age and the severity of the condition. In cardiovascular failure appointed kordiamin, caffeine. It is necessary to warm a child heaters. It is recommended to apply and antibiotics (tetracycline, micurin, erythromycin). Food - the first water-tea diet for 8-12 hours, sometimes days, depending on the severity of intoxication. In the future, dairy and vegetable poor within 1 to 2 days with gradual transition to normal accordingly food.