DISEASES OF CHILDHOOD : TOXIC-SEPTIC DISEASES OF THE NEWBORN - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
This syndrome described in the literature under the name of epidemic diarrhea in newborns.
E. coli, various members of the group of Salmonella and other facultydevelopment bacteria acquiring pathogenic properties in connection with the massiveness of their receipt in the first days of a child's life. Predisposes artificial feeding from birth.
Symptoms. After obscure precursors - General lethargy, poor sucking, spitting the disease develops rapidly: the weight of the child is falling sharply, quickly revealed severe exsicosis, the skin becomes pale with a grayish-cyanotic tinge; children no longer breastfeed. Chair quickens and makes a bright orange, almost ohranou color. Vomiting. In severe cases, the symptoms of toxemia join septic phenomena: temperature remittent character, leukocytosis with neutrophilia and left shift, albuminuria, a small amount of blood in the urine, and sometimes red blood cells, and cylinders.
Over and prediction. The disease progresses rapidly, approximately 33% ends lethal, if not carried out sufficiently vigorous treatment. The recovery period is very slow.
Necrotic lesions of the esophagus. Inflammation of the lungs.
It is not difficult. The disease is the nature of the outbreak.
A strict hygiene regime in the Department of newborn. Correct feeding. To avoid undue zakarmlivaniya or artificial feeding from the first days of a child's life. Isolate sick children. To close the neonatal unit for the production of disinfection.
Meticulous care. Feeding small amounts of raw milk. Injection under the skin of the glucose solution. Streptomycin. Sulfonamidnuyu drugs. Heart. Hemotherapy. Treatment of complications - pneumonia, otitis media.