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  • Clinical features of rotavirus gastroenteritis depending on the chosen starting therapy

    Редакция | 2014, Brief reports, Practical medicine 09 (14) Pediatrics | 1 декабря, 2014

    P.K. SOLDATKIN

    Amur State Medical Academy, 95 Gorkiy St., Blagoveshchensk, Russian Federation, 675000

    Soldatkin P.K. — Assistant Lecturer of the Department of Infectious Diseases with courses in Epidemiology and Dermatovenerology, tel. +7- 962-294-57-37, e-mail: pavel.soldatkin.53@mail.ru

    The article presents the results of the study of 316 children with rotavirus gastroenteritis. The author gives the comparative characteristic of clinical course of the disease, depending on the selected empirical causal treatment. The author describes the peculiarities of the negative impact of antibacterial drugs, which are not recommended for rotavirus gastroenteritis. The antibiotic-associated syndromeis described, which developed in some patients even after ashort-term antibiotic therapy. This syndrome occurs after 3-5 days of antibiotic treatment, manifested by the appearance or strengthening of a variety of the diseaseclinical manifestations. It is necessary to use the rational approach to antibiotic prescribing in the complex therapy of infectious gastroenteritis of various etiologies, starting with the emergency department, which will help to prevent the development of antibiotic-associated syndrome and positively influence both the course of the disease and the duration of a sick child’sstay in hospital.

    Key words: antibiotic-associated syndrome, rotavirus gastroenteritis, treatment, children.

     

    REFERENCES

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    3. Shul’pekova Yu.O. Of antibiotic diarrhea. Rossiyskiy meditsinskiy zhurnal. Prilozhenie: Gastroenterologiya, 2007, no. 6, pp. 8-15 (in Russ.).

    4. Soldatkin P.K., Figurnov V.A., Tolstopyatova A.A., Pshenichnikov S.V. Evaluation of nifuroxazide in treating children with acute intestinal infections. Infektsionnye bolezni, 2011, vol. 9, no. 3, pp. 81-84 (in Russ.).

    5. Soldatkin P.K. Antibiotikoassotsiirovannyy sindrom i al’ternativnaya antibakterial’naya terapiya u detey s ostrymi kishechnymi infektsiyami [Of antibiotic syndrome and alternative antibiotic therapy in children with acute intestinal infections]. Mat. IV ezhegodnogo Vserossiyskogo kongressa po infektsionnym boleznyam. Moscow, 2012. Vol. 10. Pp. 351-352.

    6. Gorelov A.V., Usenko D.V., Kadzhaeva E.P. et al. Evaluation of the clinical efficacy Enterofuril in the complex therapy of acute intestinal infections in children and its effect on the intestine mikrobioz. Infektsionnye bolezni, 2006, no. 3, pp. 47-50 (in Russ.).

    7. Novokshenov N.A., Sokolov N.V., Bereshkova T.V. Clinical efficacy of antimicrobials in acute intestinal infections in children. Infektsionnye bolezni, 2008, no. 4, pp. 58-62 (in Russ.).

    8. Soldatkin P.K., Tolstopyatova A.A. Antibiotic-associated syndrome in children with acute intestinal infections caused by opportunistic pathogens. Dal’nevostochnyy zhurnal infektsionnoy patologii, 2012, no. 21, pp. 121-126 (in Russ.).

    Метки: antibiotic-associated syndrome, Children, P.K. SOLDATKIN, Practical medicine 09 (14) Pediatrics, rotavirus gastroenteritis, treatment

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