Eng / Food poisoning

FEATURES OF KLEBSIELLA FOOD POISONING :

•increased body temperature (lasting up to 3 days);

•severe pain in the abdomen;

•loud rumbling;

•fetid stools.

COMPLICATIONS FOOD POISONING

•Infectious-toxic or dehydration shock

•Thrombosis of mesenteric vessels

•Process Generalization

•Endocarditis

•Kidney failure

DIAGNOSTICS

•Acute onset with dyspepsia

•Association with the use of poor-quality product

•Disease of several people who used one product

•Development of symptoms during the day after consumption of the product

•Isolation of opportunistic bacteria from vomit, gastric lavage and feces

•RA with autostrain

DIFFERENTIAL DIAGNOSIS

Differential diagnosis is carried out with a number of infections, urgent surgical and therapeutic pathology, such as:

•Cholera

•Viral diarrhea

•Poisoning with salts of heavy metals

•Acute appendicitis

•myocardial infarction

•Cholecystitis

•Gastritis

•Meningitis

•Subarachnoid hemorrhage

•Hypertensive crisis

TREATMENT

•Persons with severe intoxication (a state of weakness, lethargy, weakness, dizziness), dehydration are subject to hospitalization.

•Inpatient treatment is indicated for the elderly, employees of food enterprises, pharmacies, children's institutions.

•In the first hours of the disease, gastric lavage is indicated (2% soda solution or water).

•Rehydration and detoxification

•Enzymes

•Astringents

•Antibiotics are indicated only for severe food poisoning

•Restoration of normal microflora

DIET

•exclude products that irritate the mucous membrane of the gastrointestinal tract (spices, spicy)

•Plentiful drink: mineral water, hot tea.

•wheat rusks, thinly sliced and not toasted;

•soups on low-fat meat or fish broth with the addition of cereals: rice, semolina or egg flakes;

•as well as finely mashed boiled meat;

•lean soft meat, poultry, or boiled fish;

•low-fat freshly prepared cottage cheese;

•no more than 2 eggs per day in the form of soft-boiled or steam omelet;

•cereals on the water: oatmeal, buckwheat, rice;

•vegetables only in boiled form when added to soup.

ORAL REHYDRATION AND DETOXIFICATION

•Indications - mild to moderate course in the absence of nausea and vomiting

•Sorbents (polyphepan, polysorb, carbolong, pepidol, etc.) to reduce intoxication.

•Polyphepan is prescribed 1 tablespoon 3 times a day, mixed in water. Duration of treatment - 3-5 days.

PARENTERAL REHYDRATION

•Polyionic crystalloids:

•“Trisol“

•“Quartasol“

•“Chlosol“

•“Acesol"

The principles of rehydration are described in cholera

DRUGS FOR THE RELIEF OF ABDOMINAL

PAIN

PREVENTION

•Modern food processing technologies

•Sanitary control over the production, storage, transportation, sale of food products

•Veterinary control