Abstract
High prevalence of acute enteric infections in children, the majority of which affects infants, determines the necessity of development of modern recommendation on diagnostics and treatment of such conditions. The authors show data on etiology of enteric infections and results of various Russian and international research on efficacy of treatment of acute gastroenteritis, including information about sorbents, probiotics, antiemetic agents and antibacterial drugs usage. Recommendations on treatment of acute gastroenteritis are based on the modern protocol of the European Society of Pediatric Gastroenterologists, Hepatologists and Nutritionists (ESPGHAN), which was published in 2008. According to these recommendations, oral rehydration is one of the main components of treatment, decreasing children’s mortality rates. However due to the absence of the effect of this measure on the intestinal peristalsis, duration of the diarrhea and concomitant symptoms (abdominal pain and distension), additional therapy is necessary. In Russia combinations of enterosorbents and probiotics are used in order to relieve such conditions.
Highlights
Острые кишечные инфекции (ОКИ) занимают ведущее место в структуре инфекционной патологии детского возраста, уступая по частоте, экономическому и социальному ущербу только острым респираторным заболеваниям и гриппу [1]
Recommendations on treatment of acute gastroenteritis are based on the modern protocol of the European Society of Pediatric Gastroenterologists, Hepatologists and Nutritionists (ESPGHAN), which was published in 2008
In Russia combinations of enterosorbents and probiotics are used in order to relieve such conditions
Summary
Высокая частота острых кишечных инфекций у детей, большая часть из которых приходится на пациентов раннего возраста, определяет необходимость разработки современных рекомендаций по их диагностике и лечению. Согласно данным европейских эпидемиологических исследований, большинство случаев острых гастроэнтеритов у детей имеет вирусную этиологию, при этом наибольший удельный вес приходится на Rota- и Norovirus, а Salmonella и Campylobacter — основные бактериальные агенты в этиологии ОКИ Recommendations on treatment of acute gastroenteritis are based on the modern protocol of the European Society of Pediatric Gastroenterologists, Hepatologists and Nutritionists (ESPGHAN), which was published in 2008. According to these recommendations, oral rehydration is one of the main components of treatment, decreasing children’s mortality rates.
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