Rotavirus Infections in Children
Rotavirus infection in children is an acute infectious disease, which is most often manifested by general intoxication, damage to the mucous membranes of the nasopharynx and oropharynx and gastrointestinal tract, the main syndromes are gastroenteritis and severe dehydration of the body.
- fecal-oral (food) (unwashed hands, inaccuracies in the care of the child);
- contact-household (through poorly processed toys, in contact with patients with OCI relatives).
Depending on the way the infectious agent got into the body, the onset of clinical manifestations is different. When airborne infection, rotavirus infection in children can initially manifest as ARI, i.e. catarrhal phenomena (reddening of the throat, swelling in the throat, etc.), then there are signs of an intestinal infection. In other cases, the disease begins acutely with dyspepsia. The body temperature rises sharply (but not more than 38.0 degrees), multiple vomiting and a liquid watery stool appear up to 10 times a day, which can have a yellow-green color and has an unpleasant odor. In the future, because of the large loss of fluid, dehydration of the body occurs, the child becomes pale, lethargic, adynamic, complains of pains in the stomach and thirst. Over time, the symptoms of intoxication (headache, refusal of food, anxiety or vice versa depressed state) increase.
The disease refers to one of the most common intestinal infections - rotavirus infection in children. However, most often rotavirus infection in children occurs between the ages of nine and twelve months.
But I want to elaborate on the treatment.
The treatment algorithm includes:
- observation and control.
Diet. Children who are breastfeeding, it is recommended to reduce the amount of feeding, but increase their number (fractionality). In two days you can gradually return the rhythm of feeding back. For children, on artificial feeding it is recommended to replace the mixture with low-lactose (Humana HN, Detolact, etc.).
For older children, it is recommendedexclude from the diet foods that increase peristalsis and gassing in the intestine (fresh fruit, vegetables, fat broths, black bread, oatmeal, fruit juices, whole milk). Such a diet should be observed throughout the treatment period plus another 10-14 days after recovery.
Can: fruits and vegetables, boiled or baked, white dried bread, crackers, biscuits, drying, porridges on the water, soups on vegetable broth, boiled chicken, rabbit meat, mineral water, tea with lemon.
Rehydration (saturation of the body with a liquid).
If the child is conscious and wants to drink, then it is soldered with a large number of solutions. It is necessary that the child drank often and in small fractions in small portions (5-10 ml every 10 min). The simplest solution that can be prepared at home is sweet tea with lemon.
If the child refuses to drink or is unconscious, then hospitalization in the infant infectious department is necessary for parenteral rehydration.
Etiotropic therapy. Most often rotavirus infection in children, like many intestinal infections, can be treated with drugs of the nitrofuran series, such as Nifuroxazide, Furazolidone, Enterofuril.
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