旅行者腹泻的病因、临床表现、诊断和治疗特点

A. Sheptulin, S. Kardasheva, A. Kurbatova
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引用次数: 0

摘要

本文就旅行者腹泻(TD)的流行病学、病因学、临床表现、诊断、治疗和预防等问题进行了探讨。这种疾病通常是由细菌引起的,但也可以由病毒和原生动物引起。TD通常有一个良好的过程,并以自我修复结束。对于轻度形式的TD,补液治疗是足够的,以及洛哌丁胺或次水杨酸铋的预约。在中度和重度形式中,必须使用抗生素(氟喹诺酮类药物、阿奇霉素、利福昔明)。预防腹泻可归结为遵守卫生措施。为此目的指定抗生素-考虑到对它们日益增长的耐药性-仅针对特殊适应症进行。
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Features of etiology, clinical picture, diagnosis and treatment of travelers’ diarrhea
The article discusses the issues of epidemiology, etiology, clinical manifestations, diagnosis, treatment and prevention of travelers’ diarrhea (TD). This disease most often has a bacterial nature, but can also be caused by viruses and protozoa. TD usually has a favorable course and ends with self-healing. In mild forms of TD, rehydration therapy is suffi  cient, as well as the appointment of loperamide or bismuth subsalicylate. In moderately severe and severe forms, the use of antibiotics (fl uoroquinolones, azithromycin, rifaximin) is necessary. Prevention of TD is reduced to compliance with hygienic measures. The appointment of antibiotics for this purpose — taking into account the growing resistance to them — is carried out only for special indications.
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