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},
"code": "A04",
"name": "Бактериальные кишечные инфекции",
"icd_name": "Другие бактериальные кишечные инфекции",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
2,
5,
7
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"slug": "a04_bakterialnye_kishechnye_infekcii",
"lead": "к бактериальным инфекциям относится огромная группа заболеваний, причиной которых являются микроорганизмы – бактерии. Это небольшие одноклеточные микроорганизмы",
"description": "",
"etiology": "<p>Обычно заражение происходит при употреблении: сырой воды или молока; тех продуктов, которые не могут быть термически обработанными (торты с кремом, кисломолочные продукты); необработанного термически мясо; птичьих яиц, выпитых сырыми или неполностью проваренных/прожаренных; пользования общими полотенцами, посудой, контакт с сиденьями унитаза, дверными ручками, игрушками в том доме, где живет или работает больной, после чего здоровый ранее человек не помыл руки; купание с заглатыванием воды в открытых водоемах.</p>\r\n<p>Учитывая, что бактерии очень большая группа микроорганизмов, они разделены на несколько групп по определенным критериям.</p>\r\n<full></full>\r\n<p>По способу питания:</p>\r\n<ul>\r\n<li>сапрофиты – свободно живущие бактерии, которые питаются не живыми органическими веществами, не болезнетворные (единственным исключением являются легионеллы – микробы, обитающие в жидкости кондиционеров, при попадании в организм человека вызывают пневмонию);</li>\r\n<li>паразиты – питаются за счет других, в эту группу относятся все болезнетворные бактерии, а также необходимые микроорганизмы, которые живут в «содружестве» с человеком (нормальная микрофлора кишечника состоит из полезных бактерий, которые в процессе жизнедеятельности синтезируют витамины группы В, необходимые организму человека).</li>\r\n</ul>\r\n<p>По форме клетки:</p>\r\n<ul>\r\n<li>кокки – шаровидные бактерии. К ним относятся: менингококк (менингит), стафилококк (большинство гнойничковых заболеваний), пневмококк (пневмония), стрептококк (ангина, , стрептодермии).</li>\r\n<li>палочковидные бактерии – форма клетки в виде прямой или изогнутой палочки. Возбудителями заболеваний являются: кишечная палочка (острые кишечные инфекции, воспалительные заболевания внутренних органов), шигелла (дизентерия), микобактерия туберкулеза, дифтерийная палочка (дифтерия), возбудитель столбняка.</li>\r\n<li>извитые бактерии – по форме напоминают спираль штопора: бледная трепонема – возбудитель сифилиса, лептоспиры – заболевание лептоспироз (интересно, что форма штопора помогает спирохетам буквально «вбуравливаться» через кожу человека и таким способом проникать в организм).</li>\r\n<li>бактерии, меняющие форму – особая группа бактерий без клеточной стенки, являются внутриклеточными паразитами: микоплазмы (хронические заболевания мочеполовых органов, трудно поддающихся лечению).</li>\r\n<li>жгутиковые формы – бактерии на клетке имеют жгутики, активно двигаются во внешней среде, что позволяет им увеличивать возможность заражения (холерный вибрион – возбудитель холеры).</li>\r\n</ul>",
"pathogenesis": "<p>Самым важным в развитии заболеваний, вызванных бактериальной инфекцией является выделение бактериями токсинов (ядов), которые обладают воспалительным действием, вызывают интоксикацию организма и повреждают внутренние органы:</p>\r\n<ul>\r\n<li>эндотоксины – выделятся после гибели бактерии и разрушения ее клетки (кишечные инфекции). Наиболее опасным является эндотоксин менингококка при менингококковой инфекции. В случае гибели значительного количества бактерий, выделившийся эндотоксин может привести к развитию инфекционно-токсического шока и привести к смерти.</li>\r\n<li>экзотоксины – яды, выделяемые живыми бактериями в процессе их жизнедеятельности (дифтерия).</li>\r\n</ul>",
"diagnostics": "<p>Основным методом в диагностики бактериальных инфекций является бактериологическое исследование. При этом от больного берется материал, содержащий бактерии, и засевается на специальные питательные среды. После роста колоний на питательных средах (около 48 часов), бактерии идентифицируют. Огромным плюсом данного метода является возможность проводить исследование чувствительности выделенной бактерии к антибиотикам, для назначения рационального лечения. Также используются:</p>\r\n<ul>\r\n<li>микроскопическое исследование материала – позволяет поставить ориентировочный диагноз при выявлении бактерий с помощью микроскопа.</li>\r\n<li>серологическое исследование – определяется наличие антител в крови к определенным бактериям, увеличение титра антител свидетельствует о наличии в организме бактерий.</li>\r\n</ul>",
"treatment": "<p>Лечение бактериальных инфекций, как и любого другого заболевания, является комплексным и включает:</p>\r\n<ul>\r\n<li>этиотропная терапия – лечение, направленное на уничтожение причины заболевания – бактерии. Для этого используется арсенал антибиотиков. На данный момент есть несколько групп антибиотиков, но самым важным является их разделение на бактерицидные антибиотики (убивают бактерии) и бактериостатические (подавляют рост и размножение бактериальных клеток). Это очень важно знать, особенно в случае менингококковой инфекции назначение бактерицидных антибиотиков приведет к массовой гибели менингококков и выходу эндотоксинов в кровь.</li>\r\n<li>патогенетическая терапия – направлена на выведение из организма бактериальных токсинов, которые накапливаются в процессе инфекционного заболевания (дезинтоксикация). Также проводится лечение, направленное на восстановление поврежденных органов.</li>\r\n<li>симптоматическая терапия – необходима для облегчения состояния человека при бактериальной инфекции и снижения выраженности симптомов.</li>\r\n</ul>\r\n<p>В нынешнее время, благодаря антибиотикам удается излечивать большинство бактериальных инфекций, однако стоит помнить, что неправильный прием антибиотиков может привести к развитию у бактерий резистентности (нечувствительности) и даже зависимости от антибиотиков.</p>",
"prevention": "<p>Специфической профилактики (то есть вакцин или анатоксинов) ни для одной из этих инфекций нет.</p>\r\n<p>Применяются только неспецифические профилактические мероприятия:</p>\r\n<ol>\r\n<li>соблюдение индивидуальных гигиенических мероприятий;</li>\r\n<li>кипячение воды и молока перед употреблением; мытье рук после туалета;</li>\r\n<li>отказ от употребления сырых яиц (даже собранных от собственных же птиц);</li>\r\n<li>достаточная термическая обработка мяса;</li>\r\n<li>скрупулезный просмотр сроков годности тех продуктов, которые вы собираетесь покупать;</li>\r\n<li>мытье овощей, ягод, зелени, фруктов перед употреблением;</li>\r\n<li>хранение готовой продукции в холодильнике;</li>\r\n<li>отказ от кормления грудничков неразведенным коровьим или козьим молоком;</li>\r\n<li>поддержка достаточных санитарных условий в доме/квартире;</li>\r\n<li>если в семье кто-то заболел – кипячение всей его посуды, отказ от употребления еды из одной посуды, обеззараживание испражнений хлорсодержащими препаратами.</li>\r\n</ol>",
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}
]
}
