Выделение эшерихий при диареях, наблюдаемых в период прорезывания зубов у детей

Аннотация

Ключевые слова: Симптомы диареи, часто возникающие у детей в период прорезывание зубов, прорезывания зубов, создают сложности для диарея, дифференциальной диагностики и могут приводить к эшерихия, ошибочной госпитализации в инфекционные стационары с эшерихиоз, детские болезни. диагнозом «эшерихиоз». В данной работе представлен анализ клинических случаев, направленный на изучение особенностей данного феномена и разработку рекомендаций для медицинских работников и родителей.. SUMMARY Background. During teething, children may experience symptoms such as diarrhea, various skin rashes, decreased or loss of appetite, salivation, sleep disturbances, and irritability [1,3,4,7]. Studies have shown that during stress, local production of the bioactive amine norepinephrine by the body in the intestinal mucosa changes the composition of the intestinal flora, stimulating the growth of E. coli bacteria [9]. Aim of the study is to determine the state of Escherichia excretion in diarrhea in young children during teething. Methods. From 2021 to 2024, Escherichia isolated from feces in children aged 6 to 30 months were bacteriologically examined. Results. When studying the number of Escherichia coli isolated from the stool of children who showed signs of diarrhea during the period before teething, it was found that in 6 children their number varied from 10⁷ to 10⁸, in 5 children - from 1.1×10⁸ to 3.0×10⁸, in 7 children - 3.1×10⁸, in 4 children - from 5.1×10⁸ to 10⁹, and in 5 children - from 1.5×10⁹ to 2.0×10⁹. Hemolytic E. coli were isolated in the indicated quantities. In 9 children, non- hemolytic E. coli were also isolated in amounts from 10⁷ to 10⁸, in 6 children - from 1.1×10⁸ to 2.0×10⁸, and in 4 children - from 2.1×10⁸ to 4.0×10⁸. Conclusion. In children who had signs of diarrhea during the teething period, the number of Escherichia coli, especially hemolytic E.coli, increased significantly, in some cases up to two times compared to children whose teeth had already erupted (mainly due to hemolytic variants).Bolalar tishining chiqishi - bu barcha bolalar boshdan kechirishi kerak bo‘lgan fiziologik jarayonlardan biridir. Bu jarayon taxminan ikki yillar davom etadi va odatda 6 oydan 30 oygacha bo‘lgan davrda sodir bo‘ladi Bu jarayonga bog‘liq bo‘lgan yoki bog‘liq bo‘lmagan kasalliklarni, yoki ularning alomatlarini namoyon bo‘lishi ota- onalardan tortib tor mutaxassislikdagi tibbiyot xodimlari uchun ham yetarlicha tashvishli ekanligi, ularni bilimli va omilkor bo‘lishini talab etadi.