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2015, vol. 143, br. 11-12, str. 755-762
Akutna dijareja kod dece
aUniverzitet u Beogradu, Medicinski fakultet + Univerzitet u Beogradu, Medicinski fakultet, Univerzitetska dečija klinika
bUniverzitet u Beogradu, Medicinski fakultet, Univerzitetska dečija klinika
cUniverzitet u Kragujevcu, Fakultet medicinskih nauka
Sažetak
Akutna dijareja je najčešći gastrointestinalni poremećaj i glavni uzrok dehidratacije u dečjoj dobi. Manifestuje se naglom pojavom tri ili više tečnih ili obilnih stolica dnevno u trajanju od sedam do deset dana, najduže 14 dana. Najčešće pogađa decu u prvih pet godina po rođenju, a posebno odojčad u drugom polugođu i decu uzrasta do tri godine. Njeni primarni uzroci su gastrointestinalne infekcije (virusne i bakterijske), a ređe alimentarne intoksikacije i drugi faktori. Budući da su dehidratacija i negativan nutritivni bilans glavne komplikacije akutne dijareje, jasno je da će nadoknada gubitka telesne tečnosti i odgovarajuća ishrana činiti osnovu njenog lečenja. Druge terapijske mere, izuzimajući antipiretike ako je dete visoko febrilno, antiparazitne lekove ukoliko su zastupljene intestinalna lamblijaza i amebijaza, i probiotike, retko su potrebne. To se primarno odnosi na nekritičku upotrebu antibiotika i crevnih antiseptika u lečenju bakterijskih dijareja. Primena antiemetika, antidijaroika i spazmolitika je bespotrebna i potencijalno rizična, te se ne savetuje kod dece s akutnom dijarejom.
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O članku

jezik rada: engleski
vrsta rada: prikaz
DOI: 10.2298/SARH1512755R
objavljen u SCIndeksu: 03.02.2016.

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