What is the danger of clostridium in the feces of a child24.05.2022
Clostridia are opportunistic flora and are normal inhabitants of the gastrointestinal tract. However, under unfavorable conditions, the growth of these bacteria is activated, which leads to liquefaction of the stool, diarrhea, increased gas formation, which, along with a putrid odor, can become an indirect sign of an increase in the number of clostridia. The concentration of this microorganism in the analysis of feces is a criterion for making a diagnosis. Let’s see how dangerous clostridia is, and what are the methods of diagnosis and treatment.
Why are clostridia dangerous?
The very fact of detecting clostridium in the feces of a child is not a reason for prescribing treatment, since these bacteria are absolutely normal inhabitants of the intestine. Their number is naturally regulated with an adequate amount of beneficial microflora.
When the number of beneficial bacteria in the child’s gastrointestinal tract decreases, the growth of opportunistic flora, such as clostridium, is greatly accelerated. These rod-shaped bacteria are known for producing some of the most potent poisons in the human body. The entry of these toxins into the blood leads to serious disorders in the digestive system, neurological disorders and even tissue necrosis. The growth of a colony of Clostridium in the gastrointestinal tract of a child can cause the following diseases:
- Cl. tetani – tetanus;
- Cl. Botulinum – botulism;
- Cl. Septicum, Cl. Novyi – gas gangrene;
- Cl. Perfringens – tissue necrosis, enteritis;
- Difficile – colitis.
The normal concentration of this bacterium for childhood is:
- up to 1 year – 102-103 CFU / g;
- from 1 year to 18 years old – 103-105 CFU / g.
If the number of clostridia in the results of the analysis of feces is increased, then this is a cause for concern. However, in the absence of complaints from the baby and objective clinical symptoms, the growth of a Clostridium colony in children under 1 year of age may not be a significant diagnostic criterion, since the microflora of infants is only being formed. The doctor determines the need for treatment in each case.
Symptoms depend on the type of clostridia that have become more active in favorable conditions for them. The standard symptoms are:
- frequent regurgitation;
- frequent loose stools;
- increase in body temperature;
- restless sleep;
- lack of appetite.
If the pathogen enters the alimentary route, the child may experience foamy vomiting. This symptom is considered quite dangerous, as it leads to dehydration and increases the likelihood of death, especially in young children. Treatment tactics will be selected only after a fecal analysis with an accurate identification of the pathogen, since similar symptoms can be observed in other diseases.
More often in the analysis of feces in children, too high a concentration of Cl is found. difficile . What does it mean? This type of bacteria contributes to the development of pseudomembranous colitis and is usually activated as a result of antibiotic therapy. Quite severe abdominal pains, visible impurities of mucus and blood in the feces, as well as increasing intoxication are added to the standard symptoms: weakness, fever, headaches. The danger of bacteria is that their toxins damage the intestinal walls up to a perforated ulcer. Another dangerous opportunistic pathogen of the human body is Klebsiella, which also produces strong endotoxin and is highly antibiotic resistant.
Causes of the disease
Under certain conditions, the conditionally pathogenic flora begins to become more active and becomes dangerous for the child’s body. Bacteria live in the gastrointestinal tract all the time. Their active reproduction is facilitated by factors that negatively affect the immune system and beneficial microflora. In children, this may be:
- postnatal hypoxia, prematurity;
- imperfection of the central nervous system;
- nosocomial infection;
- respiratory or intestinal infection;
- adverse environmental conditions;
- transferred operations.
From the external environment, clostridia can be ingested with food. This infection affects children who are not infants. For example, poorly cooked meat or insufficient heat treatment can contribute to the entry of clostridium into the gastrointestinal tract.
Diagnosis and treatment
If suspicious symptoms appear, you need to take the child’s feces for analysis. The conclusion indicates the specific type of pathogen and the toxin it releases. If the clinical picture is pronounced or there is a risk of dehydration, then the child is hospitalized in a hospital, since this is a life-threatening condition and he must be under constant medical supervision.
Treatment includes the following appointments:
- saline drinking solutions – to prevent dehydration and replenish the volume of useful electrolytes; indicated for profuse vomiting and diarrhea;
- probiotics – to restore normal intestinal microflora; are prescribed when the activation of clostridia was provoked by antibiotic therapy;
- antibiotics and metronidazole – are prescribed if the pathogenic bacterium has entered the body with food;
- adjuvants that normalize the work of the gastrointestinal tract: enzyme preparations, choleretic drugs.
With timely treatment, it is possible to quickly reduce the concentration of pathogens. The child will begin rapid proliferation and tissue repair, and the symptoms of the disease will disappear. Regardless of the therapy regimen, it is always supplemented by a special diet. All harmful foods, sausages, sour fruits, food with laxative properties are excluded. Enveloping and fixing food will be useful: rice, bananas, potatoes. Lactic acid bacteria of kefir and natural yogurt will help to quickly restore the balance of microflora.
Clostridium in the feces of a child is not terrible if the increase in their level was detected on time and adequate measures were taken. Antibacterial drugs and fluid replenishment in the body will help prevent dangerous consequences and quickly return the baby to good health. With untimely treatment, severe dehydration and intoxication with substances produced by clostridia are possible, such conditions pose a serious danger.
See next: borderline neonatal conditions
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