Bacterial food poisoning
First, summary
It is disgusting that bacterial food poisoning is shown as to vomit, suffer from diarrhoea and suffer from abdominal pain etc.. Have short, time is centralized, characteristic of breaking out suddenly, breaking with tremendous force etc. in incubation period, more than 90% happen in 7, 8, 9 three month. The key prevented is to strengthen the management of dietetic hygiene, prevent the food pollution.
Second, cause of disease
Because of eating the food which some bacteria or toxin of bacterium pollutes or ingesting the food with toxic material, and the acute infection poisoning disease that the natural toxin of food causes, belong to " Poisoned by food " . See more in summer, autumn, the all right collective has illness coming on at the same time, can also distribute, bacteria that cause are mostly sramana fungus belonging to, bacillus, Escherichia coli out of shape, have a liking for the salt fungus, malicious bacillus of meat,etc.. Because cause bacteria that infects to be different, it behaves differently. General symptom, in order to suffer from abdominal pain, vomit, suffer from diarrhoea, generate heat etc.. Its characteristic is to break out suddenly, incubation period was short, the onset person had clear contacts with toxic food etc..
Third, diagnose
1,Fungus is poisoned by food on the sramana: Incubation period is generally 4-24 hours, it is also very short to 2 hours, as long as the 2nd - 3 days. Get up disease to be worried, have pain in the back, be sick, vomit first, diarrhoea, water sample relieves oneself, stench, take the blood of suppuration occasionally, stool of the first is to several dozen times for several times.
2,The bacillus of modification is poisoned by food: Can divide allergic type and intestines and stomach type two kinds. In incubation period, it is 30-120 minutes to be allergic type, the intestines and stomach type are 3-20 hours. Most cases heal rapidly within l-2 day, the short one is only several hours, the elder can reach several days.
3,Have a liking for the bacillus of salt and is poisoned by food: Will it be 1-26 hour incubation period, have illness coming on suddenly, much the intersection of belly and angina the above begin, appear, vomit and suffer from diarrhoea rapidly, stool of the first is to ten for several times for several times, it is the water samples that relieve oneself. Persons who it is serious to vomit and diarrhoea, can cause dehydrating and shock. The course of disease is generally the 2nd - 4 days.
4,The staphylococcus is poisoned by food: Unless it is in incubation period 1-6 hour, last disease suddenly,at suffer from abdominal pain and suffer from diarrhoea,in order to vomiting most prominent. A ship resumes rapidly from several hours to the 1st - 2 days.
5,The poisonous bacillus of meat is poisoned by food: Incubation period is generally 12-36 hours, it is very short to 2 hours, as long as the 8th - 10 days. Get up disease suddenly, feel have a headache, dizzy, whole body, weak, weak, appear neural the intersection of paralysis and symptom immediately first, such as reply and look at, strabismus, eyesight are fuzzy, the pupil breaks up greatly, to mere areflexia, eyes blepharoptosis,etc.. The patient can get well gradually after the 4th - 10 days, but whole body is weak, the skin of eyes is paralysed and can last several months long. Internal cause breathe depleted in heart failure continuing pneumoniaing,etc. of taking place etc. and dying 3 - 10 day.
Fourth, treat
1,The lighter, can stay in bed, drink more boiled water of salt, observe the condition change closely. If number of times is too much to suffer from diarrhoea, can take orally 2-5 ml for once of tincture of compound camphor. Vomit without end person, but 25 milligrams of skin note chlorpromazine.
2,Should rescue the serious patient of have hyperpyrexia, is poisoned symptom serious, vomiting and diarrhoeaing without end, dehydrating, shocking etc..
1)The vein imports 5% - 10% of the glucose liquid and physiological saline, the infusion amount is contingent upon condition. Pay attention to acid-base balance, supplement 5% the intersection of carbonic acid and the intersection of hydrogen and the intersection of sodium and liquid or 11 according to the circumstances. 2% of the Sodium lactate,etc.. Mend potassium when there is urine.
2)Oral administration, the intersection of skin and note or quiet to drip erythromycin or tetracycline.
3)Deal with to the ill: Hyperpyrexia person, but physics temperature-dropping: Persons who have the fidgets, can give and hydrate 1 gram of chloral or phenobarbital 0. 03- 0. 09 grams, take orally.
4)The poisonous bacillus of meat is poisoned by food in early days, should use water or 1 immediately: 4000 potassium permanganate liquid is washed the stomach, sausage. Quiet to lie in bed, pay attention to keeping warm. Use antitoxic serum of many prices, getting up in 24 hours after being ill or quiet note or the Wan 's of note 5- 10 of skin before being being paralysed as soon as possible, inject repeatedly 6 hours later if necessary. There are reports, guanethidine hydrochloride promotes the nerve ending to release the function of acetyl choline, can be used to treat the poisonous bacillus of meat and is poisoned, half the number patient symptom takes a favorable turn, but to breathing the depleted patient invalid seriously.
Fifth, prevent
1,Thing personnel want to enhance vigilance, carry out the hygiene system of the kitchen strictly. Personnel should form the good hygienic habit to have dinner, does not eat and drink immoderately.
2,Strengthen sanitary control such as the purchase of the food, transportation, keeping, cooking the treatment of course and leftovers and inspection.
3,The person who suffers from purulent disease of the skin and angina, can't do the cooking work.
4,Want deep people the kitchen if there are strangers, while especially celebrating a festival and dining together, need to carry on strict sanitary control.
5,Wipe out the rotten tinned food, the sausage, bacon should eat any more after fully heating.
Bacterial food poisoning Diarrhoea
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