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The anonym
14.08.2004, 08:10
1. Hello. To our boy in 5 days to be executed 5 months. Body height 51, Apgar 8 9 was born in time in weight 3300. With vtorgo month on artificial feeding, prikorm yet did not enter, till this moment never hurted, the chair was regular 1 in day in one and too time. For four months has typed or collected 4500., has grown on 17.

Several days ago at it or him the temperature has suddenly risen, and strong diarrhea, almost each hour has begun. Us have sent in an infectious diseases hospital where we have stayed 4 days and have left on receipt iz-for very bad conditions (absence of hot water, mosquitoes, cockroaches and. t. d.). In 3 days after our leaving or care results bakanaliza became known: a salmonella.

The temperature at the child was normalized in the first day of a finding in hospital and more never raised or increased, from hospital are written out in a satisfactory status. At present diarrhea 5 6 in day (green with slime or simply yellow water) is saved only. Our pediatrist insists, that we have returned back to hospital, motivating it is that such dangerous infection to be treated only in hospital, but after all seen, we there to come back we do not want.

At an extract from hospital to us have given the reference on treatment but then results of analyses were not known.

1. Amikacinum (in a vial or flask on 0, 5 to add 10. Waters, a dose 1. 2 - 2 pass in rotik, within five days) or ersefuril suspension.

2. Regidron everyone 15. On two chajn. Spoons.

3. Asparkam and frac14; tab. 2/day.

4. Assets. Coal and frac12; tab. 3/d.

5. Diacarbum and frac14; tab. 1/d.

6. A delivery only a sour-milk admixture.

Ersefurila is not present in one drugstore of Moscow, and to summaries to Amikacinum it is written that he gives very terrible side effects (deafness, respiratory standstill, and. t. d. Down to a lethal outcome). But an output or exit was not and it was necessary to begin treatment by Amikacinum. Now I and my husband we do not sleep at the nights, whether we check our kid breathes.

Question:

How much or As far as this salmonella is dangerous to the child, whether the truth that it or her very difficultly to cure houses? At us absolute cleanliness in the house, toys constantly mine, dummies or papillas and bottles it is sterilized, we keep all rules gigeny so whence could it is undertaken this infection?
Really in medicine there is no less dangerous antibiotic for treatment of this infection at thoracal children which can be bought or purchased in drugstores of Moscow?
Whether we can catch from the child?
Whether will damage or injure;hurt to the kid a delivery only a sour-milk admixture, in fact it is time to him to enter prikorm?
Can be there are other schemes or plans of treatment? It would be desirable to know your opinion.
For what to us have written out Asparkam and Diacarbum?
2. In hospital the Bear has dropped out from krovatki (1, 20 heights), nobody saw as he has fallen, it or him have found near to a bed laying on a stomach or belly. After survey the doctor has told or said, that arms or hand and legs or foots are whole, the brain concussion like is not present.

Question: What can the five-monthly child damage or injure;hurt at falling from such height except for a brain concussion and external traumas and to what experts we need to address?

3. Up to hospital our kid "talked" much, and now all time if does not cry that silent.

Question: With what it can be connected: with falling, illness or disease or with a growing tooth?

4. Unas the computer costs or stands on distance 3, 5 m from a cot, and the monitor looks directly at it or her. A question: whether it is harmful to the child and if harmfully that what distance is considered safe?

5. Whether kazhetsja to you, that with body height and weight our boy has touched. We wished to address to the endocrinologist, but we the doctor has told or said, what time he not thick, it's OK?

Thanks. Yours faithfully Tatyana.

The doctor Belief With.
15.08.2004, 16:55
Dear Tatyana! DO NOT PANIC!!! I fine know, what conditions and quality of treatment in the majority of our infectious diseases hospitals, however happen cases when without them to not manage - both on epidemiological, and under vital indications. Diarrheas and inevitably followed them an intoxication and a deaquation of an organism ochent are dangerous to the child of so small age! About prikorma: in any way is not present. Now relative rest and absence of innovations is necessary for a stomach and an intestine of the kid. Concerning weight of the kid - all in norm or rate, do not worry. Still thanks God, that he does not lose in weight iz-for salmoneleza. Business, certainly, yours, but I would recommend to you vsyo-taki to agree on hospitalization in bolee-less good infectious diseases hospital (naturally, together with the kid! Achieve it or this at any cost!) It or This you will create favorable conditions for treatment (the kid will be under constant medical observation) illnesses or diseases, and also will avoid diffusion iefektsii which, by the way, is not always safe for associates! And you with the husband should not exhaust yourselves constant sterilization of everything, that under an arm or a hand will get. Asparkam your kid receives as replacement of a potassium lost at diarrhea, and Dikarb - as a neuroleptic. If it seems to you, that the child has suffered iz-for falling - insist on survey of the neuropathologist and carrying out EEG. But basically, some retardation of rates of mental development (you write, that the child became less "talkative") probably iz-for illnesses or diseases as those, and also iz-for changes of a situation (hospital!) . If it seems to you, that the reason - cut zubki (though basically still rather early), osmtorite gums or gingivas and measure temperature. About affinity of a computer: the distance is admissible, however it is necessary to develop or unwrap the monitor. In occasion of antibiotics: besides, constant observation of the pediatrist is necessary, is high-grade to carry out which it is possible, unfortunately, only in a hospital. Then you can try or taste that "terrible" antibiotic, and in case of occurrence of by-effects doctors will immediately come to the aid. The scheme or plan of treatment to you have written out basically correct, it is necessary to execute punctually only it or her and to watch or keep up analyses. Proceeding from all it or this I can only try to convince you to not excruciate neither, nor the child and to lay down in hospital. The PROMPT CONVALESCENCE!!!