Rotavirus infection in children: treatment at home. Rotavirus infection in children: how to treat What are the symptoms of rotavirus infection in children

09.11.2020 Information

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Fever, nausea, vomiting, and loose stools are often associated with poisoning or the development of a bacterial intestinal infection. Therefore, first aid is usually reduced to the use of antibiotics. But few people know that such symptoms also occur with rotavirus.

Why is rotavirus dangerous? What is rotavirus infection and how does it develop? How does the disease manifest itself and who gets sick most often? And, most importantly, what are the ways to treat and prevent this infection, which is not clear to everyone?

What is rotavirus

This pathogen is not related to the influenza virus and similar infections, but the first symptoms and acute onset resemble such ailments. Therefore, another familiar name for rotavirus infection is “intestinal flu”. What helps rotavirus to infect more and more people every day?

  1. Rotavirus is resistant to treatment with disinfectants, it does not die at low pH values ​​and under the influence of even the strongest concentrated detergents.
  2. Rotavirus remains active in feces for up to seven months.
  3. Children under the age of six are susceptible to rotavirus, but the infection is often more difficult in babies of the first years of life.
  4. There are no countries where people are more predisposed to developing the disease, it is common everywhere.
  5. A significant part of rotavirus infection in children was registered in the autumn-winter period. But rotavirus reproduces well at any time of the year, so isolated cases of infection occur at other times.
  6. The virus is transmitted from person to person, although there are species in the family that cause similar diseases in animals.

Rapid fulminant development of infection with rotavirus, absence to date 100% effective ways treatment, respiratory and digestive system- these are the main distinguishing features of the disease.

How rotavirus spreads and what affects

There is not a single place on earth where this infection does not occur. Rotavirus is distributed in all areas of the globe equally. Stability in the external environment helps the microorganism to settle in places where people live for a long time.

How is rotavirus transmitted from person to person? The route of transmission is alimentary (through dirty hands), which in medicine is also called fecal-oral. From a patient or carrier, rotavirus is transmitted healthy person through contaminated objects. Another route of transmission is not ruled out - airborne.

Children are usually exposed to rotavirus until the age of six. But a greater number of infected people are observed in the period up to 24 months. From six months to 12 months, passive immunity from the mother is preserved, so at this time the child gets sick less often. Before period school age children almost always have time to develop their immunity. In older age groups, it is more difficult to get infected with rotavirus, although this often happens.

Can you get re-infected with rotavirus? - yes, because immunity to this microorganism is developed, but not for life. More precisely, for only a few months the child is protected by the cells of the immune system. By the age of five, the disease various forms endures every person.

How is infection different from similar processes?

  1. Getting into oral cavity, rotavirus does not tend to remain forever in the mucous membranes of the upper respiratory tract, and rushes further along the digestive tract.
  2. The stomach is affected to a lesser extent, here the disease is manifested only by inflammation.
  3. Cells or villi small intestine more susceptible to change, rotavirus likes to multiply here and infect cellular structures.
  4. In the villi of the duodenum, rotavirus actively multiplies and causes the death of epithelial cells.

The tropism or love of the virus to epitheliocytes (cells of the epithelial membrane) of the initial section of the cells of the small intestine determines the lesions caused in the child's body.

Symptoms of the development of rotavirus infection

The disease in most cases proceeds quickly, without long-term protracted consequences. The incubation period of rotavirus infection is several days and lasts from 15 hours to 3–5 days. The disease begins suddenly against the background of complete well-being.

loosening of the stool

What are the symptoms of rotavirus infection?

  1. In more than half of children, the disease begins with vomiting. Basically, this is a one-time symptom, which, after the first day, no longer worries.
  2. In almost every third, the temperature rises to subfebrile numbers, but in most cases it may be absent, while the child feels chills.
  3. Then, or simultaneously with the first manifestations, loosening of the stool develops. The urge to go to the toilet is repeated, sudden and frequent, with mild forms of the disease, the child visits the toilet only 1-2 times a day, and in severe cases up to 8 times a day.
  4. A typical symptom of rotavirus infection is a thin, watery and often frothy discharge that can range in color from white to yellow-green.
  5. Rumbling in the abdomen and pain in the umbilical region, the disease resembles food poisoning.
  6. Against the background of all the above symptoms, catarrhal phenomena join: sore throat, redness, runny nose - often the disease begins with them.
  7. Symptoms of intoxication appear and constantly increase: weakness, headache.
  8. Severe fluid loss leads to shortness of breath, persistent fever, bowel problems, lack of urination in the child, and other symptoms.
  9. Against the background of a severe course of the disease, a loss of consciousness in a child is possible.

Symptoms of rotavirus infection begin to gradually subside after a week. How long does rotavirus infection last in children? - incubation period happens up to five days, acute lasts no more than a week, the recovery stage occurs within three days. On average, with a favorable course of the process, rotavirus infects a child for 5-7 days.

After only 3-5 days, the infection spreads to all family members and the immediate environment. Rotavirus infection accounts for about 40% of all viral diarrhea in childhood. That is, almost every second case of loosening of the stool and "poisoning" falls precisely on the development of this disease.

Rotavirus in adults

Adults get sick with rotavirus infection less often, since their defense systems are already more perfect, and local immunity is better developed.

What are the features of the course of rotavirus infection in adults?

  1. For adults, a mild course of the disease is characteristic.
  2. Often, rotavirus infection occurs without pronounced typical symptoms. clinical symptoms as in children, so the course of infection in adults resembles a common intestinal disorder.
  3. In some cases, the onset of the disease is more like a respiratory infection, as it occurs with minor malaise, sore throat, runny nose and cough.
  4. In older children and adults, the disease proceeds in a shorter time, vomiting and repeated diarrhea do not always occur, so treatment is often not required.

Rotavirus during pregnancy

Separately, it is necessary to mention the infection with rotavirus during pregnancy. How easily the disease proceeds and how it ends depends on the immunity of the mother and the amount of virus that has entered the body of a pregnant woman. With a mild course of the disease, there is no need to hospitalize a woman, but you will have to watch the baby a little more closely.

Infection of moderate severity and severe can be complicated by developmental disorders of the child. One of the most unpleasant moments is the high probability of a threatened miscarriage in the early stages. In the third trimester, premature labor may begin due to severe intestinal spasms.

The danger of infection during childbearing lies in the fact that the symptoms of rotavirus infection are often hidden behind mild toxicosis - this complicates timely diagnosis and treatment.

Nausea, vomiting and fever are typical and frequent manifestations many infections and other temporary acute conditions. How not to get confused and make the correct diagnosis in a timely manner? This depends on the treatment strategy. Need to be done as soon as possible differential diagnosis.

Cause Process developing symptoms takes a long time or costs too much. With rotavirus, the diagnosis is untimely, the infection ends too quickly. Therefore, treatment has to be started sometimes symptomatic.

Consequences of rotavirus

According to the WHO (World Health Organization), rotavirus infection kills between 500,000 and 900,000 people every year. Children top this list, and the contact method of transmission contributes to the spread of infection in kindergartens and in baby houses.

The consequences of rotavirus infection are as follows:

  • the most dangerous consequence is death, which occurs in 3.5% of cases;
  • a severe course of the disease leads to dehydration of the body, damage to other organ systems occurs: cardiovascular and nervous, if a child loses 10–15% of its body weight by one year, this can be fatal;
  • during pregnancy, moderate to severe rotavirus infection can lead to spontaneous abortion.

Rotavirus infection is not among the most dangerous diseases on earth, but some of its consequences make us think about timely prevention.

Prevention against rotavirus

Rotavirus prevention starts in the family. These are basic hygiene rules.

How infectious is a person after rotavirus? You can become infected during the entire period of active manifestation of the disease and after it, since the microorganism released into the environment remains on surfaces for a long time. The danger is presented by virus carriers and children with mild asymptomatic infection. At the same time, the virus is actively released into the environment and continues to infect people.

Other types of prevention

Despite the mild and relatively favorable course of acute rotavirus infection, the consequences can be unpredictable. A high percentage of deaths and high incidence worldwide have led to the need to develop more effective methods of prevention against rotavirus.

Just a few years ago, it was developed live vaccine from rotavirus infection. Today it is included in the list of mandatory in more than 30 countries around the world, but it is currently used in almost 70 countries. In Russia, such protection is still being tested, but in Moscow, children of the first six months of life have already been vaccinated.

In countries where vaccination is mandatory, the incidence of infection has been reduced by more than 80%. And this is only for the first few years of immunization of children!

Vaccination against rotavirus infection is carried out in the first weeks of life. Currently, two types of vaccines are used, which are available in the form of drops and are administered by mouth:

Both drugs reduce the incidence in countries where rotavirus vaccines are given. In addition, they reduce the number of complications from infection. Vaccination is not carried out in all countries, since there drugs are still undergoing clinical trials.

Treatment for rotavirus infection

In the treatment of rotavirus infection, there are several important points, without which it is impossible to improve the human condition.

Rotavirus, starting from the moment it enters the human body, must go through a full cycle of reproduction, while not only the digestive organs are affected, but also other systems. It is impossible to influence rotavirus in any of the periods of the development of the disease. No effective antiviral drugs helping with rotavirus infection. In most cases, you have to deal only with the consequences of the negative impact of the virus on the human body.

Nutrition for rotavirus infection

Diet is an integral part of the treatment process in the development of rotavirus infection. During the development of the disease and after recovery, the child's diet undergoes some changes. This happens because rotavirus infects the intestinal villi. In addition, it leads to inflammation of the digestive glands, digestion of food is disturbed, leading to fermentation processes in the intestines. Inflamed digestive glands do not produce enough lactase and sucrase (enzymes to break down carbohydrates), so the old diet only causes loosening of the stool.

What to feed a child with rotavirus infection? - it's easier to say that you can not give a child.

  1. At the beginning of the disease, food is often limited. With any viral infection, the baby does not want to eat. During this period, you need to give more fluids to drink.
  2. When the disease progresses mild form- heavy foods are limited in the diet, dairy products are temporarily excluded.
  3. If the child is breastfed for the period of reproduction of rotavirus in the body, it is better to transfer the baby to low-lactose mixtures.
  4. The diet after a rotavirus infection consists in limiting raw fruits and vegetables until the state of health normalizes, and the complete exclusion of spicy foods for older children. Food should be boiled, stewed or steamed. Confectionery is limited to a minimum. From drinks it is better to prefer compotes on dried fruits.

Frequently asked questions about rotavirus

Rotavirus is an unusual microorganism. The disease caused by it may be mild in course, but with dangerous consequences. It proceeds quickly and favorably, but its manifestations cannot be reduced. This is the category of diseases, the treatment of which must be entrusted to a specialist.

Update: December 2018

The digestive tract is the most vulnerable system of our body. Every day, a significant amount of food and water of various qualities passes through it, which can be contaminated with bacteria, toxins, microscopic fungi, etc.

Getting into the cavity of the stomach and intestines, they begin to destroy the cells of these organs and disrupt digestion. There are a large number of microorganisms that lead to acute intestinal infections, however, most often, these diseases occur due to Rotaviruses.

More than a billion cases of this infection are registered annually worldwide. According to statistics, every second family encounters rotaviruses at least 1 time. And most often, children under 10 years of age get sick.

Adults usually become infected while caring for their child, but it is also possible for the microorganism to come from another source. Given such a widespread pathology, one should be wary of any signs of an intestinal infection and, if it is suspected, seek the help of a doctor.

What is Rotavirus?

This is a whole genus of viruses that infect small intestine person. They are stored for a long time on any objects of the environment (food, water, clothes of a sick person, door handles, etc.). Once inside, Rotaviruses transit through the acidic environment of the stomach, and settle in the initial section of the intestine. They attach to its cells (enterocytes), penetrate inside and begin to multiply rapidly.

As soon as their concentration becomes large enough, the cell is destroyed, and all copies of the viruses are released from it. Some of them come out with feces, the rest of the microorganisms infect other enterocytes. It is because of this that rotavirus infection progresses steadily, without adequate treatment.

How do rotaviruses enter the body?

These microorganisms are highly contagious. They can get into the environment in only one way - from a sick person. Viruses come out in large quantities along with feces and can easily pass to the patient's hands, his clothes and household items (telephone, bed linen, doorknobs etc.). In order for the infection to pass to another person, the rotavirus must enter the oral cavity. Moreover, a very small amount is enough for the development of the disease.

If a family has a rotavirus infection, there is a high probability of transmission of the disease to other family members. Even with proper care and isolation of the patient, while keeping him at home, it is difficult to avoid a group outbreak.

It should also be remembered that people of decreed professions (which can infect a large number of people) can get this intestinal infection: catering workers, teachers, water utility employees, sellers and others. That is why there is always the possibility of getting sick with rotavirus, if the elementary principles of prevention are not followed.

Symptoms of rotavirus infection

From the moment the rotavirus enters the intestine until the first symptoms appear, on average, 1-2 days pass. In more than half of patients, the disease masquerades as a common cold (ARI), manifesting itself as a runny/stuffy nose, a slight wet cough, and sore throat. However, after a few days, or in parallel with the signs of acute respiratory infections, the symptoms of an intestinal infection join, so rotavirus infection is also called.

Rotavirus infection in children

As a rule, the disease in children under 5 years of age is quite severe. It is always accompanied by severe toxic poisoning of the body and severe intestinal disorders that appear almost simultaneously. The most typical symptoms include:

Symptom of the disease Symptom characteristic
Body intoxication

Rotavirus infection in infants begins with this symptom. The child becomes lethargic (he practically does not move, the cry is weak, reluctantly sucks the breast, etc.), cries for no reason, increased sweating is often noted.

Older children, in addition to lack of appetite and weakness, may complain of headache or dizziness.

An increase in temperature (hyperthermia)

Most often, body temperature rises quite strongly (more than 38-39 ° C), but for a short time - up to 3 days. In the subsequent course of the disease, all other intestinal symptoms persist, but without fever.

Only in severe rotovirus infection, which occurs with significant poisoning of the body, hyperthermia can be observed for more than a week.

Diarrhea

In children up to the 2nd year of life, loose stools can be 10-14 times a day. As a rule, it is foamy, consists almost only of water, and may contain particles of mucus. Diarrhea may persist for 10-14 days.

Such frequent defecation leads to dehydration of the body and increases intoxication.

Vomit In children up to a year, vomiting continues for 1-2 days, repeats several times during the day, and contributes to dehydration. As a rule, an older child rarely suffers from this symptom for more than a day.
Abdominal pain The pain is moderately expressed, may increase somewhat when probing the abdomen (especially in the middle / lower halves).

Symptoms of rotavirus infection in children can be of varying severity. Usually than older child the easier the disease progresses. However, it should be remembered that if any signs of intestinal disease appear, you should consult a doctor as soon as possible.

Rotavirus infection in adults

Almost all symptoms in adults are much easier than in small patients. Intoxication of the body may be absent or expressed in slight weakness and loss of appetite. The temperature rarely rises above 38 ° C and often returns to normal within one day. Diarrhea, as a rule, is observed no more than 5 times a day, during the week (from 3 to 7 days). Vomiting is single or not expressed.

Rotavirus infection in adolescents proceeds similarly to adults - the symptoms are moderate and respond well to treatment.

Dangerous symptoms

There is a group of "alarming" symptoms for children and adults, the appearance of which should immediately seek an ambulance medical assistance. They testify to severe course infections and require hospital treatment. It is especially important to control the appearance of these symptoms in a sick child, since he will not be able to do this on his own.

  • Red blood in the stool or black coloration of the stool(with a brilliant shade and bad smell) is an extremely unfavorable sign, which indicates the opened intestinal bleeding. In this case, you should immediately call an ambulance or go to an infectious diseases hospital / hospital;
  • Increased diarrhea up to 10 times a day or repeated vomiting(more than 7 episodes per day) - the active release of fluid during rotavirus infection significantly increases the poisoning of the body with toxins. In this case, the patient is hospitalized in an infectious diseases hospital, where the lost volume of fluid and electrolytes is replenished using droppers;
  • Severe abdominal pain- with a typical course, abdominal pain is practically not expressed. A significant increase in soreness may indicate damage to the intestinal walls;
  • The appearance of a rash on the body- small (up to 5 mm) and rare red spots that appeared during the illness are very characteristic of typhoid fever and paratyphoid fever. In some cases, these pathologies can masquerade as a common rotavirus infection.

Diagnosis of rotavirus infection

Thanks to characteristics, this disease can be suspected from the moment the first symptoms appear. In order to distinguish it from other infections, doctors use the following signs:

  • The onset of the disease is acute;
  • The virus is active year-round, the peak incidence is autumn, winter (but in the hot period in open water it can easily become infected through water, swimming in the sea, there is always a risk of swallowing water);
  • Skin rashes - absent;
  • Temperature - up to 39 ° C, but short-term;
  • characteristic clinical picture(described in the symptoms section).

Routine laboratory tests are not sufficient to confirm the presence of rotavirus infection ( general analyzes blood, urine, feces), as changes in them will be non-specific. A definitive diagnosis can only be made using the following methods:

Start treating the disease immediately after setting primary diagnosis. You do not need to wait for confirmation from the laboratory for this. Subsequently, the tactics of therapy can be adjusted, depending on the results obtained.

Treatment of rotavirus infection

Symptoms and treatment of rotavirus infection depend on the activity of the pathogen. As a rule, this disease can be successfully treated at home. Patients are hospitalized in an infectious diseases hospital/hospital only if the infection is severe or if “dangerous” symptoms appear.

Health food

Therapy should start with proper nutrition. Children receiving breast milk, continue to feed in the same mode "on demand", but at least 4-6 times a day. If the baby is bottle-fed, it is better to use lactose-free/low-lactose formulas, which will have a positive effect on intestinal health and reduce the duration of diarrhea. It is important to note that during the illness, new complementary foods should be introduced Absolutely forbidden as it can aggravate indigestion.

Older children and adults should exclude from their diet:

  • Any plant food (berries; vegetables; fruits, including dried ones);
  • Bakery and flour products;
  • Fatty, salty, spicy, fried foods;
  • Whole milk;
  • Broths.

According to recent studies, all this food increases the work of the intestines, which is why diarrhea will last a little longer. During the illness, it is recommended to eat boiled lightly salted cereals, in small but frequent portions.

Elimination of rotavirus

How to treat rotavirus infection? To do this, it is necessary to remove from the intestine microorganisms that are located on its walls and destroy cells. For this purpose, adequate doses of sorbent preparations can be used, such as:

  • Activated charcoal - up to 4-6 tablets per dose several times a day;
  • Smektu or Neosmectin (domestic analogue) - 3-4 sachets per day;
  • Enterodez or Polysorb - 1-2 sachets per day.

For infants, the number of drugs is selected individually, depending on the condition of the child. Some forms of drugs are hard enough to get drunk infant. To simplify the process, preference should be given to syrups, medicinal solutions. Tablets can be dissolved in water or finely crushed and given in a teaspoon.

In addition to enterosorbents, Anaferon and Arbidol have proven their effectiveness against rotaviruses. In the course of research, doctors found that their use accelerates the treatment of infection by several days.

Elimination of dehydration and intoxication

This is one of the most important components of treatment, which allows you to improve general state patient of any age. You can compensate for the loss of water and minerals necessary for the body with the help of drugs: Regidron, Glucosolan, Gastrolit.

If none of the listed drugs is in the home medicine cabinet, for the first time you can prepare a solution that is close in composition to these drugs. To do this, add to 1 liter of boiled water:

  • 4 tablespoons (20 g) sugar
  • 1 teaspoon (3 g) salt
  • 1 teaspoon (3 g) baking soda

However, it should be remembered that this solution is best used only for a short time, before buying medications, since it lacks a number of important trace elements.

Restoration of bowel function

Rotavirus infection destroys some of the beneficial bacteria that are essential for efficient digestion. That is why it is necessary to connect probiotics to therapy, such as Laktofiltrum, Linex, Bifidum, Bifidumbacterin, etc.

Caring for a baby with rotavirus

Since children under one year old can endure the disease quite hard, they need to provide adequate care. Let's highlight the key points:

  • Proper nutrition. If the child is breastfed, it must be continued, at least 4-6 times. When formula feeding, preference should be given to lactose-free/low-lactose concentrates;
  • Compliance with doctor's orders. Some forms of drugs are difficult enough to get a baby to drink. To simplify the process, preference should be given to medicinal solutions. Tablets can be dissolved in water or finely crushed and given on a teaspoon;
  • Regular change of diapers / diapers. Despite frequent liquid stools, it is necessary to change the child's underwear every time after it gets wet. This will subsequently avoid maceration (damage to the skin with the formation of "weeping" areas) of the skin;
  • Monitor the condition of the child. Excessive lethargy, a very weak cry, the appearance of "dangerous" symptoms - all these are signs of a severe course of the disease, with the appearance of which it is recommended to seek emergency medical help.

In most young patients, the symptoms of the disease disappear within a few days, with adequate treatment. But at this time it is important to ensure proper care which will have a positive impact on the child's recovery process.

Prevention of rotavirus infection

How to protect yourself or your child from rotavirus infection? There are two main methods for this. The first is the observance of elementary hygiene standards:

  • Regular hand washing (required before eating/water);
  • Boiling of any consumed water (except for bottled water);
  • Thorough washing with soap of any consumed vegetables, fruits and berries, followed by rinsing them with boiling water.

In most cases, these simple rules help to avoid the development of the disease. However, it is quite difficult to make sure that the child adheres to them. Vaccination can be additionally used as a special prophylaxis, which can significantly reduce the likelihood of developing pathology and completely eliminate the occurrence of severe forms of infection.

Currently, 2 vaccines against this disease are available in Russia - these are RoTatek and Rotarix. They are only effective on children under two years of age. The drugs are produced in Europe, where they have passed multiple clinical trials and have proven their effectiveness. They are not included in the vaccination calendar, so for setting the child they need to be redeemed on their own. The average cost of a vaccine is about 5,000 rubles.

FAQ

Can cola treat rotavirus infection?

Since cola is considered a harmful carbonated drink, doctors (who have never experienced all the delights of rotavirus and the effectiveness of cola) do not recommend using this drink as a means of therapy. But, to stop vomiting and relieve nausea against the background of a rotavirus infection, Pepsi-Cola and Coca-Cola are very effective. That is, it can be used at the first sign of infection.

If a child once had rotavirus, can he get sick again?

Yes. After this disease, immunity is formed, but it lasts only a few weeks. Vaccines are needed to build strong immunity.

How dangerous is this disease?

With timely and adequate treatment, the prognosis of the disease is favorable. As a rule, a protracted infection in children is dangerous. younger age, which proceeds with severe dehydration.

Do I need to drink Enterofuril or other antimicrobial agents?

Antibiotics are not indicated for this pathology, but Enterofuril (Ersefuril, Nifuroxazide, Ecofuril, Stopdiar) is prescribed to reduce the growth of opportunistic bacterial flora that blooms against the background of a weakening of the immune response of the intestine by the virus.

Should I take painkillers for colic in the abdomen?

Severe pain that requires admission medicines not characteristic of rotavirus infection. The appearance of this symptom is a reason to seek medical help.

The appearance of a rotavirus infection in a baby causes great concern among parents. This is not surprising, since the disease can lead to adverse consequences. How to treat rotavirus infection in children and what the popular pediatrician Komarovsky recommends - all this can be found in the article below.

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Where does rotavirus infection come from in a child? The reasons

The causative agent of this disease is rotavirus. Most often, the disease affects children attending kindergartens and schools. The microorganism is characterized by sufficient resistance to environmental factors. The peak incidence occurs in the cold season - from late autumn to early spring. However, there are also geographical sources of the disease. For example, hot summers plus too warm seas create favorable conditions for the growth of bacteria. If you are going on vacation in mid-July or August, be prepared for this development and stock up on the necessary drugs in advance. Because how long the rotavirus infection lasts in children in a foreign region - no one can predict in advance.

How can you get sick? Transmission routes

  • alimentary (food): with insufficient heat treatment food, including dairy products, fruits and vegetables;
  • water: through tap water;
  • contact-household: dirty hands and unwashed toys.

The pool can also become a source of infection if hygiene requirements are not observed in the sports complex.

Most often, sick people or carriers of the infection become the source of the disease. The causative agent multiplies intensively in the intestine, from where it exits with feces into the environment. If the infection appears in institutions with a large concentration of babies, over time this can lead to acute outbreaks of rotavirus infection in children.

Symptoms of the disease - how to recognize?

In the acute period of the disease, its first signs appear in the form of nasal congestion, runny nose, hyperemic and edematous palatine arches and the posterior pharyngeal wall. To understand that this is rotavirus, the following main symptoms will help:

  • increased body temperature of the child;
  • the appearance of loose stools;
  • the presence of vomiting.

The disease begins with sudden diarrhea and vomiting. The child's stool is liquid, plentiful with an unpleasant sour smell. In color, it does not differ from normal and does not contain any blood or mucus. Most often, diarrhea lasts about 3-6 days. The main threat to life and health is dehydration due to systematic diarrhea in children with rotavirus infection. Without diarrhea, the course of the disease also happens.

Vomiting usually disturbs up to 4 times a day, it can appear even when the stomach is empty. In very rare cases, it becomes multiple. Also, the baby is worried about cutting pains in the abdomen, because of which he may refuse to eat. A loud rumbling can be heard in the abdomen.

Then comes the high temperature. Because of her, the baby becomes irritable and tearful, he loses his appetite, and may complain of a headache.

Does fever accompany rotavirus infection in children?

How long does the temperature last, if any? As a rule, the temperature accompanies the disease. Depending on the course of the disease, it can be different: from 37.5? up to 39.5 degrees. Most often, it lasts about 2-4 days. It is quite difficult to knock it down, as the body tries to defeat the infection on its own: at a temperature above 38? the pathogen dies.

Is there an incubation period?

Yes, with rotavirus infection in children, the incubation period undoubtedly exists. It represents the time from infection of the body with bacteria to the onset of signs of the disease. Usually its duration is 1-5 days. During this time, the pathogen enters the gastrointestinal tract, where it accumulates. The virus invades a healthy cell, where it begins to multiply intensively, moving to other cells.

In his opinion, such a disease as rotavirus infection in children should be taken very seriously. Komarovsky argues that in order to treat young patients, it is first necessary to replenish the level of lost water. Therefore, he advises mothers to water the child as often as possible so that dehydration does not occur.

In the event that the baby categorically refuses the drink and cannot drink it, you should immediately seek help from medical institution, as it threatens the appearance of adverse consequences. In a hospital setting, the doctor prescribes intravenous drugs that prevent the development of dehydration.

As for antibiotics, a popular doctor notes that they do not act on the causative agent of the infection. Therefore, the appointment of these drugs is not only unnecessary, but also fraught with complications. Taking antibiotics is justified only when pathological impurities (blood, mucus) are found in loose stools, but their appointment should be handled by the attending doctor. You can not give them to a child on your own!

Rotavirus infection in children - video conference with a pediatrician:

How to eat during treatment? Diet

The effectiveness of therapy largely depends on how parents will feed young patients. It is desirable that the diet for rotavirus infection in children be followed for 2-3 weeks in order to facilitate the work of the affected gastrointestinal tract. Portions of food should be small, as its large volume can provoke vomiting. At the same time, you need to feed your baby often. If the baby does not want to eat, you do not need to force-feed him, but you must drink.

The well-known doctor Komarovsky notes that in this case there is a decrease in the activity of enzymes such as lactase. She takes part in the process of hydrolysis of lactose, which is contained in dairy products. Due to the lack of enzymes, food cannot be digested, and the condition of the small patient will worsen, since such food will cause intense fermentation in the intestines. For this reason, parents need to remove products from the baby's menu, including mother's milk, for a period of at least 3 weeks from the onset of the disease. You also need to exclude confectionery, meat and fish of fatty varieties, canned foods, legumes.

At the beginning of the development of the disease, low-fat broths, various cereals, scrambled eggs will be useful. From drinks it is desirable to drink jelly, rosehip broth. Over time you can add fresh vegetables and fruits, lactic acid products and juices diluted with water.

What to feed a child with rotavirus infection?

As a rule, “table number 5” is recommended for babies with such symptoms, namely:

  1. still water, dried fruit compote, sweet black tea;
  2. boiled rice porridge in water;
  3. vegetable soup on the water with the addition of rice or barley (boil to the maximum!);
  4. mashed potatoes on the water;
  5. steamed chicken fillet cutlets (minced meat with white bread);
  6. fish soup made from white varieties of fish (cod is recommended).

And once again - you should eat little by little, 3-4 times a day. During vomiting and diarrhea, let's eat on demand. This means that if the baby refuses food for a day, you should not force him. As soon as he comes to his senses, he will ask. Be sure to watch your feces. For babies up to a year and infants:

Proper drinking regimen: what can you drink?

Effective treatment of rotavirus infection in children is impossible without proper drinking regimen. Approximately 2 times an hour, 50 ml, be sure to let the baby drink. It is desirable to use such drinks that restore not only the level of fluid in the body, but also the composition of electrolytes. You can buy them at the pharmacy or make your own.

  • water - 1l;
  • sugar - 2 tbsp. l.;
  • salt - 1 tsp;
  • soda - 1 tsp

The child needs to drink this solution so often that his frequency of urination is at least 1 time in 3 hours.

What to give a child with rotavirus infection? What medicines how to accept?

Intestinal rotavirus infection in children, the symptoms and treatment of which we describe, responds well to therapy. The first thing to do is to remove its signs (vomiting, diarrhea, temperature), and then maintain a comfortable state of the baby until he is fully recovered. For this, the following groups of drugs are used:

1. Antipyretics

Such medicines are used if the body temperature exceeds 38 degrees. The calculation of the dosage of drugs is carried out depending on the age of the child. Paracetamol can be given to children. It is available in the form of Cefekon suppositories and tablets. You can give Nurofen suspension, which not only reduces the temperature, but also helps to reduce abdominal pain.

2. Medications to replenish water deficiency in the body

These are Regidron, Humana, Hydrovit. They are necessary for the normal functioning of internal organs and the removal of pathogen toxins. It is recommended to give the baby 1 teaspoon of the solution 4-5 times an hour. In order not to provoke vomiting, you can literally swallow half a teaspoon of water or solution, but be sure!

3. Symptomatic drugs

Sorbents are a necessary component of the treatment of rotavirus infection. These include activated carbon, Smecta, Enterosgel. They remove the toxins from the virus from the body. Dose calculation is carried out by the attending physician based on the severity of the disease.

As a rule, 2 tablets of activated carbon are given for 10 years. Smecta can be dissolved in 1/2 sachet in 100 ml of water. Before giving, make sure that the child does not vomit the medicine, because. its repeated reception can be fraught with overdose.

4. Antiviral drugs

They include an analogue of interferon, which resists the pathogen. In children, Viferon suppositories, Lipoferon suspension are most often used. The dose is selected by the doctor, and the duration of treatment is about 5 days.

5. Preparations for the restoration of intestinal microflora

Due to inflammation, the composition of the normal intestinal flora is disturbed, so these drugs are included in complex therapy diseases. They contain lacto- and bifidobacteria. These include Bifilakta, Lacilophila. It is recommended to give after such signs of rotavirus infection in children as diarrhea and vomiting are eliminated.

How to treat a baby?

The main rule in the treatment of rotavirus infection in children under one year old is to replenish the lack of fluid. At home, this is quite difficult, so usually a rotavirus infection in an infant is treated in a hospital.

To combat water deficiency in the body, Regidron is used, 1 sachet of which is diluted in 1 liter of boiled water. The drug is given to the child after each bowel movement in a volume of 50 ml. To reduce elevated temperature babies are given Cefekon candles, and if they are older than 3 months, Nurofen can be given. Treat rotavirus infection in infants with methods traditional medicine strictly prohibited!

If the baby is breastfed, the digestibility of milk may decrease, so you can partially give the baby a lactose-free mixture. The same goes for formula-fed babies: they are also fed a lactose-free formula.

Folk remedies used for the disease

For the treatment of rotavirus infection in children and adults, alternative medicine methods should not be the main ones. They can be added to conservative treatment by consulting a doctor.

Solution with raisins. Take 100 g of dried fruit and boil it in 1 liter of water for 30 minutes. Let cool and strain the solution, carefully grinding the raisins. Add 1 tsp. salt, 1/2 tsp. soda and 4 tsp. Sahara. Boil the drink for about 2 minutes and cool. Such a solution fights well with dehydration.

Hypericum decoction. Take 1 tbsp. l. plants and brew in 1 cup boiling water. Let it brew for about 30 minutes and strain it. Pour 200 ml of hot water. The decoction is taken 60 ml three times a day 30 minutes before meals. It fights rotavirus well, but for children under 3 years old, the solution is prohibited for use.

Dried blueberry compote. Boil dry fruits of berries and give to the baby before and after eating. Such a drink effectively fights loose stools.

Child after infection: how to behave, how to eat?

After the illness, it is advisable to stick to a diet for about 2-3 weeks with a gradual expansion of the list of products and an increase in food portions. Feeding a child after a rotavirus infection should be as sparing as possible. In the future, it is necessary to refrain from certain rules:

  • drink only boiled water;
  • wash vegetables and fruits thoroughly before eating them;
  • observe personal hygiene.

A child after a rotavirus infection is weakened, his immunity needs support. Limit physical and mental "stresses", let him walk more, slowly do exercises, eat well, but eat right.

Are there any complications? Which?

Any intestinal infection in a child is fraught with various complications. The most common adverse effect is the development of dehydration. It is the most dangerous. Due to frequent heavy loose stools and vomiting, the body loses a lot of fluid in a short period of time. Its main signs are the appearance of lethargy and lethargy, a feeling of dry mouth, a decrease in the volume of urine excreted, and the occurrence of convulsions. With an unfavorable course, a lethal outcome is possible after a rotavirus infection. Complications in children are very unpredictable.

The development of pneumonia due to a lack of fluid: with a shortage of water, the work of the lungs is disturbed.
Accession of secondary bacterial microflora and necrotizing enterocolitis, which aggravate the course of the disease.

Prevention of the onset of the disease

The best prevention of rotavirus infection in children is personal hygiene, eating well-washed vegetables and fruits, and boiled water. If symptoms of the disease appear in one of the family members, it is imperative to isolate the patient, providing him with a personal towel and utensils.

And, of course, it is worth hardening the child so that his body can cope with any disease. After all, the stronger the immune system, the faster it will cope with any bacteria.

Is it worth getting vaccinated?

There are currently 2 vaccines in use:

Rotarix: contains only 1 strain. It is obtained by isolating the virus from a baby with gastroenteritis. This vaccine is administered orally twice at the age of 6-12 weeks and 4 weeks after the first vaccination. Rotarix must be done before the baby is 6 months old.

RotaTeq : consists of 5 genetically modified rotavirus strains. This vaccine is also administered orally three times: at 2, 4 and 6 months. The age for vaccination should not exceed 12 weeks, and by 32 weeks the child must receive all 3 vaccines.

Infection with a rotavirus infection is quite simple. Many doctors believe that vaccination is the only effective method, which can protect the child from the disease. According to most pediatricians, after vaccination, strong immunity is developed against most serotypes of the virus. However, it should be taken into account that viruses constantly mutate, and vaccination will not be able to protect the child from all of them. Therefore, before you get vaccinated, you need to weigh the pros and cons many times.

Rotavirus infection in children is extremely dangerous disease. In the absence of proper treatment, the disease threatens with serious consequences up to the onset of death. That is why the task of parents is to timely contact the doctor and fulfill all his appointments.

In contact with

Classmates

To help your child fight rotavirus, you must follow the clinical guidelines developed by the medical community. These recommendations include the rules and tactics of treatment to eliminate the symptoms of the disease and restore balance in the body after an infection. Treatment of rotavirus is symptomatic. The disease has a favorable prognosis, subject to the prescriptions of the attending physician.

Rotavirus (also called intestinal flu) in children is quite common. The disease "matures" within 1-4 days, and the first signs of it can appear within a day after infection.

Standard course of the disease begin with:

  • a sharp increase in temperature;
  • vomiting;
  • liquid stool;
  • excess gas production.

Thus, when deciding what to do if an infection is suspected, it is worth, first of all, pay attention to the most striking symptoms and start with symptomatic treatment.

How to quickly heal a baby

Treatment of rotavirus infection in children, if it is not accompanied by complications such as incessant vomiting or extremely high temperature, it passes according to a standardized scheme according to clinical guidelines rendering medical care children with rotavirus infection.

It is better to lower the temperature with candles, as the tablets may not have time to be absorbed due to vomiting. You can go for walks with the baby, but only if the body temperature has returned to normal.

Important! Vomiting can be suppressed. To do this, you need to help the child to accept horizontal position. You can put him on your knees and hug him. However, vomiting is a protective reflex that protects the baby. Therefore, if the urge to vomit occurs, for example, after drinking or eating, then it is better not to water or feed the child.

This rule does not apply to medicinal drinks., namely the one that restores water balance(for example, "Regidron") and does not allow the body to dehydrate.

The main visible problems in the child are watery stools and frequent urges to bowel movements. In this situation, the body loses a lot of fluid. Therefore, to replenish it, it is vital to give water to the child. A suitable drink would be tea with lemon or berry juice.

Get your digestion in order You can by taking drugs allowed by age:

  • activated carbon or other enterosorbent by age. The choice of the drug for the smallest should be correct, because some drugs can harm children's body. Parents of children under 2 years old should pay attention to the message National agency on the safety of medicines and medical devices (ANSM, France). The source reports that Smecta®, a popular clay-based enterosorbent, may contain lead impurities, so there is a risk of lead transfer into the blood in children under 2 years of age when treated with this drug. As a result, doctors in France are not recommended to prescribe Smecta and generics to children under 2 years of age for the treatment of acute diarrhea, pregnant and lactating women. The Russian Union of Pediatric Centers has already sent out a warning to doctors from the French regulator with a recommendation to use Russian drugs instead of Smecta for children and pregnant women. For example, Enterosgel is recommended as the drug of first choice, which meets the main safety requirement - it works only in the lumen of the gastrointestinal tract, does not penetrate through the mucosa into the bloodstream.

How to treat rotavirus

Rotavirus most susceptible to children from 1 to 3 years. How many days the disease is treated depends on many factors:

  • age,
  • infection conditions,
  • detection time,
  • immune status, etc.

The average duration of the disease is up to 7 days. At an older age, antibodies are produced in the child's body, which significantly shorten the duration of the disease and facilitate its course.

Specific therapy, as a rule, is not used, but the main manifestations of the disease will have to be eliminated.

Fighting dehydration

One of the main problems with rotavirus is dehydration.. A large amount of fluid and nutrients is lost or does not enter the body with diarrhea, vomiting, increased sweating, high fever, refusal to eat.

That's why a regular supply of fluid is necessary into the body to fill its needs, as well as for the speedy flushing and excretion of toxins through the kidneys. The amount of liquid consumed is regulated depending on the age of the baby.

Treatment regimen for dehydration by age (from 1 year to 4 years - 5 years)

Up to a year you should give a coffee spoon of water. If it is assimilated, repeat the procedure every 10-20 minutes.

From 1 to 3 years you can start with a teaspoon, and if everything is in order, increase the dose to dessert.

At 4 years and 5 years Children can drink water from a mug in small sips on their own, if they do not feel sick.

There are special preparations for rehydration:

  • Regidron,
  • Oralit,
  • Normagidron,
  • Hydrovit,
  • Human electrolyte.

They are available in powder form. 1 sachet of this remedy is dissolved in a liter of water and given to children according to the indicated dosage.

If treatment with these powders is not available, can be used:

  • warm drinking water
  • light compote of dried fruits,
  • chamomile tea,
  • rice broth.

In case of rejection of the liquid drunk by the body, it is necessary to take the child to the hospital, where the baby will be put on a dropper to avoid dehydration.

Temperature drop

High fever is a sign of the body's active fight against infection.. But if it reaches a value of 38.6 degrees and above, you will have to reduce it - overheating can cause convulsions.

Most Effective children's antipyretics:

  • ibuprofen syrup(used at a certain dosage according to age and doctor's prescriptions);
  • rectal suppositories("Tsefekon" or "Efferalgan"). They are placed every 2 hours.

Carefully! It makes no sense to bring down the temperature below 38 degrees, otherwise the body will stop fighting the infection. If the temperature rises above 39 degrees, paracetamol-based drugs should be used.. Aspirin-containing products for children should not be used except for medical purposes.

Pain in the intestines should be relieved with antispasmodics. "No-shpa" is considered a universal remedy. It can be used according to age dosage.

The doctor may also prescribe the intestinal receptor blocker "Ribal" to the child.. It reduces the urge to vomit and is suitable for relieving spasms in gastrointestinal tract. Children from 6 years old it should be given in tablets, 1 three times a day. For children from 2 to 6 years old suitable syrup. The daily dosage is 30-60 ml and is divided into 3 doses.

Elimination of toxins

Fight against toxins internal organs with rotavirus infection, this is an important part of the treatment. It must be carried out with the help of enterosorbents.

For removing toxins your doctor may recommend:

  • Smektu (children from two years old);
  • activated or white charcoal;
  • Enterosgel.

The main thing is to observe the dosage and not to allow the timing of the intake of enterosorbents to coincide with antispasmodics and antipyretics.

Food

The diet of a sick child should be dietary.. Dairy, meat, fatty, fried, spicy and sour foods should be excluded from it.

Suitable as a supporting power supply:

  • liquid rice porridge
  • mashed potatoes in water
  • low fat chicken broth
  • crackers, bread sticks, dryers, bananas (as a dessert),
  • fruit drinks, jelly, dried fruit compote with a small amount of sugar (from drinking).

Normalization of digestion

In the course of the disease, the body is deprived of digestive enzymes. Therefore, two days after the onset of the disease, you should start taking drugs that normalize digestion:

  • Mezima,
  • Creon and others.

It is good to restore the intestinal microflora with probiotics- preparations with bifidobacteria:

  • Bifidumbacturin,
  • Acipol,
  • Linex and the like.

They are taken from the third day of illness.

Antiviral protection against rotavirus

Whether it is worth resorting to it in the absence of specialized preparations for rotavirus - only the doctor decides. Immunity support may provide the following drugs:

  • Anaferon,
  • Viferon,
  • Likopid.

In this way, antiviral treatment should be carried out comprehensively:

  1. Let's deal with the symptoms first.
  2. Then we remove the toxins.
  3. We organize catering.
  4. We normalize digestion.
  5. We support immunity.

Antibiotics

Sometimes, when treating rotavirus, doctors prescribe antibiotics, diagnosing an unidentified acute intestinal infection. But they will not have much effect, because the disease is viral, not bacterial.

The point in using antibiotics will be when:

  • the presence of blood in the stool,
  • suspicion of cholera
  • prolonged diarrhea with lamblia in the stool.

In other cases, the appointment of antibiotics is more of a reinsurance than a full-fledged treatment.

How to cure at home

Most children with rotavirus are treated at home. But sometimes you have to go to the hospital. In fact, there are few differences between these types of treatment- in both cases, it is necessary:

  • provide the body with enough fluid,
  • stabilize body temperature
  • choose a therapeutic diet,
  • ensure the strengthening of the body.

The main difference between the hospital - they turn there in difficult situations, for example, with incessant vomiting and diarrhea, when the dehydration of the child's body becomes critical. Another difference is that at home, in addition to medicines, folk remedies are sometimes used.

Folk remedies

Folk remedies should be used exclusively:

  • in combination with medicines,
  • after consultation with a doctor,
  • if the child is not allergic to the components of the product.

Dried blueberries have anti-inflammatory and disinfectant properties. For the digestive tract, blueberry compote will be useful - it will help to quickly remove toxins from the body.

Dill seed water helps to cope with intestinal colic. A teaspoon of seeds is infused in a glass of boiling water. For children over 2 years old, you can give 500 grams of infusion every 2 hours.

Raspberries will help reduce the temperature. You can brew tea from raspberry leaves - a tablespoon of the product in a glass of boiling water. You can make a fruit drink from raspberry jam and drink 1-3 times a day. You can also remove the heat with water rubdowns (without alcohol).

How to treat at sea

At the resort, rotavirus can be picked up from a sick person or a carrier while eating. The disease spreads especially quickly in children's groups. It is very difficult to protect yourself from infection - after all, even observing the rules of personal hygiene may not help.

At sea, the treatment of infection will not differ from the treatment at home. Since the infection is acute, the health insurance will cover the costs and the host will be obliged to provide qualified assistance to the baby.

However, it should take care of helping the child in advance and protect yourself as much as possible from “acquaintance” with the disease, respecting the following rules:

  • Take enterosorbents with you to the first-aid kit, antipyretic, antiviral drugs, so that help can be provided faster.
  • Don't buy food from beach vendors– they can be carriers of rotavirus.
  • Try to eat less at restaurants. It is best to cook your own food if possible.
  • Thoroughly wash purchased foods before eating.
  • Wash hands before eating.
  • Boil water and milk to drink. Use bottled rather than tap water.
  • Wash toys regularly.
  • Always carry disinfectant wipes and gels with you.
  • If it is possible to choose disposable or reusable tableware in catering places, it is better give preference to disposable tableware.
  1. In no case do not allow dehydration of the body. Not only the digestive system, but also the nervous system can suffer from this, as well as the work of the lungs.
  2. If the child does not want to drink, the solution must be instilled into the mouth. conventional disposable syringe.
  3. First infection(from 6 months to 2 years) is a severe intestinal infection.
  4. Diagnosis can only be made in the laboratory, so the tactics of treating watery stool will always be the same.
  5. Don't force-feed your baby when you're sick. 1 day of fasting will not bring fatal harm to the body.
  6. Oral rehydration products should always be in the first aid kit at home..
    If they are not available, you can cook it yourself - dissolve 2 tablespoons of sugar, 1 teaspoon of salt and 1 teaspoon of baking soda in a liter of water.
  7. Vaccination is the only effective method prevention. protects by 80% from the disease and by 90-95% from its severe forms.
  8. It is worth vaccinating at the age of 1.5 to 8 months. Later, the child's body will begin to produce antibodies on its own.

Useful video

Dr. Komarovsky talks about rotavirus infection in children:

Conclusion

  1. If a baby is diagnosed with rotavirus, medical care should begin as soon as possible. A visit to the doctor, as well as testing for laboratory confirmation of the disease, are the first steps to be taken.
  2. The most important task of parents is to prevent dehydration, which can develop within a few hours. Oral rehydration is a mandatory item of therapy.
  3. If the baby has persistent vomiting and diarrhea, then hospitalization in a hospital is required.

In contact with

Rotavirus infection- This is a disease of infectious genesis, provokes the development of diarrhea, intestinal disorders. Rotavirus in children is manifested by an acute onset, a combination respiratory symptoms with moderate enteritis. It is dangerous for a small child, as it leads to dehydration.

Rotavirus infection presents as severe diarrhea

Causes of rotavirus in children

The main cause of the infectious process is a group of viral agents - rotaviruses.

There are 2 types of pathogen:

  • subtype A - affects mainly children;
  • subtype B is adult form diseases and causes severe forms of gastroenteritis.

This is a typical disease of "dirty hands", so the path of transmission of the pathogen is exclusively oral-fecal. Rotoinfection virions are well preserved in soil and water. Child infection occurs in kindergarten, school, places of mass congestion of children.

Dirty hands are the main cause of infection

Rotavirus is contagious. The disease can be single or cause an epidemic. The peak falls on the autumn-winter period. If at least 1 case of the disease is detected in the team, then within 4–5 days all those who have been in contact with an infected person will also face manifestations of rotavirus infection.

The disease is also called intestinal flu. But this is a household name, since the pathogen does not belong to the group of influenza viruses.

The course of the disease

The virus is protected by a three-layer protein coat. It protects the pathogen from action of hydrochloric acid in the stomach, digestive enzymes. Rotavirus infects the intestines, causing the death of the villi of the organ.

The disease proceeds cyclically:

  1. The incubation period is 1–5 days.
  2. Acute phase - from 3 days to a week in severe cases.
  3. Recovery - from 4 to 5 days.

During the incubation period, the pathogen does not manifest itself. The transition to the acute phase is accompanied by characteristic symptoms - nausea, vomiting, changes in the structure and nature of stool. The second period lasts 2-3 days, then the recovery of the body begins.

High fever with rotavirus infection

When affected by rotavirus, the color of feces changes. At the initial stage of the disease, they acquire a grayish color and become sharply fetid. On the 3rd day, the feces become yellow-gray and appearance resemble clay.

A child's stool with rotavirus should not contain impurities of blood, mucus, greenery.

Respiratory symptoms are mild. Cough, perspiration and sore throat, rhinorrhea can be observed.

Which doctor to contact

When symptoms appear that are similar to those of the intestinal flu, it should. Treatment in this case takes place at home. In a severe course of the disease, the patient is hospitalized in the infectious diseases department of the hospital.

If rotavirus manifested itself in a teenager, an adult, then an infectious disease doctor is engaged in his treatment.

Diagnostics

To make a diagnosis, consider clinical manifestations diseases, family history, age of the child, seasonality at the time of the onset of the first symptoms.

For exclusion intestinal infections stool culture is carried out. Additionally, fecal sampling is shown on occult blood, microscopic analysis of feces, general clinical examination of urine and blood.

Stool culture is used to detect bacteria.

Confirms the diagnosis enzyme-linked immunosorbent assay of the child's feces. It contains viral particles, fragments of RNA of the causative agent of the disease.

Treatment of rotavirus in children

There are no specific antiviral drugs to suppress rotavirus. Treatment is to prevent dehydration, eliminate toxins, prevent disorders of cardio-vascular system, kidneys, relief of signs of enterocolitis.

With dehydration of 1-2 degrees, oral administration of solutions for hydration is indicated - Regidron, Glucosolan. At the third stage of dehydration, infusion administration of these drugs is carried out. If a child has a stomach ache, the temperature has risen to critical values, antispasmodics, antipyretics, enterosorbents are required.

Regidron is used to prevent dehydration.

It is forbidden to use antibiotics in the treatment of rotovirus, since drugs in this group do not suppress viruses. Intestinal antiseptics such as Nifuroxazide, antidiarrheal drugs are not prescribed, as they increase the duration of the disease.

The appointment of antiseptics is necessary in case of accession of a bacterial infection.

First aid

There is no specific first aid for rotavirus infection. Parents should monitor the condition of the baby and prevent dehydration.

To do this, give the child boiled water every 10 minutes, hydration preparations in small portions. Babies under 2 years of age use syringes without a needle to administer fluid.

In case of vomiting, continue rehydration measures at short intervals. The child should drink water in small sips.

At severe vomiting let the baby drink water in small sips

Call ambulance should be in the following cases:

  • babies under 2 years old;
  • unable to stop vomiting within a few hours;
  • in feces mucus, blood, green inclusions appeared;
  • fails to give the child liquid on his own, there are signs of dehydration - crying without tears, the last urination more than 6 hours ago;
  • there were symptoms of botulism - neurological signs of a violation of higher nervous activity - and salmonellosis - cramps in the calf muscles.

Medications

specialized medications to suppress rotavirus does not exist. Treatment is symptomatic.

What medicines help to cope with rotavirus infection in children:

  1. Solutions for hydration - water, Regidron, Re-salt, Normohydron, Ionica.
  2. Antiemetic drugs - Cerucal - blocks the vomiting center in the brain.
  3. Antiviral agents - Cycloferon, Viferon in candles, Kipferon - these are interferon preparations. They have an immunomodulatory and antiviral effect, contribute to a decrease in temperature and the production of specific antibodies to suppress the causative agent of the disease.
  4. Sorbents - Polysorb, Activated carbon, Filtrum, Enterodez - bind by adsorption the waste products of the virus, other toxins. The drugs are not absorbed and are excreted naturally.
  5. Probiotics - Acipol, Linex, Acidolac - contain intestinal microflora. Contribute to the normalization of the balance of normal and conditionally pathogenic flora.
  6. Enzymes - Creon, Mezim, Pancreatin - powders from the pancreas, contain substances that promote the absorption of food.

Polysorb is an effective sorbent preparation

What to feed a child with rotavirus

During the intestinal flu, appetite is either reduced or completely absent. The diet depends on the age of the patient.

For toddlers (newborns and infants), continue to offer breast or adapted formula. This will help you avoid dehydration. But you shouldn't go from breastfeeding artificial, as this is additional stress for the digestive system. Remove food.

For older kids and adults, unsaturated broths, croutons from white bread. The patient's diet should include rice and semolina pureed porridge, boiled meat.

During illness, it is allowed to give the child low-fat chicken broth

From drinks, decoctions of herbs, berries, unsweetened tea and cocoa on the water are ideal.

Don't force feed your baby. As soon as he starts to recover, his appetite will be restored.

Komarovsky about rotavirus infection in children

According to the personal observations of the doctor, this disease does not proceed without diarrhea. And if the stomach hurts and there is no diarrhea and vomiting, you should look for another cause of the pathology.

It is better to treat the baby at home. Only in severe cases of the disease it is necessary to be hospitalized in a hospital.

Consequences of rotavirus

With rotavirus, it is not the consequences of a viral attack that are terrible, but prolonged dehydration. It can cause kidney and liver failure. Both of these conditions are serious pathologies and require hospitalization in the intensive care unit.

Long-term consequences of the disease:

  • thickening of the blood, which is fraught with diseases of the cardiovascular system;
  • peripheral pathology nervous system, the brain from lack of glucose;
  • failures in the production of enzymes, the work of the gastrointestinal tract;
  • dysbacteriosis;
  • violation of the process of assimilation of food.

If you do not treat rotavirus infection, then severe complications are possible - pancreatitis, pancreatic necrosis, enteritis.

Rotavirus infection can cause the development of dysbacteriosis

Prevention

The best way to prevent rotavirus infection is vaccination. The vaccine is included in the list of mandatory in Europe and the United States. On the territory of the CIS, vaccination against the disease is a private matter for parents.

  • observe hygiene - teach the child and yourself to wash their hands;
  • if you suspect the development of intestinal flu in a family member, try to isolate him from others;
  • enhance nonspecific immunity.

Teach your child to wash their hands

How to distinguish rotavirus from poisoning

Symptoms food poisoning similar to those of rotavirus infections. But there are a number of characteristic differences.

diagnostic sign Food poisoning Rotavirus infection
Nauseapresentpresent
VomitSingle use to remove toxins.

Brings relief.

Repeated, with periods of attenuation and renewal. Doesn't bring relief.
Defecation disorderIt can be both constipation and diarrhea.Diarrhea - bowel movements up to 10 times a day.
Inclusions in feces.Present - pieces of undigested food, blood, mucus.Only water is present in the feces.
Temperature riseMay leak without raising the temperature.Temperature rise is present.
Stomach acheAfter vomiting, the intensity decreasesSpasms are rhythmic and may persist for up to 2 weeks after recovery.

Rotovirus is a common disease, you should not be afraid of it, but it is necessary to be afraid, to treat it well, to take drugs prescribed by a doctor.