Disorder of the intestinal microbial tissue complex after a new coronavirus infection as an interdisciplinary problem

M. Grigorovich
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Abstract

The occurrence of diarrhea in comorbid patients with COVID-19 infection against the background of microbiocenosis disorders may be a factor in the worse outcome of the disease. The biggest threat posed by diarrhea is dehydration. Evaluation, control and timely correction of disorders of the gastrointestinal tract, allowing to identify signs associated with dehydration, impaired water and electrolyte balance, intestinal microecology and phenomena of increased epithelial permeability. It is important to consider the risk of diarrhea in patients undergoing massive therapy for COVID-19. On the example of a specific clinical case, the most common mistakes in managing patients with acute/persistent diarrhea are analyzed. The tactics of managing a patient with diarrheal syndrome after a COVID-19 infection has been defined and substantiated, the importance of a holistic approach to solving patient problems from the standpoint of the one health concept has been substantiated.
新型冠状病毒感染后肠道微生物组织复合体的紊乱是一个跨学科问题
在微生物群落疾病背景下,COVID-19感染合并症患者出现腹泻可能是导致疾病预后恶化的一个因素。腹泻造成的最大威胁是脱水。评估、控制和及时纠正胃肠道疾病,以识别与脱水、水电解质平衡受损、肠道微生态和上皮通透性增加现象相关的迹象。重要的是要考虑接受COVID-19大规模治疗的患者腹泻的风险。结合一个具体的临床病例,分析了急性/持续性腹泻患者管理中最常见的错误。COVID-19感染后腹泻综合征患者的管理策略已经确定并得到证实,从一个健康概念的角度出发,采用整体方法解决患者问题的重要性已经得到证实。
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