Enterocolitis, Pseudomembranous
Enterocolitis
Enterocolitis, Necrotizing
Clostridium difficile
Tracheitis
Enterocolitis, Neutropenic
Clostridium
Bacterial Toxins
Lincomycin
Diarrhea
Enterotoxins
Infant, Premature, Diseases
Feces
Cecum
Mouth Diseases
Cytotoxins
Vancomycin
Intestinal Mucosa
Candidiasis, Oral
Colon
Metronidazole
Fatal Outcome
Cronobacter sakazakii
Mesocricetus
Infant, Very Low Birth Weight
Enteral Nutrition
Hirschsprung Disease
Enterocytes
Infant, Newborn, Diseases
Intestines
Infant, Extremely Low Birth Weight
Cricetinae
Postoperative Complications
Intensive Care Units, Neonatal
Probiotics
Milk, Human
Colitis, Lymphocytic
Ileum
Gestational Age
Dysbiosis
Bifidobacterium
Intestine, Small
Parenteral Nutrition
Infant Nutritional Physiological Phenomena
Asphyxia
Mucin-3
Ductus Arteriosus, Patent
Pseudomembranous colitis: causes and cures. (1/807)
Clostridium difficile is the most common nosocomial pathogen of the gastrointestinal tract and has increased in frequency over time. Typical symptoms of C. difficile infection include diarrhea, which is usually nonbloody, or colitis associated with severe abdominal pain, fever and/or gross or occult blood in the stools. Pseudomembranous colitis (PMC), the severest form of this disease, occurs as a result of a severe inflammatory response to the C. difficile toxins. This review focuses on PMC, as this severe form is associated with the greatest medical concern. Diagnosis rests on detection of C. difficile in the stool, either by culture, tissue culture assay for cytotoxin B or detection of antigens in the stool by rapid enzyme immunoassays. Oral therapy with metronidazole 250 mg 4 times a day for 10 days is the recommended first-line therapy. Vancomycin is also effective, but its use must be limited to decrease the development of vancomycin-resistant organisms such as enterococci. Vancomycin (125-500 mg 4 times a day for 10 days) should be limited to those who cannot tolerate or have not responded to metronidazole, or when metronidazole use is contraindicated, as in the first trimester of pregnancy. A therapeutic response within a few days is usual. Recurrence of symptoms after antibiotics occurs in 20% of cases and is associated with persistence of C. difficile in the stools. Further recurrences then become more likely. Therapy with antibiotics in a pulsed or tapered regimen is often effective as are efforts to normalize the fecal flora. The yeast Saccharomyces boulardii has been proven in controlled trials to reduce recurrences when given as an adjunct to antibiotic therapy. Careful hand washing and environmental decontamination are necessary to prevent epidemics. (+info)Clostridium difficile-associated diarrhoea. (2/807)
At our hospital, the number of cases of Clostridium difficile-associated diarrhoea increased from 29 in 1993 to 210 in 1995. The case notes of 110 patients with C difficile-associated diarrhoea during the first 6 months of 1995 were analysed retrospectively. The majority of the patients (106) had received antibiotics before the onset of diarrhoea; 46 had received three or more different antibiotics and 28 had received metronidazole. In 19 patients, the first stool sample after the onset of diarrhoea was negative for C difficile cytotoxin, with a mean delay of 8.2 days before a positive stool sample. We conclude that C difficile-associated diarrhoea was associated with the usage of multiple antibiotics, and that metronidazole did not protect against colonisation by C difficile. We also recommend that more than one stool sample should be tested for the C difficile cytotoxin. (+info)Immunogenicity of a Salmonella typhimurium aroA aroD vaccine expressing a nontoxic domain of Clostridium difficile toxin A. (3/807)
The C-terminal repeat domain of Clostridium difficile toxin A harbors toxin-neutralizing epitopes and is considered to be a candidate component of a vaccine against C. difficile-associated disease (CDAD). Fourteen of the 38 C-terminal toxin A repeats (14CDTA) were cloned into pTECH-1 in frame with the immunogenic fragment C of tetanus toxin (TETC) to generate plasmid p56TETC. Expression of the TETC-14CDTA fusion protein was driven from the anaerobically inducible nirB promoter within attenuated Salmonella typhimurium BRD509 (aroA aroD). The TETC-14CDTA fusion protein was purified and shown to bind to known toxin A receptors found on the surface of rabbit erythrocytes. Intranasal (i.n.) and intragastric (i.g.) immunization with 10(7) and 10(10) CFU, respectively, of BRD509(p56TETC) generated significant (P < 0.05) anti-toxin A serum responses after a single dose. Antibody titers were elevated following a boosting dose with either live vaccine or a subcutaneous injection of 0.5 microgram of purified 14CDTA protein. Importantly, serum from mice immunized with BRD509(p56TETC) neutralized toxin A cytotoxicity. Both i.n. and i.g. immunizations also generated toxin A-specific immunoglobulin A on the pulmonary and intestinal mucosa, respectively. Intranasal vaccination induced consistently higher serum and mucosal anti-toxin A antibody responses. Significant anti-tetanus toxoid serum and mucosal antibodies were also generated by both immunization routes. The availability of live attenuated Salmonella typhi for human use may allow the development of a multivalent mucosal vaccine against CDAD, tetanus, and typhoid. (+info)Incidence and outcome of Clostridium difficile infection following autologous peripheral blood stem cell transplantation. (4/807)
A retrospective evaluation of 200 consecutive recipients of autologous peripheral blood stem cell transplantation (PBSCT) was conducted to ascertain the incidence and outcome of infection with Clostridium difficile. The diagnosis was confirmed in 14 patients with diarrhea (15 episodes) at a median of 33 days after stem cell infusion. Five patients were neutropenic at the time of diagnosis. Every individual had adverse known risk factors such as recent or current use of antibiotic, corticosteroid and antiviral therapy, recent administration of myeloablative chemotherapy and numerous, prolonged periods of hospitalization. Diarrhea, frequently hemorrhagic, was the most common presenting feature along with fever, abdominal cramps and abdominal distention. Diagnosis was established by the stool-cytotoxin test. Response to standard treatment with oral vancomycin or metronidazole was prompt despite the presence of several adverse prognostic features in these patients. There was only one instance of relapse which was also treated successfully. Several transplant-related variables such as age, sex, underlying malignancy, myelo-ablative regimen, duration of neutropenia, and prophylactic use of oral ampicillin underwent statistical analysis but failed to be predictive of C. difficile infection in such a setting. Finally, C. difficile is not uncommon after autologous PBSCT and must be included in the differential diagnosis in any such patient with diarrhea. (+info)Clostridium difficile cell attachment is modified by environmental factors. (5/807)
Adherence of Clostridium difficile to Vero cells under anaerobic conditions was increased by a high sodium concentration, calcium-rich medium, an acidic pH, and iron starvation. The level of adhesion of nontoxigenic strains was comparable to that of toxigenic strains. Depending on the bacterial culture conditions, Vero cells could bind to one, two, or three bacterial surface proteins with molecular masses of 70, 50, and 40 kDa. (+info)Clostridium difficile colitis associated with infant botulism: near-fatal case analogous to Hirschsprung's enterocolitis. (6/807)
We present the first five reported cases of Clostridium difficile-associated diarrhea (CDAD) in children with infant botulism caused by Clostridium botulinum. We compare two fulminant cases of colitis in children with colonic stasis, the first caused by infant botulism and the second caused by Hirschsprung's disease. In both children, colitis was accompanied by hypovolemia, hypotension, profuse ascites, pulmonary effusion, restrictive pulmonary disease, and femoral-caval thrombosis. Laboratory findings included pronounced leukocytosis, hypoalbuminemia, hyponatremia, coagulopathy, and, when examined in the child with infant botulism, detection of C. difficile toxin in ascites. CDAD recurred in both children, even though difficile cytotoxin was undetectable in stool after prolonged initial therapy. Four children who had both infant botulism and milder CDAD also are described. Colonic stasis, whether acquired, as in infant botulism, or congenital, as in Hirschsprung's disease, may contribute to the susceptibility to and the severity of CDAD. (+info)Antimicrobial susceptibilities and serogroups of clinical strains of Clostridium difficile isolated in France in 1991 and 1997. (7/807)
Glycopeptides (vancomycin and teicoplanin) and metronidazole are the drugs of choice for the treatment of Clostridium difficile infections, but trends in susceptibility patterns have not been assessed in the past few years. The objective was to study the MICs of glycopeptides and metronidazole for unrelated C. difficile strains isolated in 1991 (n = 100) and in 1997 (n = 98) by the agar macrodilution, the E-test, and the disk diffusion methods. Strain susceptibilities to erythromycin, clindamycin, tetracycline, rifampin, and chloramphenicol were also determined by the ATB ANA gallery (bioMerieux, La Balme-les-Grottes, France). The MICs at which 50% of isolates are inhibited (MIC(50)s) and MIC(90)s of glycopeptides and metronidazole remained stable between 1991 and 1997. All the strains were inhibited by concentrations that did not exceed 2 microgram/ml for vancomycin and 1 microg/ml for teicoplanin. Comparison of MICs determined by the agar dilution method recommended by the National Committee for Clinical Laboratory Standards and the E test showed correlations (+/-2 dilutions) of 86. 6, 95.9, and 99% for metronidazole, vancomycin, and teicoplanin, respectively. The E test always underestimated the MICs. Strains with decreased susceptibility to metronidazole (MICs, >/=8 microgram/ml) were isolated from six patients (n = 4 in 1991 and n = 2 in 1997). These strains were also detected by the disk diffusion method (zone inhibition diameter, /=1 microgram/ml), clindamycin (MICs, >/=2 microgram/ml), tetracycline (MICs, >/=8 microgram/ml), rifampin (MICs, >/=4 microgram/ml), and chloramphenicol (MICs, >/=16 microgram/ml) was observed in 64.2, 80.3, 23.7, 22.7, and 14.6% of strains, respectively. Strains isolated in 1997 were more susceptible than those isolated in 1991, and this trend was correlated to a major change in serogroup distribution. Periodic studies are needed in order to detect changes in serogroups and the emergence of strains with decreased susceptibility to therapeutic drugs. (+info)Predominant Staphylococcus aureus isolated from antibiotic-associated diarrhea is clinically relevant and produces enterotoxin A and the bicomponent toxin LukE-lukD. (8/807)
Staphylococcus aureus was isolated as the predominant or only isolate from cultures of stools of 60 patients over 2 years in a university hospital, leading to the collection of 114 isolates. Diarrhea was observed in 90% of the patients. Ninety-eight percent of the patients had received antibiotics in the month before the diarrhea. Ninety-two percent of the S. aureus isolates were methicillin resistant. S. aureus was encountered with antibiotic-associated diarrhea among 47 quite elderly patients affected or not affected by a gastrointestinal disease. Among the antimicrobial treatments, cessation of the previous therapy when possible or rapid application of oral vancomycin therapy was the most appropriate. Analysis of total DNA by pulsed-field gel electrophoresis revealed 27 different SmaI pulsotypes distributed in 15 clusters. The pulsotypes never differed for related isolates from a single patient, even if they originated from patients with bacteremia. S. aureus was not isolated as the predominant isolate in cultures of stools of 57 patients who received an antimicrobial treatment for more than 5 days without diarrhea. Occurence of production of both enterotoxin A and the bicomponent leucotoxin LukE-LukD by the S. aureus isolates was significantly different from that by random isolates. The results strongly suggest that when predominant in stool samples, S. aureus should be considered a possible etiologic agent for some cases of antibiotic-associated diarrhea. (+info)Pseudomembranous enterocolitis is a medical condition characterized by inflammation of the inner lining of the small intestine (enteritis) and large intestine (colitis), resulting in the formation of pseudomembranes – raised, yellowish-white plaques composed of fibrin, mucus, and inflammatory cells. The condition is most commonly caused by a toxin produced by the bacterium Clostridioides difficile (C. difficile), which can overgrow in the gut following disruption of the normal gut microbiota, often after antibiotic use. Symptoms may include diarrhea, abdominal cramps, fever, nausea, and dehydration. Severe cases can lead to complications such as sepsis, toxic megacolon, or even death if left untreated. Treatment typically involves discontinuing the offending antibiotic, administering oral metronidazole or vancomycin to eliminate C. difficile, and managing symptoms with supportive care. In some cases, fecal microbiota transplantation (FMT) may be considered as a treatment option.
Enterocolitis is a medical condition that involves inflammation of the small intestine (enteritis) and large intestine (colitis). This condition can affect people of all ages, but it is most commonly seen in infants and young children. The symptoms of enterocolitis may include diarrhea, abdominal cramps, bloating, nausea, vomiting, fever, and dehydration.
There are several types of enterocolitis, including:
1. Infectious Enterocolitis: This type is caused by a bacterial, viral, or parasitic infection in the intestines. Common causes include Salmonella, Shigella, Escherichia coli (E. coli), and norovirus.
2. Antibiotic-Associated Enterocolitis: This type is caused by an overgrowth of harmful bacteria in the intestines following the use of antibiotics that kill off beneficial gut bacteria.
3. Pseudomembranous Enterocolitis: This is a severe form of antibiotic-associated enterocolitis caused by the bacterium Clostridioides difficile (C. diff).
4. Necrotizing Enterocolitis: This is a serious condition that primarily affects premature infants, causing inflammation and damage to the intestinal tissue, which can lead to perforations and sepsis.
5. Ischemic Enterocolitis: This type is caused by reduced blood flow to the intestines, often due to conditions such as mesenteric ischemia or vasculitis.
6. Radiation Enterocolitis: This type occurs as a complication of radiation therapy for cancer treatment, which can damage the intestinal lining and lead to inflammation.
7. Eosinophilic Enterocolitis: This is a rare condition characterized by an excessive buildup of eosinophils (a type of white blood cell) in the intestinal tissue, leading to inflammation and symptoms similar to those seen in inflammatory bowel disease.
Treatment for enterocolitis depends on the underlying cause and severity of the condition. It may include antibiotics, antiparasitic medications, probiotics, or surgery in severe cases.
Necrotizing enterocolitis (NEC) is a serious gastrointestinal condition that primarily affects premature infants. It is characterized by the inflammation and death of intestinal tissue, which can lead to perforations (holes) in the bowel wall. Here's a brief medical definition:
Necrotizing enterocolitis (NEK-roh-tiz-ing en-ter-koh-li-TIE-tis): A gastrointestinal emergency in which the inner lining of the intestinal wall undergoes necrosis (tissue death) due to inflammation, often affecting premature infants. The condition may result in bowel perforations, sepsis, and other systemic complications, requiring surgical intervention and intensive care management.
The exact cause of NEC is not fully understood, but it's thought to be associated with factors such as prematurity, formula feeding, intestinal immaturity or injury, and disturbed blood flow in the intestines. Symptoms may include abdominal distention, bloody stools, feeding intolerance, lethargy, and temperature instability. Early recognition and prompt treatment are crucial for improving outcomes in affected infants.
'Clostridium difficile' (also known as 'C. difficile' or 'C. diff') is a type of Gram-positive, spore-forming bacterium that can be found in the environment, including in soil, water, and human and animal feces. It is a common cause of healthcare-associated infections, particularly in individuals who have recently received antibiotics or have other underlying health conditions that weaken their immune system.
C. difficile produces toxins that can cause a range of symptoms, from mild diarrhea to severe colitis (inflammation of the colon) and potentially life-threatening complications such as sepsis and toxic megacolon. The most common toxins produced by C. difficile are called TcdA and TcdB, which damage the lining of the intestine and cause inflammation.
C. difficile infections (CDIs) can be difficult to treat, particularly in severe cases or in patients who have recurrent infections. Treatment typically involves discontinuing any unnecessary antibiotics, if possible, and administering specific antibiotics that are effective against C. difficile, such as metronidazole, vancomycin, or fidaxomicin. In some cases, fecal microbiota transplantation (FMT) may be recommended as a last resort for patients with recurrent or severe CDIs who have not responded to other treatments.
Preventing the spread of C. difficile is critical in healthcare settings, and includes measures such as hand hygiene, contact precautions, environmental cleaning, and antibiotic stewardship programs that promote the appropriate use of antibiotics.
Tracheitis is a medical condition that involves inflammation of the trachea, or windpipe. It can cause symptoms such as cough, sore throat, difficulty swallowing, and fever. Tracheitis can be caused by viral or bacterial infections, and it may also occur as a complication of other respiratory conditions. In some cases, tracheitis may require medical treatment, including antibiotics for bacterial infections or corticosteroids to reduce inflammation. It is important to seek medical attention if you experience symptoms of tracheitis, especially if they are severe or persistent.
Clostridium infections are caused by bacteria of the genus Clostridium, which are gram-positive, rod-shaped, spore-forming, and often anaerobic organisms. These bacteria can be found in various environments, including soil, water, and the human gastrointestinal tract. Some Clostridium species can cause severe and potentially life-threatening infections in humans. Here are some of the most common Clostridium infections with their medical definitions:
1. Clostridioides difficile infection (CDI): An infection caused by the bacterium Clostridioides difficile, previously known as Clostridium difficile. It typically occurs after antibiotic use disrupts the normal gut microbiota, allowing C. difficile to overgrow and produce toxins that cause diarrhea, colitis, and other gastrointestinal symptoms. Severe cases can lead to sepsis, toxic megacolon, or even death.
2. Clostridium tetani infection: Also known as tetanus, this infection is caused by the bacterium Clostridium tetani. The spores of this bacterium are commonly found in soil and animal feces. They can enter the body through wounds, cuts, or punctures, germinate, and produce a potent exotoxin called tetanospasmin. This toxin causes muscle stiffness and spasms, particularly in the neck and jaw (lockjaw), which can lead to difficulty swallowing, breathing, and potentially fatal complications.
3. Clostridium botulinum infection: This infection is caused by the bacterium Clostridium botulinum and results in botulism, a rare but severe paralytic illness. The bacteria produce neurotoxins (botulinum toxins) that affect the nervous system, causing symptoms such as double vision, drooping eyelids, slurred speech, difficulty swallowing, dry mouth, and muscle weakness. In severe cases, botulism can lead to respiratory failure and death.
4. Gas gangrene (Clostridium perfringens infection): A rapidly progressing soft tissue infection caused by Clostridium perfringens or other clostridial species. The bacteria produce potent exotoxins that cause tissue destruction, gas production, and widespread necrosis. Gas gangrene is characterized by severe pain, swelling, discoloration, and a foul-smelling discharge. If left untreated, it can lead to sepsis, multi-organ failure, and death.
5. Clostridioides difficile infection (C. difficile infection): Although not caused by a typical clostridial species, C. difficile is a gram-positive, spore-forming bacterium that can cause severe diarrhea and colitis, particularly in hospitalized patients or those who have recently taken antibiotics. The bacteria produce toxins A and B, which damage the intestinal lining and contribute to inflammation and diarrhea. C. difficile infection can range from mild to life-threatening, with complications such as sepsis, toxic megacolon, and bowel perforation.
Neutropenic enterocolitis is a serious and potentially life-threatening complication that can occur in individuals with severely compromised immune systems, such as those undergoing chemotherapy or radiation therapy for cancer treatment. It is also known as typhlitis or neutropenic colitis.
The condition is characterized by inflammation of the inner lining of the small intestine and colon (enterocolitis), which occurs in the absence of adequate numbers of white blood cells, particularly neutrophils, that are necessary to fight off infection. As a result, the intestinal tract becomes vulnerable to bacterial or fungal invasion, leading to inflammation, tissue damage, and potentially necrosis (tissue death).
Symptoms of neutropenic enterocolitis may include fever, abdominal pain, nausea, vomiting, diarrhea, and bloody stools. The condition can progress rapidly and lead to sepsis, a systemic inflammatory response that can be fatal if not treated promptly.
Diagnosis of neutropenic enterocolitis typically involves a combination of clinical symptoms, imaging studies such as CT scans or MRI, and laboratory tests to assess the severity of neutropenia and identify any underlying infectious agents. Treatment usually involves administering broad-spectrum antibiotics and antifungal medications to treat or prevent infection, as well as supportive care to manage symptoms and maintain hydration and nutrition. In severe cases, surgery may be necessary to remove necrotic tissue and prevent further complications.
'Clostridium' is a genus of gram-positive, rod-shaped bacteria that are widely distributed in nature, including in soil, water, and the gastrointestinal tracts of animals and humans. Many species of Clostridium are anaerobic, meaning they can grow and reproduce in environments with little or no oxygen. Some species of Clostridium are capable of producing toxins that can cause serious and sometimes life-threatening illnesses in humans and animals.
Some notable species of Clostridium include:
* Clostridium tetani, which causes tetanus (also known as lockjaw)
* Clostridium botulinum, which produces botulinum toxin, the most potent neurotoxin known and the cause of botulism
* Clostridium difficile, which can cause severe diarrhea and colitis, particularly in people who have recently taken antibiotics
* Clostridium perfringens, which can cause food poisoning and gas gangrene.
It is important to note that not all species of Clostridium are harmful, and some are even beneficial, such as those used in the production of certain fermented foods like sauerkraut and natto. However, due to their ability to produce toxins and cause illness, it is important to handle and dispose of materials contaminated with Clostridium species carefully, especially in healthcare settings.
Clindamycin is a antibiotic medication used to treat a variety of bacterial infections. It is a type of antibiotic known as a lincosamide, which works by binding to the bacterial ribosome and inhibiting protein synthesis. This leads to the death of the bacteria and helps to clear the infection.
Clindamycin is effective against a wide range of gram-positive and some anaerobic bacteria, making it a useful antibiotic for treating many different types of infections, including skin and soft tissue infections, bone and joint infections, respiratory infections, and dental infections. It is also sometimes used to treat certain types of bacterial vaginal infections.
Like all antibiotics, clindamycin should be used only under the direction of a healthcare provider, as misuse can lead to antibiotic resistance. Additionally, clindamycin can cause side effects such as diarrhea, nausea, and vomiting, and it may increase the risk of developing a serious intestinal infection called Clostridioides difficile-associated diarrhea (CDAD). It is important to follow your healthcare provider's instructions carefully when taking this medication.
Cephradine is a type of antibiotic known as a first-generation cephalosporin. It is used to treat a variety of bacterial infections, including respiratory tract infections, skin and soft tissue infections, bone and joint infections, and genitourinary tract infections. Cephradine works by interfering with the bacteria's ability to form a cell wall, which leads to the death of the bacteria.
Cephradine is available in oral (by mouth) and intravenous (into a vein) forms. Common side effects of cephradine include diarrhea, nausea, vomiting, and stomach pain. More serious side effects can occur, such as allergic reactions, seizures, and severe skin reactions. It is important to take cephradine exactly as directed by a healthcare professional and to inform them of any medical conditions or medications being taken that could interact with the antibiotic.
Bacterial toxins are poisonous substances produced and released by bacteria. They can cause damage to the host organism's cells and tissues, leading to illness or disease. Bacterial toxins can be classified into two main types: exotoxins and endotoxins.
Exotoxins are proteins secreted by bacterial cells that can cause harm to the host. They often target specific cellular components or pathways, leading to tissue damage and inflammation. Some examples of exotoxins include botulinum toxin produced by Clostridium botulinum, which causes botulism; diphtheria toxin produced by Corynebacterium diphtheriae, which causes diphtheria; and tetanus toxin produced by Clostridium tetani, which causes tetanus.
Endotoxins, on the other hand, are components of the bacterial cell wall that are released when the bacteria die or divide. They consist of lipopolysaccharides (LPS) and can cause a generalized inflammatory response in the host. Endotoxins can be found in gram-negative bacteria such as Escherichia coli and Pseudomonas aeruginosa.
Bacterial toxins can cause a wide range of symptoms depending on the type of toxin, the dose, and the site of infection. They can lead to serious illnesses or even death if left untreated. Vaccines and antibiotics are often used to prevent or treat bacterial infections and reduce the risk of severe complications from bacterial toxins.
Lincomycin is defined as an antibiotic produced by Streptomyces lincolnensis. It is primarily bacteriostatic, inhibiting protein synthesis in sensitive bacteria by binding to the 50S ribosomal subunit. Lincomycin is used clinically to treat a variety of infections caused by susceptible gram-positive organisms, including some anaerobes. It has activity against many strains of streptococci, pneumococci, and staphylococci, but not enterococci. Common side effects include gastrointestinal symptoms such as nausea, vomiting, and diarrhea.
Diarrhea is a condition in which an individual experiences loose, watery stools frequently, often exceeding three times a day. It can be acute, lasting for several days, or chronic, persisting for weeks or even months. Diarrhea can result from various factors, including viral, bacterial, or parasitic infections, food intolerances, medications, and underlying medical conditions such as inflammatory bowel disease or irritable bowel syndrome. Dehydration is a potential complication of diarrhea, particularly in severe cases or in vulnerable populations like young children and the elderly.
Enterotoxins are types of toxic substances that are produced by certain microorganisms, such as bacteria. These toxins are specifically designed to target and affect the cells in the intestines, leading to symptoms such as diarrhea, vomiting, and abdominal cramps. One well-known example of an enterotoxin is the toxin produced by Staphylococcus aureus bacteria, which can cause food poisoning. Another example is the cholera toxin produced by Vibrio cholerae, which can cause severe diarrhea and dehydration. Enterotoxins work by interfering with the normal functioning of intestinal cells, leading to fluid accumulation in the intestines and subsequent symptoms.
A "premature infant" is a newborn delivered before 37 weeks of gestation. They are at greater risk for various health complications and medical conditions compared to full-term infants, due to their immature organ systems and lower birth weight. Some common diseases and health issues that premature infants may face include:
1. Respiratory Distress Syndrome (RDS): A lung disorder caused by the lack of surfactant, a substance that helps keep the lungs inflated. Premature infants, especially those born before 34 weeks, are at higher risk for RDS.
2. Intraventricular Hemorrhage (IVH): Bleeding in the brain's ventricles, which can lead to developmental delays or neurological issues. The risk of IVH is inversely proportional to gestational age, meaning that the earlier the infant is born, the higher the risk.
3. Necrotizing Enterocolitis (NEC): A gastrointestinal disease where the intestinal tissue becomes inflamed and can die. Premature infants are at greater risk for NEC due to their immature digestive systems.
4. Jaundice: A yellowing of the skin and eyes caused by an accumulation of bilirubin, a waste product from broken-down red blood cells. Premature infants may have higher rates of jaundice due to their liver's immaturity.
5. Infections: Premature infants are more susceptible to infections because of their underdeveloped immune systems. Common sources of infection include the mother's genital tract, bloodstream, or hospital environment.
6. Anemia: A condition characterized by a low red blood cell count or insufficient hemoglobin. Premature infants may develop anemia due to frequent blood sampling, rapid growth, or inadequate erythropoietin production.
7. Retinopathy of Prematurity (ROP): An eye disorder affecting premature infants, where abnormal blood vessel growth occurs in the retina. Severe ROP can lead to vision loss or blindness if not treated promptly.
8. Developmental Delays: Premature infants are at risk for developmental delays due to their immature nervous systems and environmental factors such as sensory deprivation or separation from parents.
9. Patent Ductus Arteriosus (PDA): A congenital heart defect where the ductus arteriosus, a blood vessel that connects two major arteries in the fetal heart, fails to close after birth. Premature infants are at higher risk for PDA due to their immature cardiovascular systems.
10. Hypothermia: Premature infants have difficulty maintaining body temperature and are at risk for hypothermia, which can lead to increased metabolic demands, poor feeding, and infection.
Feces are the solid or semisolid remains of food that could not be digested or absorbed in the small intestine, along with bacteria and other waste products. After being stored in the colon, feces are eliminated from the body through the rectum and anus during defecation. Feces can vary in color, consistency, and odor depending on a person's diet, health status, and other factors.
The cecum is the first part of the large intestine, located at the junction of the small and large intestines. It is a pouch-like structure that connects to the ileum (the last part of the small intestine) and the ascending colon (the first part of the large intestine). The cecum is where the appendix is attached. Its function is to absorb water and electrolytes, and it also serves as a site for the fermentation of certain types of dietary fiber by gut bacteria. However, the exact functions of the cecum are not fully understood.
Mouth diseases refer to a variety of conditions that affect the oral cavity, including the lips, gums, teeth, tongue, palate, and lining of the mouth. These diseases can be caused by bacteria, viruses, fungi, or other organisms. They can also result from injuries, chronic illnesses, or genetic factors.
Some common examples of mouth diseases include dental caries (cavities), periodontal disease (gum disease), oral herpes, candidiasis (thrush), lichen planus, and oral cancer. Symptoms may include pain, swelling, redness, bleeding, bad breath, difficulty swallowing or speaking, and changes in the appearance of the mouth or teeth. Treatment depends on the specific diagnosis and may involve medications, dental procedures, or lifestyle changes.
Cytotoxins are substances that are toxic to cells. They can cause damage and death to cells by disrupting their membranes, interfering with their metabolism, or triggering programmed cell death (apoptosis). Cytotoxins can be produced by various organisms such as bacteria, fungi, plants, and animals, and they can also be synthesized artificially.
In medicine, cytotoxic drugs are used to treat cancer because they selectively target and kill rapidly dividing cells, including cancer cells. Examples of cytotoxic drugs include chemotherapy agents such as doxorubicin, cyclophosphamide, and methotrexate. However, these drugs can also damage normal cells, leading to side effects such as nausea, hair loss, and immune suppression.
It's important to note that cytotoxins are not the same as toxins, which are poisonous substances produced by living organisms that can cause harm to other organisms. While all cytotoxins are toxic to cells, not all toxins are cytotoxic. Some toxins may have systemic effects on organs or tissues rather than directly killing cells.
Vancomycin is an antibiotic that belongs to the glycopeptide class. It is primarily used to treat severe infections caused by Gram-positive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE). Vancomycin works by inhibiting the synthesis of bacterial cell walls. It is usually administered intravenously in a hospital setting due to its potential nephrotoxicity and ototoxicity. The medical definition of 'Vancomycin' can be summarized as:
"A glycopeptide antibiotic used to treat severe infections caused by Gram-positive bacteria, particularly those that are resistant to other antibiotics. It inhibits bacterial cell wall synthesis and is administered intravenously due to its potential nephrotoxicity and ototoxicity."
The intestinal mucosa is the innermost layer of the intestines, which comes into direct contact with digested food and microbes. It is a specialized epithelial tissue that plays crucial roles in nutrient absorption, barrier function, and immune defense. The intestinal mucosa is composed of several cell types, including absorptive enterocytes, mucus-secreting goblet cells, hormone-producing enteroendocrine cells, and immune cells such as lymphocytes and macrophages.
The surface of the intestinal mucosa is covered by a single layer of epithelial cells, which are joined together by tight junctions to form a protective barrier against harmful substances and microorganisms. This barrier also allows for the selective absorption of nutrients into the bloodstream. The intestinal mucosa also contains numerous lymphoid follicles, known as Peyer's patches, which are involved in immune surveillance and defense against pathogens.
In addition to its role in absorption and immunity, the intestinal mucosa is also capable of producing hormones that regulate digestion and metabolism. Dysfunction of the intestinal mucosa can lead to various gastrointestinal disorders, such as inflammatory bowel disease, celiac disease, and food allergies.
A premature infant is a baby born before 37 weeks of gestation. They may face various health challenges because their organs are not fully developed. The earlier a baby is born, the higher the risk of complications. Prematurity can lead to short-term and long-term health issues, such as respiratory distress syndrome, jaundice, anemia, infections, hearing problems, vision problems, developmental delays, and cerebral palsy. Intensive medical care and support are often necessary for premature infants to ensure their survival and optimal growth and development.
A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.
Oral candidiasis is a medical condition characterized by an infection of the oral mucous membranes caused by the Candida fungus species, most commonly Candida albicans. It is also known as thrush or oral thrush. The infection typically appears as white, creamy, or yellowish patches or plaques on the tongue, inner cheeks, roof of the mouth, gums, and sometimes on the tonsils or back of the throat. These lesions can be painful, causing soreness, burning sensations, and difficulty swallowing. Oral candidiasis can affect people of all ages; however, it is more commonly seen in infants, elderly individuals, and those with weakened immune systems due to illness or medication use. Various factors such as poor oral hygiene, dentures, smoking, dry mouth, and certain medical conditions like diabetes or HIV/AIDS can increase the risk of developing oral candidiasis. Treatment usually involves antifungal medications in the form of topical creams, lozenges, or oral solutions, depending on the severity and underlying cause of the infection.
The colon, also known as the large intestine, is a part of the digestive system in humans and other vertebrates. It is an organ that eliminates waste from the body and is located between the small intestine and the rectum. The main function of the colon is to absorb water and electrolytes from digested food, forming and storing feces until they are eliminated through the anus.
The colon is divided into several regions, including the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, and anus. The walls of the colon contain a layer of muscle that helps to move waste material through the organ by a process called peristalsis.
The inner surface of the colon is lined with mucous membrane, which secretes mucus to lubricate the passage of feces. The colon also contains a large population of bacteria, known as the gut microbiota, which play an important role in digestion and immunity.
Anti-bacterial agents, also known as antibiotics, are a type of medication used to treat infections caused by bacteria. These agents work by either killing the bacteria or inhibiting their growth and reproduction. There are several different classes of anti-bacterial agents, including penicillins, cephalosporins, fluoroquinolones, macrolides, and tetracyclines, among others. Each class of antibiotic has a specific mechanism of action and is used to treat certain types of bacterial infections. It's important to note that anti-bacterial agents are not effective against viral infections, such as the common cold or flu. Misuse and overuse of antibiotics can lead to antibiotic resistance, which is a significant global health concern.
Metronidazole is an antibiotic and antiprotozoal medication. It is primarily used to treat infections caused by anaerobic bacteria and certain parasites. Metronidazole works by interfering with the DNA of these organisms, which inhibits their ability to grow and multiply.
It is available in various forms, including tablets, capsules, creams, and gels, and is often used to treat conditions such as bacterial vaginosis, pelvic inflammatory disease, amebiasis, giardiasis, and pseudomembranous colitis.
Like all antibiotics, metronidazole should be taken only under the direction of a healthcare provider, as misuse can lead to antibiotic resistance and other complications.
A colonoscopy is a medical procedure used to examine the large intestine, also known as the colon and rectum. It is performed using a flexible tube with a tiny camera on the end, called a colonoscope, which is inserted into the rectum and gently guided through the entire length of the colon.
The procedure allows doctors to visually inspect the lining of the colon for any abnormalities such as polyps, ulcers, inflammation, or cancer. If any polyps are found during the procedure, they can be removed immediately using special tools passed through the colonoscope. Colonoscopy is an important tool in the prevention and early detection of colorectal cancer, which is one of the leading causes of cancer-related deaths worldwide.
Patients are usually given a sedative to help them relax during the procedure, which is typically performed on an outpatient basis in a hospital or clinic setting. The entire procedure usually takes about 30-60 minutes to complete, although patients should plan to spend several hours at the medical facility for preparation and recovery.
A fatal outcome is a term used in medical context to describe a situation where a disease, injury, or illness results in the death of an individual. It is the most severe and unfortunate possible outcome of any medical condition, and is often used as a measure of the severity and prognosis of various diseases and injuries. In clinical trials and research, fatal outcome may be used as an endpoint to evaluate the effectiveness and safety of different treatments or interventions.
'Cronobacter sakazakii' is a gram-negative, rod-shaped bacterium that is part of the Enterobacteriaceae family. It is an opportunistic pathogen capable of causing severe invasive infections such as meningitis and sepsis, particularly in newborns, infants, and immunocompromised individuals. The bacterium has been found in various environmental sources, including dried foods like powdered infant formula, herbs, and spices. Proper hygiene practices and the safe handling, preparation, and storage of food and feeding utensils can help prevent Cronobacter sakazakii infections.
"Mesocricetus" is a genus of rodents, more commonly known as hamsters. It includes several species of hamsters that are native to various parts of Europe and Asia. The best-known member of this genus is the Syrian hamster, also known as the golden hamster or Mesocricetus auratus, which is a popular pet due to its small size and relatively easy care. These hamsters are burrowing animals and are typically solitary in the wild.
A very low birth weight (VLBW) infant is a baby born weighing less than 1500 grams (3 pounds, 5 ounces). This category includes babies who are extremely preterm (born at or before 28 weeks of gestation) and/or have intrauterine growth restriction. VLBW infants often face significant health challenges, including respiratory distress syndrome, brain bleeds, infections, and feeding difficulties. They may require extended hospital stays in the neonatal intensive care unit (NICU) and have a higher risk of long-term neurodevelopmental impairments compared to infants with normal birth weights.
Enteral nutrition refers to the delivery of nutrients to a person through a tube that is placed into the gastrointestinal tract, specifically into the stomach or small intestine. This type of nutrition is used when a person is unable to consume food or liquids by mouth due to various medical conditions such as swallowing difficulties, malabsorption, or gastrointestinal disorders.
Enteral nutrition can be provided through different types of feeding tubes, including nasogastric tubes, which are inserted through the nose and down into the stomach, and gastrostomy or jejunostomy tubes, which are placed directly into the stomach or small intestine through a surgical incision.
The nutrients provided through enteral nutrition may include commercially prepared formulas that contain a balance of carbohydrates, proteins, fats, vitamins, and minerals, or blenderized whole foods that are pureed and delivered through the feeding tube. The choice of formula or type of feed depends on the individual's nutritional needs, gastrointestinal function, and medical condition.
Enteral nutrition is a safe and effective way to provide nutrition support to people who are unable to meet their nutritional needs through oral intake alone. It can help prevent malnutrition, promote wound healing, improve immune function, and enhance overall health and quality of life.
Hirschsprung disease is a gastrointestinal disorder that affects the large intestine, specifically the section known as the colon. This condition is congenital, meaning it is present at birth. It occurs due to the absence of ganglion cells (nerve cells) in the bowel's muscular wall, which are responsible for coordinating muscle contractions that move food through the digestive tract.
The affected segment of the colon cannot relax and propel the contents within it, leading to various symptoms such as constipation, intestinal obstruction, or even bowel perforation in severe cases. Common diagnostic methods include rectal suction biopsy, anorectal manometry, and contrast enema studies. Treatment typically involves surgical removal of the aganglionic segment and reattachment of the normal colon to the anus (known as a pull-through procedure).
Bacterial proteins are a type of protein that are produced by bacteria as part of their structural or functional components. These proteins can be involved in various cellular processes, such as metabolism, DNA replication, transcription, and translation. They can also play a role in bacterial pathogenesis, helping the bacteria to evade the host's immune system, acquire nutrients, and multiply within the host.
Bacterial proteins can be classified into different categories based on their function, such as:
1. Enzymes: Proteins that catalyze chemical reactions in the bacterial cell.
2. Structural proteins: Proteins that provide structural support and maintain the shape of the bacterial cell.
3. Signaling proteins: Proteins that help bacteria to communicate with each other and coordinate their behavior.
4. Transport proteins: Proteins that facilitate the movement of molecules across the bacterial cell membrane.
5. Toxins: Proteins that are produced by pathogenic bacteria to damage host cells and promote infection.
6. Surface proteins: Proteins that are located on the surface of the bacterial cell and interact with the environment or host cells.
Understanding the structure and function of bacterial proteins is important for developing new antibiotics, vaccines, and other therapeutic strategies to combat bacterial infections.
Enterocytes are the absorptive cells that line the villi of the small intestine. They are a type of epithelial cell and play a crucial role in the absorption of nutrients from food into the bloodstream. Enterocytes have finger-like projections called microvilli on their apical surface, which increases their surface area and enhances their ability to absorb nutrients. They also contain enzymes that help digest and break down carbohydrates, proteins, and fats into smaller molecules that can be absorbed. Additionally, enterocytes play a role in the absorption of ions, water, and vitamins.
Intestinal perforation is a medical condition that refers to a hole or tear in the lining of the intestine. This can occur anywhere along the gastrointestinal tract, including the small intestine, large intestine (colon), or stomach. Intestinal perforation allows the contents of the intestines, such as digestive enzymes and bacteria, to leak into the abdominal cavity, which can lead to a serious inflammatory response known as peritonitis.
Intestinal perforation can be caused by various factors, including:
* Mechanical trauma (e.g., gunshot wounds, stab wounds)
* Inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis)
* Diverticulitis
* Appendicitis
* Intestinal obstruction
* Infections (e.g., typhoid fever, tuberculosis)
* Certain medications (e.g., nonsteroidal anti-inflammatory drugs, corticosteroids)
* Radiation therapy
* Ischemic bowel disease (lack of blood flow to the intestines)
Symptoms of intestinal perforation may include sudden abdominal pain, nausea, vomiting, fever, and decreased bowel movements. Treatment typically involves surgery to repair the perforation and remove any damaged tissue. Antibiotics are also administered to prevent infection. In severe cases, a temporary or permanent colostomy or ileostomy may be necessary.
Infant formula is a manufactured food designed and marketed for feeding to babies and infants under 12 months of age, but may also be used as a supplementary feedings for older children. It is usually derived from cow's milk, but can also be made from soy or other proteins. Infant formulas are designed to provide a well-balanced diet with appropriate amounts of protein, fat, carbohydrate, vitamins, and minerals to support growth and development in infants who are not breastfed. They come in various forms such as powder, concentrate, or ready-to-feed liquid and must meet strict nutritional and safety standards set by regulatory agencies like the U.S. Food and Drug Administration (FDA) and the European Commission (EC).
A "newborn infant" refers to a baby in the first 28 days of life outside of the womb. This period is crucial for growth and development, but also poses unique challenges as the infant's immune system is not fully developed, making them more susceptible to various diseases.
"Newborn diseases" are health conditions that specifically affect newborn infants. These can be categorized into three main types:
1. Congenital disorders: These are conditions that are present at birth and may be inherited or caused by factors such as infection, exposure to harmful substances during pregnancy, or chromosomal abnormalities. Examples include Down syndrome, congenital heart defects, and spina bifida.
2. Infectious diseases: Newborn infants are particularly vulnerable to infections due to their immature immune systems. Common infectious diseases in newborns include sepsis (bloodstream infection), pneumonia, and meningitis. These can be acquired from the mother during pregnancy or childbirth, or from the environment after birth.
3. Developmental disorders: These are conditions that affect the normal growth and development of the newborn infant. Examples include cerebral palsy, intellectual disabilities, and vision or hearing impairments.
It is important to note that many newborn diseases can be prevented or treated with appropriate medical care, including prenatal care, proper hygiene practices, and timely vaccinations. Regular check-ups and monitoring of the newborn's health by a healthcare provider are essential for early detection and management of any potential health issues.
The intestines, also known as the bowel, are a part of the digestive system that extends from the stomach to the anus. They are responsible for the further breakdown and absorption of nutrients from food, as well as the elimination of waste products. The intestines can be divided into two main sections: the small intestine and the large intestine.
The small intestine is a long, coiled tube that measures about 20 feet in length and is lined with tiny finger-like projections called villi, which increase its surface area and enhance nutrient absorption. The small intestine is where most of the digestion and absorption of nutrients takes place.
The large intestine, also known as the colon, is a wider tube that measures about 5 feet in length and is responsible for absorbing water and electrolytes from digested food, forming stool, and eliminating waste products from the body. The large intestine includes several regions, including the cecum, colon, rectum, and anus.
Together, the intestines play a critical role in maintaining overall health and well-being by ensuring that the body receives the nutrients it needs to function properly.
An "Extremely Low Birth Weight" (ELBW) infant is a newborn with a birth weight below 1000 grams (2 pounds, 3 ounces), according to the World Health Organization (WHO). This classification is part of the broader category of low birth weight infants, which includes those born weighing less than 2500 grams (about 5.5 pounds). ELBW infants often face significant health challenges due to their prematurity and small size, which can include issues with breathing, feeding, temperature regulation, and potential long-term neurodevelopmental impairments. It is crucial for these infants to receive specialized care in a neonatal intensive care unit (NICU) to optimize their chances of survival and promote healthy development.
Cricetinae is a subfamily of rodents that includes hamsters, gerbils, and relatives. These small mammals are characterized by having short limbs, compact bodies, and cheek pouches for storing food. They are native to various parts of the world, particularly in Europe, Asia, and Africa. Some species are popular pets due to their small size, easy care, and friendly nature. In a medical context, understanding the biology and behavior of Cricetinae species can be important for individuals who keep them as pets or for researchers studying their physiology.
Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:
1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.
Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.
Feeding methods refer to the various ways that infants and young children receive nutrition. The most common feeding methods are breastfeeding and bottle-feeding, although some infants may require more specialized feeding methods due to medical conditions or developmental delays.
Breastfeeding is the act of providing human milk to an infant directly from the breast. It is the natural and normal way for infants to receive nutrition and has numerous benefits for both the mother and the baby, including improved immunity, reduced risk of infections, and enhanced bonding between parent and child.
Bottle-feeding involves providing an infant with expressed human milk or formula in a bottle with a rubber nipple. This method can be useful for mothers who are unable to breastfeed due to medical reasons, work commitments, or personal preference. However, it is important to ensure that the bottle and nipple are properly sterilized and that the infant is held in an upright position during feeding to reduce the risk of ear infections and other complications.
For infants who have difficulty breastfeeding or bottle-feeding due to medical conditions such as cleft lip or palate, gastroesophageal reflux disease (GERD), or neurological impairments, specialized feeding methods may be necessary. These may include the use of specially designed bottles, nipples, or feeding tubes that deliver nutrition directly to the stomach or small intestine.
In all cases, it is important to ensure that infants and young children receive adequate nutrition for healthy growth and development. Parents should consult with their healthcare provider to determine the most appropriate feeding method for their child based on their individual needs and circumstances.
A Neonatal Intensive Care Unit (NICU) is a specialized hospital unit that provides advanced, intensive care for newborn babies who are born prematurely, critically ill, or have complex medical conditions. The NICU staff includes neonatologists, neonatal nurses, respiratory therapists, and other healthcare professionals trained to provide specialized care for these vulnerable infants.
The NICU is equipped with advanced technology and monitoring systems to support the babies' breathing, heart function, temperature regulation, and nutrition. The unit may include incubators or radiant warmers to maintain the baby's body temperature, ventilators to assist with breathing, and intravenous lines to provide fluids and medications.
NICUs are typically classified into levels based on the complexity of care provided, ranging from Level I (basic care for healthy newborns) to Level IV (the highest level of care for critically ill newborns). The specific services and level of care provided in a NICU may vary depending on the hospital and geographic location.
Probiotics are defined by the World Health Organization (WHO) as "live microorganisms which when administered in adequate amounts confer a health benefit on the host." They are often referred to as "good" or "friendly" bacteria because they help keep your gut healthy. Probiotics are naturally found in certain foods such as fermented foods like yogurt, sauerkraut, and some cheeses, or they can be taken as dietary supplements.
The most common groups of probiotics are lactic acid bacteria (like Lactobacillus) and bifidobacteria. They can help restore the balance of bacteria in your gut when it's been disrupted by things like illness, medication (such as antibiotics), or poor diet. Probiotics have been studied for their potential benefits in a variety of health conditions, including digestive issues, skin conditions, and even mental health disorders, although more research is needed to fully understand their effects and optimal uses.
An enterostomy is a surgical procedure that creates an opening from the intestine to the abdominal wall, which allows for the elimination of waste from the body. This opening is called a stoma and can be temporary or permanent, depending on the individual's medical condition. There are several types of enterostomies, including colostomy, ileostomy, and jejunostomy, which differ based on the specific location in the intestine where the stoma is created.
The purpose of an enterostomy may vary, but it is often performed to divert the flow of waste away from a diseased or damaged section of the intestine, allowing it to heal. Common reasons for an enterostomy include inflammatory bowel disease, cancer, trauma, and birth defects.
After the surgery, patients will need to wear a pouching system over the stoma to collect waste. They will also require specialized care and education on how to manage their stoma and maintain their overall health. With proper care and support, individuals with an enterostomy can lead active and fulfilling lives.
Human milk, also known as breast milk, is the nutrient-rich fluid produced by the human female mammary glands to feed and nourish their infants. It is the natural and species-specific first food for human babies, providing all the necessary nutrients in a form that is easily digestible and absorbed. Human milk contains a balance of proteins, carbohydrates, fats, vitamins, minerals, and other bioactive components that support the growth, development, and immunity of newborns and young infants. Its composition changes over time, adapting to meet the changing needs of the growing infant.
Lymphocytic colitis is a type of microscopic colitis, which is a chronic inflammatory condition that affects the large intestine (colon). In lymphocytic colitis, there is an increased number of lymphocytes (a type of white blood cell) in the lining of the colon. This inflammation can cause symptoms such as chronic watery diarrhea, abdominal cramps, and urgency. The exact cause of lymphocytic colitis is not known, but it is thought to be related to an immune response to an environmental trigger in genetically susceptible individuals. It is more common in women than men and typically affects people over the age of 40. Treatment may include medications such as anti-diarrheal agents, corticosteroids, or immunosuppressive drugs. In some cases, dietary modifications or elimination of certain foods from the diet may also be helpful in managing symptoms.
Cronobacter is a genus of facultatively anaerobic, gram-negative bacteria that are motile by means of peritrichous flagella. These bacteria were previously known as Enterobacter sakazakii and can be found in various environments such as water, soil, and dry food products.
Cronobacter species are known to cause severe invasive infections in newborns and infants, including meningitis, sepsis, and necrotizing enterocolitis. They have also been associated with rare cases of bacteremia, wound infections, and pneumonia in adults with weakened immune systems.
The bacteria can be transmitted through contaminated food or water, and powdered infant formula has been identified as a significant source of infection. To reduce the risk of Cronobacter infection, it is recommended to follow strict hygiene practices during preparation and handling of infant formula and other susceptible foods.
The ileum is the third and final segment of the small intestine, located between the jejunum and the cecum (the beginning of the large intestine). It plays a crucial role in nutrient absorption, particularly for vitamin B12 and bile salts. The ileum is characterized by its thin, lined walls and the presence of Peyer's patches, which are part of the immune system and help surveil for pathogens.
Gestational age is the length of time that has passed since the first day of the last menstrual period (LMP) in pregnant women. It is the standard unit used to estimate the age of a pregnancy and is typically expressed in weeks. This measure is used because the exact date of conception is often not known, but the start of the last menstrual period is usually easier to recall.
It's important to note that since ovulation typically occurs around two weeks after the start of the LMP, gestational age is approximately two weeks longer than fetal age, which is the actual time elapsed since conception. Medical professionals use both gestational and fetal age to track the development and growth of the fetus during pregnancy.
Dysbiosis is a term used to describe an imbalance in the microbiota, or the community of microorganisms, that normally live on and inside the body. These microorganisms include bacteria, viruses, fungi, and other microbes. In a healthy state, these microorganisms exist in a balanced relationship with each other and with their human host. However, when this balance is disrupted, it can lead to an overgrowth of harmful microbes and a decrease in the number of beneficial ones. This imbalance can occur in different parts of the body, such as the gut, skin, or mouth, and can contribute to various health problems.
In medical terms, dysbiosis is often used to describe an alteration in the composition of the gut microbiota that has been associated with a variety of diseases, including inflammatory bowel disease, irritable bowel syndrome, obesity, diabetes, and even some neurological disorders. The exact mechanisms by which dysbiosis contributes to these conditions are not fully understood, but it is thought to involve changes in the metabolic activities of the microbiota, as well as their interactions with the host's immune system.
It's important to note that while dysbiosis has been linked to various health issues, it does not necessarily mean that it is the cause of those conditions. More research is needed to fully understand the role of dysbiosis in human health and disease.
Bifidobacterium is a genus of Gram-positive, non-motile, often branching anaerobic bacteria that are commonly found in the gastrointestinal tracts of humans and other animals, as well as in fermented foods. These bacteria play an important role in maintaining the health and balance of the gut microbiota by aiding in digestion, producing vitamins, and preventing the growth of harmful bacteria.
Bifidobacteria are also known for their probiotic properties and are often used as dietary supplements to improve digestive health, boost the immune system, and alleviate symptoms of various gastrointestinal disorders such as irritable bowel syndrome and inflammatory bowel disease.
There are over 50 species of Bifidobacterium, with some of the most common ones found in the human gut being B. bifidum, B. longum, B. breve, and B. adolescentis. These bacteria are characterized by their ability to ferment a variety of carbohydrates, including dietary fibers, oligosaccharides, and sugars, producing short-chain fatty acids (SCFAs) such as acetate, lactate, and formate as end products.
Bifidobacteria have a complex cell wall structure that contains unique polysaccharides called exopolysaccharides (EPS), which have been shown to have prebiotic properties and can stimulate the growth of other beneficial bacteria in the gut. Additionally, some strains of Bifidobacterium produce antimicrobial compounds that inhibit the growth of pathogenic bacteria, further contributing to their probiotic effects.
Overall, Bifidobacterium is an important genus of beneficial bacteria that play a crucial role in maintaining gut health and promoting overall well-being.
"Newborn animals" refers to the very young offspring of animals that have recently been born. In medical terminology, newborns are often referred to as "neonates," and they are classified as such from birth until about 28 days of age. During this time period, newborn animals are particularly vulnerable and require close monitoring and care to ensure their survival and healthy development.
The specific needs of newborn animals can vary widely depending on the species, but generally, they require warmth, nutrition, hydration, and protection from harm. In many cases, newborns are unable to regulate their own body temperature or feed themselves, so they rely heavily on their mothers for care and support.
In medical settings, newborn animals may be examined and treated by veterinarians to ensure that they are healthy and receiving the care they need. This can include providing medical interventions such as feeding tubes, antibiotics, or other treatments as needed to address any health issues that arise. Overall, the care and support of newborn animals is an important aspect of animal medicine and conservation efforts.
The small intestine is the portion of the gastrointestinal tract that extends from the pylorus of the stomach to the beginning of the large intestine (cecum). It plays a crucial role in the digestion and absorption of nutrients from food. The small intestine is divided into three parts: the duodenum, jejunum, and ileum.
1. Duodenum: This is the shortest and widest part of the small intestine, approximately 10 inches long. It receives chyme (partially digested food) from the stomach and begins the process of further digestion with the help of various enzymes and bile from the liver and pancreas.
2. Jejunum: The jejunum is the middle section, which measures about 8 feet in length. It has a large surface area due to the presence of circular folds (plicae circulares), finger-like projections called villi, and microvilli on the surface of the absorptive cells (enterocytes). These structures increase the intestinal surface area for efficient absorption of nutrients, electrolytes, and water.
3. Ileum: The ileum is the longest and final section of the small intestine, spanning about 12 feet. It continues the absorption process, mainly of vitamin B12, bile salts, and any remaining nutrients. At the end of the ileum, there is a valve called the ileocecal valve that prevents backflow of contents from the large intestine into the small intestine.
The primary function of the small intestine is to absorb the majority of nutrients, electrolytes, and water from ingested food. The mucosal lining of the small intestine contains numerous goblet cells that secrete mucus, which protects the epithelial surface and facilitates the movement of chyme through peristalsis. Additionally, the small intestine hosts a diverse community of microbiota, which contributes to various physiological functions, including digestion, immunity, and protection against pathogens.
Parenteral nutrition (PN) is a medical term used to describe the delivery of nutrients directly into a patient's bloodstream through a vein, bypassing the gastrointestinal tract. It is a specialized medical treatment that is typically used when a patient cannot receive adequate nutrition through enteral feeding, which involves the ingestion and digestion of food through the mouth or a feeding tube.
PN can be used to provide essential nutrients such as carbohydrates, proteins, fats, vitamins, minerals, and electrolytes to patients who have conditions that prevent them from absorbing nutrients through their gut, such as severe gastrointestinal tract disorders, malabsorption syndromes, or short bowel syndrome.
PN is administered through a catheter that is inserted into a vein, typically in the chest or arm. The nutrient solution is prepared under sterile conditions and delivered through an infusion pump to ensure accurate and controlled delivery of the solution.
While PN can be a life-saving intervention for some patients, it also carries risks such as infection, inflammation, and organ damage. Therefore, it should only be prescribed and administered by healthcare professionals with specialized training in this area.
I'm sorry for any confusion, but "Infant Nutritional Physiological Phenomena" is not a standard or widely recognized medical term. It seems to be a very specific phrase that may relate to various physiological processes and phenomena related to infant nutrition.
To try and provide some clarity, I can offer a brief explanation of the individual terms:
1. Infant: A young child, typically under one year of age.
2. Nutritional: Relating to food or nourishment, particularly in relation to energy and the balance of essential nutrients required for growth, repair, and maintenance of bodily functions.
3. Physiological: Describing processes and functions that occur within a living organism as part of normal bodily function, including biochemical reactions, organ function, and responses to environmental stimuli.
4. Phenomena: Observable events or occurrences.
So, "Infant Nutritional Physiological Phenomena" could refer to observable events or processes related to an infant's nutrition and physiology. However, without further context, it is difficult to provide a more precise definition. Examples of such phenomena might include the development of feeding skills, growth patterns, or changes in metabolism related to dietary intake.
Asphyxia is a medical condition that occurs when there is insufficient oxygen supply or excessive carbon dioxide buildup in the body, leading to impaired respiration and oxygenation of organs. This can result in unconsciousness, damage to internal organs, and potentially death if not treated promptly.
Asphyxia can be caused by various factors such as strangulation, choking, smoke inhalation, chemical exposure, or drowning. Symptoms of asphyxia may include shortness of breath, coughing, wheezing, cyanosis (bluish discoloration of the skin and mucous membranes), rapid heartbeat, confusion, and eventually loss of consciousness.
Immediate medical attention is required for individuals experiencing symptoms of asphyxia. Treatment may involve providing supplemental oxygen, removing the source of obstruction or exposure to harmful substances, and supporting respiratory function with mechanical ventilation if necessary. Prevention measures include avoiding hazardous environments, using proper safety equipment, and seeking prompt medical attention in case of suspected asphyxiation.
A milk bank, also known as a human milk bank or breastmilk bank, is a service that collects, screens, pasteurizes, and stores donated human breast milk. The milk is then distributed to hospitals, outpatient facilities, or directly to individuals in need, such as premature infants or those with medical conditions that prevent them from receiving their own mother's milk. Milk banks follow strict protocols to ensure the safety and quality of the donated milk, including blood tests for disease screening and pasteurization to kill any potential viruses or bacteria. The goal of a milk bank is to provide a safe and reliable source of human breast milk to promote the health and well-being of vulnerable infants.
Mucin-3, also known as MUC3A or CA15-3, is a type of mucin protein that is heavily glycosylated and found on the apical surface of epithelial cells in the gastrointestinal tract. It is a transmembrane protein that plays a role in protecting the epithelial surface from damage, infection, and inflammation. Mucin-3 has been identified as a tumor antigen and its expression is often upregulated in various types of cancer, including colon, pancreatic, and ovarian cancers. The soluble form of Mucin-3 can be measured in the blood and used as a tumor marker to monitor the progression of certain cancers.
Patent Ductus Arteriosus (PDA) is a congenital heart defect in which the ductus arteriosus, a normal fetal blood vessel that connects the pulmonary artery and the aorta, fails to close after birth. The ductus arteriosus allows blood to bypass the lungs while the fetus is still in the womb, but it should close shortly after birth as the newborn begins to breathe and oxygenate their own blood.
If the ductus arteriosus remains open or "patent," it can result in abnormal blood flow between the pulmonary artery and aorta. This can lead to various cardiovascular complications, such as:
1. Pulmonary hypertension (high blood pressure in the lungs)
2. Congestive heart failure
3. Increased risk of respiratory infections
The severity of the symptoms and the need for treatment depend on the size of the PDA and the amount of blood flow that is shunted from the aorta to the pulmonary artery. Small PDAs may close on their own over time, while larger PDAs typically require medical intervention, such as medication or surgical closure.
Fecal microbiota transplant
1958 in science
John G. Bartlett
ViroPharma
Enterocolitis
Vancomycin
Colitis-X
Megacolon
Lincosamides
List of MeSH codes (C01)
List of MeSH codes (C06)
Fecal-oral route
Neutropenic enterocolitis
Small intestine
Gastrointestinal disease
Gastroenteritis
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A04.71 - ICD-10-CM Enterocolitis due to Clostridium difficile, recurrent
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Difficile7
- Hyperimmune yolk extract with Immunoglobulin Y basic active principle as a possible adjuvant treatment in patients who need/benefit from neurorehabilitation, with Clostridium difficile ( Clostridioides difficile ) enterocolitis as intercurrent comorbidity - a systematic literature review. (nih.gov)
- Pseudomembranous colitis is most commonly induced by C. difficile infection. (cap.org)
- The diagnosis of Clostridioides difficile infection is dependent on both (1) the presence of diarrhea or radiologic evidence of ileus or toxic megacolon and (2) positive stool test for toxigenic C. difficile or its toxins, or colonoscopy/histologic evidence of pseudomembranous colitis. (cap.org)
- The parenteral form of Vancomycin may be administered orally for treatment of antibiotic-associated pseudomembranous colitis caused by C. Difficile and for staphylococcal enterocolitis. (fresenius-kabi.com)
- C difficile was first implicated as a causative factor in pseudomembranous colitis in the 1970s. (medscape.com)
- Intestinal tissue invasion by C difficile has been reported in fatal cases of pseudomembranous colitis in pediatric patients with hematologic malignancy. (medscape.com)
- Conditions other than antimicrobial administration could predispose to C difficile pseudomembranous colitis. (medscape.com)
Diarrhea3
- disease (CDAD) ranges from mild diarrhea to severe life- threatening pseudomembraneous enterocolitis. (cdc.gov)
- Pseudomembranous colitis complicates 10% of cases of antibiotic-associated diarrhea. (medscape.com)
- A species of Saccharomyces that is used as a PROBIOTIC , such as in the treatment of DIARRHEA and PSEUDOMEMBRANOUS ENTEROCOLITIS associated with CLOSTRIDIUM INFECTIONS . (nih.gov)
Staphylococcal enterocolitis1
- Vancomycin is active against, and its major use is in therapy of, infections due to methicillin-resistant Staphylococcus aureus (MRSA), including antibiotic-induced pseudomembranous colitis, staphylococcal enterocolitis, bacterial endocarditis, and sepsis. (healthjade.com)
Differential Diagnoses1
- This diagnosis falls into the differential diagnoses of the pseudomembranous colitis inflammatory pattern, which is seen on the provided slide. (cap.org)
Acute6
- Consider neutropenic enterocolitis in the setting of critically ill neutropenic febrile patients with an acute abdomen, particularly when chemotherapeutic agents with known oral or gastrointestinal toxicity have been administered (eg, high-dose cytarabine). (medscape.com)
- Portugal R, Nucci M. Typhlitis (neutropenic enterocolitis) in patients with acute leukemia: a review. (medscape.com)
- Jain Y, Arya LS, Kataria R. Neutropenic enterocolitis in children with acute lymphoblastic leukemia. (medscape.com)
- Acute exacerbation of Crohn disease and ulcerative colitis - Pseudomembranous colitis could be a superimposed infection in these chronic patients. (medscape.com)
- An acute inflammation of the INTESTINAL MUCOSA that is characterized by the presence of pseudomembranes or plaques in the SMALL INTESTINE (pseudomembranous enteritis) and the LARGE INTESTINE (pseudomembranous colitis). (bvsalud.org)
- Pseudomembranous colitis is an acute inflammatory disease of the colon that in mild cases may appear as minimal inflammation or edema of the colonic mucosa. (medscape.com)
Infections1
- Invasive fungal infections in neutropenic enterocolitis: a systematic analysis of pathogens, incidence, treatment and mortality in adult patients. (medscape.com)
Infection1
- Fatal neutropenic enterocolitis during pegylated interferon and ribavirin combination therapy for chronic hepatitis C virus infection. (medscape.com)
Sepsis1
- Neutropenic enterocolitis-induced sepsis and disseminated intravascular coagulation after chemotherapy: a case report. (medscape.com)
Incidence1
- 2. The incidence of pseudomembranous colitis will rise. (medpagetoday.com)
Associated with antibiotic1
- Pseudomembranous colitis usually is associated with antibiotic use, which may alter the balance of normal gut flora and allow overgrowth of certain organisms. (medscape.com)
Complication3
- Neutropenic enterocolitis: an unusual complication of HCV combination therapy with PEG-IFN and ribavirin. (medscape.com)
- Over the past 100 years, pseudomembranous colitis has changed from a fatal disease caused by a postoperative event to, in the era of antibiotics, a commonly occurring complication of antibiotic use that may lead to serious morbidity but that usually is treated easily. (medscape.com)
- Statistically speaking, someone will develop pseudomembranous colitis (PMC), and someone will develop a complication of PMC such as toxic megacolon . (medpagetoday.com)
Systematic1
- Neutropenic enterocolitis in adults: systematic analysis of evidence quality. (medscape.com)
Inflammatory1
- Pseudomembranous colitis is an inflammatory disease of the colon. (medscape.com)
Treatment3
- Earhart MM. The identification and treatment of toxic megacolon secondary to pseudomembranous colitis. (medscape.com)
- The recommended oral dosage in the treatment of antibiotic induced pseudomembranous enterocolitis is 125 to 500 mg every 6 hours for 7 to 10 days. (healthjade.com)
- Eiseman B., Silen W., Bascom G.S., Kauwar A.J. (1958) Fecal enema as an adjunct in the treatment of pseudomembranous enterocolitis. (biologie-journal.org)
Antibiotics1
- In the late 1800s, before the availability of antibiotics, Finney reported the first case of pseudomembranous colitis, calling it "diphtheritic colitis. (medscape.com)
INTESTINAL2
- Inflamación aguda de la MUCOSA INTESTINAL que se caracteriza por la presencia de pseudomembranas o placas en el INTESTINO DELGADO (enteritis pseudomembranosa) y en el INTESTINO GRUESO (colitis pseudomembranosa). (bvsalud.org)
- Butel M.J. (2014) Le microbiote intestinal du prématuré : ses caractéristiques, sa mise en place, ses facteurs d'influence. (biologie-journal.org)
Administration1
- Simultaneous administration with antidiarrheal drugs increases the risk of pseudomembranous colitis. (ospharma.com)