Bhattacharya Sujit Kumar
National Institute of Cholera and Enteric Diseases, P-33, C.I.T. Road, Scheme XM, Beliaghata, Kolkata - 700 010, India.
Expert Opin Pharmacother. 2003 Feb;4(2):141-6. doi: 10.1517/14656566.4.2.141.
Cholera, caused by Vibrio cholerae O1 and O139, is characterised by profuse purging of watery stools, and vomiting and dehydration. The mainstay of therapy of cholera patients is rehydration with oral rehydration salt solution or intravenous Ringer's lactate depending upon the degree of dehydration. Antibiotics such as tetracycline, doxycycline, norfloxacin, ciprofloxacin and furazolidone may be used as an adjunct to rehydration therapy for severely purging cholera patients to reduce the rate of stool output. This shortens the duration of hospital stay, stops excretion of vibrios in the stool and minimises the requirement of fluids. Resistance to many of these drugs has been observed and is a matter of concern. Other antidiarrhoeals are not recommended. Many antisecretory drugs have been tried as an adjunct therapy, unfortunately, until today, none has been found useful in the treatment of cholera. Feeding during and after cholera is emphasised.
由霍乱弧菌O1和O139引起的霍乱,其特征为大量水样便腹泻、呕吐及脱水。霍乱患者治疗的主要方法是根据脱水程度,使用口服补液盐溶液或静脉输注乳酸林格氏液进行补液。对于腹泻严重的霍乱患者,可使用四环素、强力霉素、诺氟沙星、环丙沙星和呋喃唑酮等抗生素作为补液治疗的辅助手段,以减少粪便排出量。这可缩短住院时间,停止粪便中霍乱弧菌的排泄,并减少液体需求。已观察到对其中许多药物的耐药性,这令人担忧。不推荐使用其他止泻药。许多抗分泌药物已作为辅助治疗进行试验,但遗憾的是,至今尚未发现有药物对霍乱治疗有效。强调霍乱期间及之后的喂养。