Cholera in Algeria: What Symptoms and Treatment?

Algeria – The Ministry of Health has announced 41 cases of Cholera confirmed among 88 suspected cases. Medieval disease, it is mainly caused by bad or very bad hygiene.

"Cholera is an extremely virulent disease that can cause severe acute watery diarrhea. Symptoms appear between 12 hours and 5 days after the ingestion of food or contaminated water, "reads the official website of the WHO (World Health Organization).

This epidemiological disease affecting both children and adults can kill within hours if no treatment is given.

What symptoms?

"Most people infected with V. cholerae do not show any symptoms, although the bacillus is present in their stool for 1 to 10 days after infection and is eliminated in the environment, where it can potentially infect children. 'other people', says the WHO website.

"For people who have symptoms, they remain mild to moderate in the majority of cases, while in a minority, acute watery diarrhea, accompanied by severe dehydration, develops. If left untreated, it can lead to death, "says WHO.

What treatment?

For WHO, "cholera is an easy disease to treat. The majority of affected patients can be cured by the rapid administration of Oral Rehydration Salts (ORS). The WHO / UNICEF SRO standard bag is to be dissolved in 1 liter (1) of drinking water. Up to 6 liters of ORS may be needed to treat moderate dehydration in an adult patient on the first day. "

"Severely dehydrated patients are at risk of shock and rapid administration of intravenous fluids is required. An adult weighing 70 kg will need at least 7 l of fluid by infusion, in addition to ORS, during treatment. These patients also receive appropriate antibiotics to shorten the duration of diarrhea, reduce the amount of rehydration fluid needed, and shorten the duration of excretion of V. cholerae bacilli in their stool. "

"Mass administration of antibiotics is not recommended because it has no effect on the spread of the disease and helps to strengthen resistance.

Rapid access to treatment is essential during a cholera outbreak. Treatment with oral rehydration salts should be available in communities, but patients should also have access to larger centers where intravenous infusions and full management can be provided. With rapid and appropriate management, the case fatality rate should be kept below 1%.

Zinc is an important adjunct to children under 5, which also reduces the duration of diarrhea and may prevent subsequent episodes of acute watery diarrhea from other causes. Breastfeeding should also be encouraged. "

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