Effective treatment of dysbacteriosis in the elderly will depend on the impact on immediate root causes and pathogenetic mechanisms of the development of microflora disorders.
To begin with, adverse external influences will be eliminated. So, antibiotics, chemotherapy, steroids, immunosuppressants, X-ray therapy will be canceled, and a full-fledged functional diet will be introduced. It also requires stimulating the reactivity of the body. For this, vitamin therapy is used.
Do not forget about the treatment of the underlying disease, which caused dysbiosis in the elderly person. To improve digestive processes in the elderly, drugs with enzyme activity and motor controllers are used. To restore the microbiocenosis of the intestine, specialized phages and antibacterial agents are used. It is worth noting that the reception of such medications will be made in a short course, not exceeding 2 weeks. In addition, prebiotics and probiotics, adsorbents and growth stimulators are prescribed for the same purposes.
It should be noted that the amount of necessary treatment for dysbiosis in the elderly will be determined in accordance with the results of the survey. Also affects the degree of complexity of the course of the disturbance of microflora.
Therapy of dysbacteriosis in the elderly by the degree of complexity of
In the first phase of dysbiosis, treatment will require serious consideration of external pathogenic effects. In this case, antibacterial and chemical therapy is canceled. A thorough adjustment of the patient's diet is performed.
In the second phase, in addition to optimizing the treatment of the underlying disease in the elderly and the functional diet and specialized probiotics, which contain a living microorganism. If there is persistent constipation, then along with the administration of probiotics, the administration of lactulose preparations is possible.
In the third phase, in addition to treating elderly people of the underlying disease and adjusting the diet, a stepwise scheme of probiotics is used. So, for starters over the next 2 weeks, Floriniv BS, Bactisubtil, Bifiform will be prescribed. After this course, joint probiotics are prescribed, which contain live lacto- and bifidobacteria - Lactobacterin or Bifidumbacterin. The course of taking such medicines should not be less than one month.
The fourth phase of dysbiosis in the elderly causes several difficulties in treatment, since it is difficult to affect all pathological processes simultaneously. Therefore, it is required to conduct stage-by-stage treatment in elderly people, where each stage can solve specific etiopathogenetic tasks.
In the first stage of therapy of dysbacteriosis in the elderly in the fourth phase, the use of drugs that have pronounced antibacterial properties is envisaged. The choice of the drug will be based on the results of the survey. So can be appointed: specific bacteriophages, enterol, vancomycin, metronidazole, erythromycin. This course should not exceed a week when combined with general health and immunomodulatory therapeutic measures, using sorbents and drugs with enzymatic activity.
To increase the reactivity of the body with dysbacteriosis, B vitamins, dibazole, sodium nappeinate can be prescribed. As the adsorbent are: activated carbon, Diosmectite. To stop persistent diarrhea in the elderly, drugs with the content of attapulgite, ethacridine with tannin or loperamide are used. This course should not exceed a month.