DYSENTRY

By : Dea Devega & Norhikmah

1. Definition
Dysentery comes from the Greek dys (=
disorder) and enteron (= intestine), which means
inflammation of the intestine that causes
widespread symptoms, mucus stools mixed with
blood. Dysentery is an inflammation of the large
intestine characterized by abdominal pain and
defecation. This defecate repeatedly causes the
person to lose much fluid and blood. Dysentery is
a disease with signs of changes in the shape and
consistency of the stool, which softens to melt and
increases the frequency of defecating more than
usual (Andayasari, Lely, 2011).
2. Etiology

The cause of dysentery in general

is a poor sanitation factor, both the
environment and food and beverages
consumed. This is due to Shigella and
Amoeba bacterial infections in the
body's digestive system. Furthermore,
the transmission of dysentery can
occur due to food and beverages
contaminated with bacterial cysts.
Cont....
Bacteria that enter the system will
move toward the intestinal wall, and
into the bloodstream. It can infect other
organs causing bleeding in the organ.
The resulting blood will come out along
with the patient's stool. Bacteria that
come out with feces can survive and
infect the body if it goes back into the
digestive system.
3. Pathophysiology
Germs that cause diarrhea spread
through the mouth, among others, food,
beverages contaminated with stool or that
direct contact with stool patients. Bacteria
cause disease by infiltrating into the lining
of the intestine, causing swelling and
sometimes superficial wounds.
Basiler dysentery is usually
experienced by younger children. These
germs enter directly into the digestive tract
and cause superficial swelling and
clearance.
Cont...
Severe inflammation may include the entire
large intestine and also the lower intestine.
These organisms are disseminated
from one person to another through food
and water that has been littered or spread
by flies. This dysentery lived in the human
colon and caused injury to the intestinal
wall. This is what causes dirt sufferers
often mixed with pus and blood.
Cont...
This disease usually attacks
abruptly about two days after exposure
to germs, especially in children. After
that fever, child whiny, and easily
drowsy. Her appetite disappears,
nausea, vomiting, diarrhea,
stomachache, bloated dysentery.
4. The Management Of Dysentery
In mild infections generally can heal
itself, the disease will heal in 4-7 days.
Drink more fluid to avoid running out of
fluids, if the patient is already at the
dehydration stage then can be
overcome by oral rehydration. In
patients with severe diarrhea with
dehydration and patients who are
vomiting excessive so that it can not be
performed oral rehydration intravenous
rehydration should be done
Cont...
Generally in small children especially
babies are more susceptible to run out of
fluids if diarrhea.
For severe infections Shigell can be treated
using antibiotics including ampicillin,
trimethoprim-sulfamethoxazole,and
ciprofloxacin (Sya'roni, A. 2009).
5. People Are Affected By Dysentery Each Year
6. Knot
• Dysentery is an inflammation of the
large intestine characterized by
abdominal pain and a watery
discharge mixed with mucus and
blood. The etiology of dysentery is 2,
namely basiler disenstrients caused by
Shigella, sp. And amoebic dysentery
caused by Entamoeba hystolitica.
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