Intestinal Microbiocenosis Disorders Correction With Intestinal Lavage in Patients With Acute Poisoning
https://doi.org/10.23934/2223-9022-2021-10-2-285-292
Abstract
Background. In acute poisoning, accompanied by a violation of microbiocenosis, the problem of its correction has not been studied enough.
Aim of study. Evaluate the possibility of correcting violations of microbiocenosis using intestinal lavage in cases of poisoning with psychopharmacological preparations and cauterizing substances.
Material and methods. 50 male (76.4%) and female (23.6%) patients aged 42 (36; 52) years with psychopharmacological drugs and cauterizing substances poisoning were examined, the composition of the fecal microflora was studied. A total of 100 studies of up to 10 species of microorganisms were conducted. In order to correct violations of the species composition of microbiocenosis, 30 patients underwent intestinal lavage. The comparison group included 20 patients who did not use intestinal lavage.
Results. In patients with these poisonings, violations of the specific microbial composition of feces were detected. Intestinal lavage, in contrast to standard therapy, had a corrective effect on fecal microbiocenosis.
Conclusion. With the help of intestinal lavage, it is possible to correct violations of microbiocenosis in acute poisoning in a short time.
About the Authors
V. A. MatkevichRussian Federation
Doctor of Medical Sciences, Scientific Consultant of the Department of Acute Poisoning and Somatopsychiatric Disorders,
3 B. Sukharevskaya Sq., Moscow, 129090
M. M. Potskhveriya
Russian Federation
Candidate of Medical Sciences, Head of the Scientific Department of Acute Poisoning and Somatopsychiatric Disorders,
3 B. Sukharevskaya Sq., Moscow, 129090
A. Yu. Simonova
Russian Federation
Candidate of Medical Sciences, Leading Researcher of the Department of Acute Poisoning and Somatopsychic Disorders,
3 B. Sukharevskaya Sq., Moscow, 129090
T. A. Vasina
Russian Federation
Doctor of Medical Sciences, Full Professor, Leading Researcher, Department of Laboratory of clinical
microbiology,
3 B. Sukharevskaya Sq., Moscow, 129090
S. S. Petrikov
Russian Federation
Corresponding Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Director,
3 B. Sukharevskaya Sq., Moscow, 129090
References
1. Ryabichenko EV, Bondarenko VM. Role of Gut Bacterial Autoflora and Its Endotoxins in Human Pathology. Journal of Microbiology Epidemiology Immunobiology. 2007;(3):103–111. (in Russ.)
2. Khristich TN. Kishechnaya mikroflora: rol’ v klinicheskom techenii ryada zabolevaniy vnutrennikh organov. News of Medicine and Pharmacy. Gastroenterology. 2009; (304). (in Russ.) Available at: http://www.mifua.com/archive/article/11027 [Accessed 18 May 2021]
3. Shenderov BA. Meditsinskaya mikrobnaya ekologiya i funktsional’noe pitanie: in 3 vol. Vol. I: Mikroflora cheloveka i zhivotnykh i ee funktsii. Moscow: ”GRANT” Publ.; 1998. (in Russ.)
4. Beloborodova NV. Integration of Metabolism in Man and His Microbiome in Critical Conditions. General Reanimatology. 2012;8(4):42. (In Russ.) https://doi.org/10.15360/1813-9779-2012-4-42
5. Tret’yakov EV, Varganov MV, Nifontova EE. Sovremennyy vzglyad na kishechnuyu translokatsiyu bakteriy kak osnovnuyu prichinu gnoynosepticheskikh oslozhneniy pri destruktivnom pankreatite. Advances in current natural sciences. 2013;(9):78–80. (in Russ.)
6. Leyderman IN, Sentsov VG, Vorontsov SV. Fenomen povyshennoy kishechnoy pronitsaemosti kak proyavlenie sindroma kishechnoy nedostatochnosti (SKN) u bol’nykh s otravleniyami prizhigayushchimi zhidkostyami sredney i tyazheloy stepeni. Intensivnaya terapiya. 2008;(2). (in Russ.) Available at: https://icj.ru/journal/number-2-2008/158-fenomen-povyshennoy-kishechnoy-pronicaemosti-kakproyavlenie-sindroma-kishechnoy-nedostatochnosti-skn-u-bolnyh-sotravleniyami-prizhigayuschimi-zhidkostyami-sredney-i-tyazheloystepeni.html [Accessed 11 Mar 2020]
7. Ardatskaya MD, Chicherin IYu. Disbakterioz kishechnika. Kakuyu mikrofloru budem zashchishchat’ i vosstanavlivat’ – svoyu ili chuzhuyu? (in Russ.) Available at: http://www.disbak.ru/php/content.php?id=4367 [Accessed 11 Mar 2020]
8. Grigor’ev PYa, Yakovenko EP. Narushenie normal’nogo sostava kishechnogo biotsenoza i metody ego korrektsii. RMJ Suppl Bolezni organov pishchevareniya. 2004;(2):84–88. (in Russ.)
9. Matkevich VA. Enteral’naya detoksikatsiya organizma pri ostrykh peroral’nykh otravleniyakh: Dr. med. sci. diss. synopsis. Saint Petersburg; 2013. (in Russ.) Available at: https://dlib.rsl.ru/viewer/01005531576#?page=28 [Accessed 12 Dec 2020].
10. Badalyan AV, Ilyashenko KK, Vasina TA, Goldfarb YS, Yelkov AN, Luzhnikov YA. Violation of Intestinal Microbiocenosis and its Management During Rehabilitation in Patients with Acute Psychopharmacological Agents Poisonings. Russian Sklifosovsky Journal Emergency Medical Care. 2016;(4):32–36. (In Russ.)
11. Bondarenko VM, Gracheva NM, Matsulevich TV. Disbakteriozy kishechnika u vzroslykh. Moscow: KmK Scientific Press; 2003. (in Russ.)
12. Ob utverzhdenii otraslevogo standarta “Protokol vedeniya bol’nykh. Disbakterioz kishechnika”: Prikaz Minzdrava RF No 231 ot 9 iyunya 2003 g. Available at: http://www.disbak.ru/php/content.php?group=615 [Accessed 11 Mar 2020] 13. Matkevich VA, Kiselev VV, Syromyatnikova ED, Grishin AV, Ermolov AS, Luzhnikov EA, et al. Sposob detoksikatsii organizma. Patent RF 2190412. Decl. 03.02.2000. Publ. 10.10.2002. Bull. 28. (in Russ.)
13. Matkevich VA. Kishechnyy lavazh – effektivnoe sredstvo korrektsii mikrobiotsenoza kishechnika. In: Tezisy VI s”ezda nauch. ob-va gastroenterologov Rossii, (Moskva, 1–3 fevr. 2006 g.). Moscow: Anakharsis Publ.; 2006. Abs.E.26. (in Russ.)
14. Matkevich VA. Kishechnyy lavazh. In: Luzhnikov E.A. (ed.) Meditsinskaya toksikologiya. Moscow: GEOTAR-Media Publ.; 2012.Ch 4: 162–186. (Natsional’nye rukovodstva) (in Russ.).
15. Matkevich VA, Luzhnikov YeA, Ilyashenko KK, Petrov SI, Rozhkov PG. Role of Enteral Detoxification in the Prophylaxis and Treatment of Pneumonia at Acute Poisonings by Psycho-Pharmacological Preparations. Toxicological Review. 2012;(3):25–27. (in Russ.)
16. Matkevich VA, Luzhnikov EA, Belova MV, Yevdokimova NV, Syromyatnikova ED, Kurilkin YuA. The Role of Intestinal Translocation in the Origin of Endotoxemia in Acute Poisoning and Detoxification Effect of Intestinal Lavage. Russian Sklifosovsky Journal Emergency Medical Care. 2015;(4):16–21. (in Russ.)
Review
For citations:
Matkevich V.A., Potskhveriya M.M., Simonova A.Yu., Vasina T.A., Petrikov S.S. Intestinal Microbiocenosis Disorders Correction With Intestinal Lavage in Patients With Acute Poisoning. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(2):285-292. https://doi.org/10.23934/2223-9022-2021-10-2-285-292