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1. Presented by:-
Sushmita Bajagain

3. Content
 Dysentery
1. Introduction
2. Incidence , causes
3. Types, sign and symptom
4. Diagnosis, prevention
5. Management ,nursing management
6. Complication

4. Dysentery
Introduction
Dysentery is an inflammatory disorder of the
intestine, especially of the colon, that results in severe
diarrhoea containing blood and mucus in the faeces
with fever, abdominal pain, and rectal tenesmus (a
feeling of incomplete defecation), caused by all kind of
infection

5. Incidence
 In north India 1663 episodes of diarrhoea and 23
diarrhoea related deaths were recorded in 1467
children followed up for 20 months. The case fatality
rate was 0.56% for acute watery diarrhoea, 4.27%
for dysentery and 11.94% for non-dysenteric persistent
diarrhoea.
 Source:- https://pubmed.ncbi.nlm.nih.gov/1421937/

7. Type
Condition Bacillary Amoebic
Fever Present Absent
Dehydration Present Usually absent
Stool
macroscopic
appearance
Blood and
mucous only
Usually with
faecal and
mucous

8. Type
Condition Bacillary Amoebic
Stool
microscopic
appearance
Plenty of red
blood cells
Scanty red
blood cell
with
trophozite or
cyst
Treatment Antibiotic Antiamoebic
drugs

9. Sign and symptom
 Mucus and blood in the stool
 Abdominal pain and cramps
 Frequently have high fever and seizure the
temperature is abnormally low, especially in the most
serious cases.
 Nauseas and vomiting
 If acute, severe dehydration
 If chronic malnutrition

10. Diagnosis

11. Prevention
 Washing hand
 Keep contact with someone known to have dysentery
to a minimum.
 Avoiding sharing items such as towels and face cloths.
 Drink water from reliable sources.

12. Management

13. Management

14. Management
 Intravenous ceftriaxone (50-100 mg/kg/ day for 3-5
days) should be the first line of treatment in a sick
child.

15. Management

16. Nursing management
Assessment
 Assess the general condition of the child.
 Assess the eyes, tear, mouth and respiratory rate.
 Monitor urine output, thirst, diarrhea and vomiting.
 Observe skin pinch.

17. Nursing Diagnosis:
 Imbalanced Nutrition: less than body requirements
related to: inadequate intake and output
 Imbalanced Body Temperature related to: the impact
of infection secondary to diarrhoea.
 Risk for Impaired Skin Integrity: perianal related to:
increased frequency of bowel movements (diarrhoea)

18. Intervention
Imbalanced Nutrition: less than body requirements
 Discuss and explain about the diet restrictions of
patients .
 Create a clean environment, away from the smell of
the odour or litter, serve food in a warm state.
 Provide hours of rest, reduce excessive activity.
 Monitor intake and output within 24 hours.
 Provide medications as prescribed.

19. Intervention
Imbalanced Body Temperature
a. Monitor body temperature every 2 hours.
b. Provide cold compresses.
c. Maintain ventilation of room.
d. Provide antipyretic

20. COMPLICATION
 Dehydration
 Electrolyte imbalance
 Malnutrition

22. References of dysentery
 Uprety K, Child Health Nursing, fourth Edition (2071
Bhadra), Tara Books and Stationery, Chhetrapati,
Kathmandu, pg 324- 329
 Shrestha T. Essential Child Health Nursing. first Edition
2015,August. Medhavi Publication; Jamal, Kathmandu
Page no.193-203
 Dahal K, Community Health Nursing –II. 5th edition
Makalu Publication House Dillibajar, Kathmandu, Page no
80-90
 Paul VK, Bagga A, Ghai Essential Pediatrics, eight edition,
CBS Publisher and Distributors Pvt Ltd page 293 to 296
 https://pubmed.ncbi.nlm.nih.gov/1421937/