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Clinical and epidemiological features of acute intestinal infections in children in the Astrakhan region: results of a retrospective study

https://doi.org/10.22627/2072-8107-2020-19-3-44-50

Abstract

Objective: to establish the clinical and epidemiological features of acute intestinal infections (AII) in children in the Astrakhan region, depending on the etiological factor, age, season of the year.

Materials and methods: a retrospective analysis of the incidence of acute intestinal infections in children in the Astrakhan region for 2019 and 3335 case histories of patients diagnosed with acute intestinal infections, under the age of 17 years, who were treated at the Regional Infectious Clinical Hospital, Astrakhan, during 2019.

Research results: Acute intestinal infections of established etiology in children in the Astrakhan region is 35%. Among acute intestinal infections caused by established pathogens, the viral etiology of the disease occurred in 22%, bacterial in 78% of patients. The etiological structure of аcute intestinal infections in children has changed due to an increase in the number of intestinal infections caused by opportunistic bacteria. In the age structure of patients with acute intestinal infections caused by opportunistic bacteria, children of the first year of life dominated (69%). Refined viral diarrhea in 86% of patients proceeded with a topical diagnosis of enteritis, gastroenteritis, bacterial diarrhea proceeded on the type of enterocolitis and colitis in 91% of patients.

About the Authors

G. A. Kharchenko
Astrakhan state medical University the Ministry of health Russian Federation
Russian Federation

Gennady Kharchenko - MD, рrofessor, head of the department of children's infections



O. G. Kimirilova
Astrakhan state medical University the Ministry of health Russian Federation
Russian Federation

Olga Kimirilova – PhD



References

1. Onishchenko G.G. Incidence of acute intestinal infections in the Russian Federation. Immunologiya. 2008; 1:18—23. (in Russ.)

2. Health in Russia [Zdravoohranenie v Rossii]. Moscow: Stat. sb. Rosstat.; 201 8. (in Russ.)

3. Mindlina A.Yа. Incidence of intestinal infections in Russia. Vestnik RAMN. 2010; 11: 30—33. (in Russ.)

4. Lobzin YU.V, Rachkova S.V, Skripchenko N.V., Uskov A.N., Fedorov VV Dynamics of infectious diseases in children in the Russian Federation in 2017—2018. Medicina Ekstremal'nyh Situacij. 2019; 21(3): 340—350. (in Russ.)

5. Podkolzin A.T., Fenske E.B., Abramycheva N.Yu., Shipulin G.A., et. al. Seasonality and age structure of the incidence of acute intestinal infections in the territory of the Russian Federation. Ter. Arhiv. 2007; 11:10—16. (in Russ)

6. Lavrenova E.S., Podkolzin A.T., Konovalova T.A., Bochkov I.A. Evaluation of the role of conditionally pathogenic flora in the development of diarrhoeal diseases. Infekcionnye Bolezni. 2012; 3: 53—55. (in Russ)

7. Fischer T.K., Viboud C., Parashar U., Malek M. et al. Hospitalizations and deaths from diarrhea and rotavirus among children < 5 years of age in the United States, 1993—2003. J. Infect. Dis. 2007; 195: 1117—1125.

8. Lyman WH., Walsh J.F., Kotch J.B., Weber D.J. et al. Prospective study of etiologic agents of acute gastroenteritis outbreaks in childcare centers. J. Pediatr. 2009; 154: 253—257.

9. Glass R.I., Parashar U.D., Estes M.K. Norovirus gastroenteritis. N. Engl. J. Med. 2009; 361: 1776—1785.

10. Kvetnaya A.S., Bekhtereva M.K., Zheleznova L.I., Kalinogorskaya O.S. Viral and bacterial intestinal infections in children. SPb.: 2011. (in Russ)

11. Kolachevskaya K.A., Zavarceva L.I., Molochnyj V.P. Clinical and epidemiological characteristics of acute intestinal infections in children of early age of Khabarovsk. Dal'nevostochnyj Medicinskij Zhurnal. 2016;3:41—44. (in Russ)

12. Grekova A.I., Yаsnecova A.F., Shevchenko S.S., Egorov A.S., et. al. Clinical and epidemiological features of acute intestinal infections of mixed etiology in children. Vestnik Smolenskoj Medicinskoj Akademii. 2002; 4:99—1 02. (in Russ)

13. Seshena A.V, Malyshev V.V., Finogeev Yu.P. Myasnikov I.O., Makarov D.A. Clinical and epidemiological characteristics of the outbreak of acute intestinal diarrhoeal infections. Zhurnal Infek-tologii. 2009;1 (2): 48—51. (in Russ).

14. Frolova A.V., Sretenskaya D.A., Gavrilova I.B., Careva T.D., at al. Clinical and epidemiological aspects of acute intestinal infections. Mezhdunarodnyj Zhurnal Prikladnyh i Fundamental’nyh Issle-dovanij. 2009; 5:133—134. (in Russ)

15. Chihacheva E.N., Bogdanova O.YU. Prevalence of acute intestinal infections in children of the Murmansk region. Uspekhi Sovremen-nogo Estestvoznaniya. 2011; 8:76—77. (in Russ.)

16. Luk'yanova A. M., Bekhtereva M.K., Ptichnikova N.N. Clinical and epidemiological characteristics of viral diarrhea in children. Zhurnal Infektologii. 2014; 1(6):60 — 66. (in Russ.)

17. Uchajkin V. F. Guidelines for infectious diseases in children [Ruko-vodstvo po infekcionnym boleznyam u detej]. Moscow: GEOTAR-MED., 2001. (in Russ.)

18. Usenko D.V, Ploskireva A.A., Gorelov A.V Acute intestinal infections in children in pediatrician's practice: diagnostic and therapy possibilities. Voprosy Sovremennoj Pediatrii. 2014; 13(3):12—20. (in Russ.)

19. Vorotynceva N.V, Mazankova L.N. Acute intestinal infections in children [Ostrye kishechnye infekcii u detej]. Moscow: Medicine; 2001. (in Russ.)

20. Uchajkin VF, Novokshonov A.V, Mazankova L.N., Sokolova N.V Acute intestinal infections in children. Manual for doctors. [Ostrye kishechnye infekcii u detej. Posobie dlya vrachej] M.: GOU VPO Russian state medical University, 2003. (in Russ.)

21. Caregorodcev A.D., Anohin V.A., Hajrullina S.V Acute infectious diarrhea in children. Modern features of epidemiology and clinical picture of the disease. Rossijskij Vestnik Perinatologii i Pediatrii. 2015; 4: 25—30. (in Russ.)

22. Kovalev O.B., Molochkova O.V, Konyaev K.S., Pylaeva E.Yu., Anufrieva P.A., Kurmanova VV, Korsunsky A.A., Kashchenko O.A., Galeeva E.V, Krylatova N.I. The etiology and clinical manifestations of acute intestinal infections in children, according to the Moscow hospital for 2016—2018. Detskie Infektsii=Children's Infections. 2019;18(2):54—57. (In Russ.) doi.org/10.22627/2072-8107-2019-18-2-54-57

23. Hohlova N.I., Krasnova E.I., Provorova V.V., Vasyunin A.V, at al. OKI of viral and bacterial etiology in children: modern possibilities of diagnosis and therapy, the role of metabiotics. Lechashchij Vrach. 2018; 6:33—39. (in Russ.)

24. Chuprov Yu.S., Penkin A.S., Brusina E.B., Drozdova O.M. Modern hypotheses of the evolution of the epidemic process of acute intestinal infections in the regional aspect. Zhurnal «Zdorov'e Sem’i-21 vek». 2011; 4:128—139. (in Russ.)

25. Gorelov A.V., Bondareva A.V. Evolution of escherichiosis in children over 25 years. Epidemiology and Infectious Diseases. Aktu-al’nye Voprosy 2013; 5:46—50. (in Russ.)

26. Molochnyj V.P., Zavarceva L.I., Butakova L.V., Troyan O.V., at al. Clinical and epidemiological features of OCI in children in Khabarovsk. Dal'nevostochnyj Zhurnal Infekcionnoj Patologii. 2012; 2 (21):112—117. (in Russ.)

27. Molochkova O.V., O.B. Kovalev, A.L. Rossina, O.V. Shamsheva, A.A. Korsunsky, O.A. Kashchenko, E.V. Galeeva, N.I. Krylatova, S.B. Chuelov, E.Yu. Pylaeva, VE. Karaulova. Clinico-etiological Characteristics of Acute Intestinal Infections in Hospitalized Children of Moscow in 2015—2017. Detskie Infektsii=Children's Infections. 2018; 17(3): 27—33. (In Russ.) doi.org/10.22627/2072-8107-2018-17-3-27-33


Review

For citations:


Kharchenko G.A., Kimirilova O.G. Clinical and epidemiological features of acute intestinal infections in children in the Astrakhan region: results of a retrospective study. CHILDREN INFECTIONS. 2020;19(3):44-50. (In Russ.) https://doi.org/10.22627/2072-8107-2020-19-3-44-50

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ISSN 2072-8107 (Print)
ISSN 2618-8139 (Online)