Clinical and epidemiological aspects of Ascariasis in children in the Astrakhan region

The purpose of the study: to analyze the clinical and epidemiological condition of children infected with ascariids in 2015—201 9 on the territory of the Astrakhan region. Materials and methods. During the analyzed period, 87 cases of ascariasis in children were registered in the Astrakhan region. We observed 23 children (26.4%) diagnosed with Ascariasis.

Research result. The age of children whose eggs of Ascaris lumbricoides were found in the biomaterial ranged from 1 to 17 years, and in the age groups of children (schoolchildren — preschoolers), cases of ascariasis were recorded almost equally.

Clinically, the disease occurred in the form of complaints of children — 65.2% (п = 15) for pain in the epigastric region — 34.8% (п = 8), nausea, vomiting, cough and poor appetite — 20.0% (п = 3), liquid stool and fever to subfebrile numbers — 1 3.3% (п = 2). In isolated cases, children complained of teeth grinding at night, frequent fatigue and headache-6.7% (п = 1). Complaints about the exit of the parasite at the time of the act of defecation were made by 40.0% (п = 6). Some patients had no complaints — 34.8% (п = 8).

Conclusions: Ascariasis was registered almost equally in all age groups. The main complaints were epigastric pain, nausea, decreased appetite, and loose stools. The main cause of the disease was non-compliance with personal hygiene rules, eating unwashed fruits and vegetables, and the habit of eating without first washing your hands. Isolation of a male Ascaris lumbricoides at the time of defecation and a negative result of fecal examination indicate the absence of a female As-caris lumbricoides in the macroorganism and does not require further treatment.

1. Galimzyanov H.M., Mirekina E.V, Kuryatnikova G.K., Polukhina A.L., Frank G.N., Bedlinskaya N.R., Akmaeva L.R., Bikbaeva Yu.N., Nikeshina T.V Modern clinical and epidemiological features of West Nile Fever in the Astrakhan region. Astrakhanskiy Meditsinskiy Zhurnal=Astrakhan Medical Journal. 2018. 13(4):124—130. (In Russ.)

2. Karpenko S.F., Galimzyanov H.M., Kasimova N.B., Rubalsky O.V, Mikhailovskaya T.I. Dynamics of clinical manifestations and catalase activity of blood serum in patients with coxyellosis younger than 50 years. Astrakhanskiy Meditsinskiy Zhurnal=Astrakhan Medical Journal. 2012. 7(2): 64—68. (In Russ.)

3. Mirekina E.V, Galimzyanov H.M., Bedlinskaya N.R. the Role of an imbalance of the oxidant-antioxidant system in the development of hemoco-agulation disorders in certain infectious diseases. Astrakhanskiy Meditsin-skiy Zhurnal=Astrakhan Medical Journal. 2017. 12(2):15—22. (In Russ.)

4. Mirekina E.V, Galimzyanov H.M., Bedlinskaya N.R. Modern aspects of hemostasis in West Nile Fever. Pest Management, 2017, 3(103):11 — 16. (In Russ.)

5. Arakelyan R.S. Ascariasis in the Astrakhan region. In the collection: Preventive medicine as a scientific and practical basis for preserving and strengthening the health of the population. Nizhny Novgorod, 2014:67— 70. (In Russ.)

6. Arakelyan R.S., Оkunskaya E.I., Shendo G.L., Zagina A.N., Nikeshina T.V, Saltereva S.R., Klimenko A.I. Helminth-protozoic infestations of children of the Astrakhan region (analysis of work for 2014—2018). Bulletin of the Dagestan State Medical Academy. 2019. 3(32):17—22. (In Russ.)

7. Danilova L.S., Medvedeva A.S., Mashteev A.B. Epidemiological features of ascariasis in the Astrakhan region. New Science: Experience, Traditions, Innovations. 2016. 5—3(83):71—74. (In Russ.)

8. Zdolnik T.D., Kuchumov VV, Baranova N.Yu., Vyushkova K.V Infestation of the population of the Ryazan region with ascariasis: Materials of the annual scientific conference of the Ryazan State Medical University named after academician 1Р. Pavlov, edited by Prof. M.M. Lapkin. Ryazan State Medical University named after academician I. Р. Pavlov, 2011:286— 288. (In Russ.)

9. Ermolenko A.V, Bartkova A.D., Rumyantseva E. E., Voronok V. M., Zakharova G. A., Besprozvannykh V. V. Ascariasis of people in the Primorye territory. Bulletin of the far Eastern branch of the Russian Academy of Sciences. 2015. 5(183):114—118. (In Russ.)

10. Naralenkova N.V, Murashkevich T.G. Ascariasis: manifestations of the epidemic process and prevention in the Gomel region. Nauchnyye Strem-leniya=Scientific Аspirations. 2014. 12:64—76. (In Russ.)