Adverse course of enterovirus-71 infection (EVI-71) in children, frequent development of the nervous system pathology determine the need for early disease diagnosis. The study included 139 children aged 6 months to 13 years. Modern EVI-71 features is a frequent defeat of children aged from 3 to 7 years, attending organized groups, the priority development of combined moderate severity forms without nervous system pathology. EVI-71 is characterized by cyclical course, appearance in the first two disease days fever, murrain-like, catarrhal, lymphoproliferative syndromes, conjunctivitis, headaches. The second stage of the disease (3— 6 days) in 37.9% children accompanied by attaching of meningitis and meningoencephalitis symptoms (common cerebral, meningeal and encephalic syndromes, changes in cerebrospinal fluid). In the EVI-71 diagnosis must be observed epidemiological history, clinical and laboratory parameters, detection of enterovirus-71 and its RNA from feces, oropharyngeal mucus and cerebrospinal fluid. Patients with EVI-71 need for combined treatment, including causal agents and pathogenetic therapy. 

We examined 95 children aged from 5 months till 3 years (middle age 1,7 ±1,1), who were admitted in children's infectious department of theClinicalInfectionsHospital№1 by diagnosis acute respiratory virus infection in the height of disease. Anti-genes of sharp respiratory viruses by the IF method, markers of HHV-6 type, and also a cytomegalovirus of the person (CMV) and Epstein-Barre's virus the ELISA methods and PTsR-rv are studied. Respiratory viruses are found among the hospitalized children in 46,3% of cases, from them paraflu (32,6%) in comparison with flu (9,5%) and a respiratornosintsitialny virus (4,2%), р < 0,05 statistically significantly is more often revealed. Markers of HHV are revealed at 73,7% of children. During the mixed infection HHV-6 markers are found in the vast majority of children (79,4%) in combination with this or that representative of Herpesviridae, is statistically significantly more often with CMV(16,8%), р < 0,05. DNA of HHV-6 is statistically significantly more often (41%) and with more viral load (53 400 copies/ml ) is revealed in a saliva in comparison with blood and urine. DNA of HHV-6 ina saliva statistically significantly is defined among the children visiting child care centers more often, than at unorganized children (72% against 40,4%, р = 0,0001) that testifies about a horizontal transmission of infection. It is observed that markers of HHV-6 are defined statistically significantly more often among children aged from 7 till 12 months (50%) and among children older by 1 year (49,2%) in comparison with children aged from 0 till 6 months (10%), р < 0,05. It is shown that among children of an early age the exanthema at HHV-6-of an infection is associated with presence of DNA of HHV-6 with high concentration (more than 120 000 copies/ml) in blood.

The article presents the changes Immunization Schedule Russia introduced in 2014. In new Schedule now is the vaccination against pneumococcal disease for all children of 2 months with revaccination at 4 and 15 months old; excluded from the Schedule second revaccination against tuberculosis. At risk groups to be vaccinated against the flu, entered pregnant women and persons subject to military conscription. Recommendations on use of vaccines containing relevant antigens for the Russian Federation, to provide maximum effectiveness of immunization and vaccines that do not contain preservatives in children under 1 year of age. Offered to create a council of experts in the field of vaccinology and vaccine prevention

The levels of antibodies to the separate and combined administration of the vaccine plus Grippol® Plus and vaccines against measles, mumps and/or rubella, diphtheria and tetanus (DT) in children with chronic medical illnesses, including HIV and organic CNS. Revealed that at low reactogenicity and safety of the vaccine Grippol® Plus, concomitant vaccination does not affect the dynamics of the synthesis (seroprotection, seroconversion), diphtheria, mumps, and rubella antibodies, however, reduces the synthesis of measles antibodies. When combined administration of DT and mumps-measles vaccines + Grippol® Plus suppressed antibody response to a strain of influenza virus A/H3N2. 

We defined the characteristics of formation of ecological homeorhesis in feral herd infections (as exemplified by tick-borne encephalitis). By ecological homeorhesis we understand the process of harmonization between ecological factors and homeostasis systems on population, species and especially interspecies levels. We marked the evolution of epidemiology and clinical features of feral herd infections under anthropogenic influence upon natural hot spots. We also found in the circulation in endotherms and Lyme ticks the participation of such agents, which are unusual for these hot spots. 

The article is focused on the main issues of the regulation of water-electrolyte metabolism in children, possible variants of its disorder in acute diarrhoeal diseases. The clinical features of dehydration depending on the severity and qualitative component of losses are described, recommendations on laboratory diagnosis and treatment are provided. 

 This article contains a review of Russian and foreign publications with the results of experimental and clinical studies of effectiveness and safety using of a new release active medicine — Ergoferon for the treatment of acute respiratory viral infection (ARVI), including influenza virus. The results of investigation of antiviral activities of Ergoferon and its components in adults are presented in the article, as well as absolutely new data about efficacy and safety of a liquid form Ergoferon in ARVI in children. 

We observed 43 patients with cholestasis (21 — with acute viral hepatitis A and B and 22 — with chronic viral hepatitis B and C). Etiological diagnosis was based on the identification of specific markers of the spectrum. These 43 patients in addition to basic therapy ursodeoxycholic acid as a drug Ursosan of company «PRO.MED.CS Praha a.s.» (CzechRepublic). The control group consisted of 17 patients with acute viral hepatitis. Clinical signs are jaundice and itching of the skin, abdominal pain, significant hepatomegaly. Serum bilirubin level rises due to the conjugated fraction, alkaline phosphatase, gamma-glutamyltranspeptidase. When ultrasound revealed dilated bile ducts in the liver parenchyma, reactive edema of the gallbladder wall, signs gipomotornoy dyskinesia. Appointment ursosan in acute and chronic viral hepatitis occurring with cholestasis leads to the clinical and biochemical effects, and has a beneficial effect on the state of the liver and gall bladder.

Various embodiments of lingering forms of hepatitis A, for the aggravation still cause differential diagnostic difficulties and mistakes. Continuing to the present heavy and cholestasis form of hepatitis A in children, fulminant form of adolescents, adults and pregnant women let to suggest this issue to be relevance. The task of vaccine prevention of hepatitis A in the National Immunization ScheduleRussiakeeping up to be relevance and perspective. Numerous studies have shown that the French vaccine AVAXIM 80 showed good immunogenicity and safety vaccinate in children.

The paper proposed a modern rehabilitation program for children with recurrent infections of the respiratory tract. As a result, it is shown interferon and immunotherapy is an important component of an integrated approach to the rehabilitation of children with recurrent respiratory infections, positively influencing to the nature of the immunological abnormalities. Using this scheme can reduce the frequency of episodes of ARI and increase the duration of clinically successful period after the experimentation. 

This paper describes a clinical case of intrauterine generalized enterovirus infection in infant 2 months with fatal outcome. Hematologic features (lymphocytic leikemoid reaction), difficulties of diagnostics and treatment, results of autopsy are presents.