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  • Etiological structure of acute intestinal infections in patients hospitalized to an infectious hospital

    Редактор | 2019, Original articles, Practical medicine part 17 №8. 2019 | 28 ноября, 2019

    S.V. KHALIULLINA1, V.A. ANOKHIN1, Z.T. MUKHAMERDIEVA2, G.M. KURBANOVA2

    1Kazan State Medical University of the Ministry of Healthcare of the Russian Federation, Kazan

    2Republican Clinical Hospital of Infectious Diseases named after Prof. A.F. Agafonov, Kazan

     Contact:

    Khaliullina S.V. ― MD, Associate Professor of the Department of Children’s Infections

    Address: 49 Butlerov Str., Kazan, Russian Federation, 420012, tel. (843) 267-80-06, e-mail: svekhal@mail.ru

    Acute infectious diarrhea remains relevant, since the incidence of this group of diseases has remained at approximately the same level for many years.

    Objective ― to study the etiological structure of acute intestinal infection depending on the season in different age groups of patients.

    Material and methods. 6733 medical records of inpatients hospitalized to the Republican Clinical Hospital of Infectious Diseases (RCHID) with a diagnosis of acute intestinal infection from January 2018 to March 2019 were analyzed. The research is observational, descriptive, and retrospective by design.

    Results and conclusions. It was possible to identify the causative agent of acute intestinal infections in 58% (2819/6733) cases. Rotavirus gastroenteritis was recorded in 32.4% of the examined patients (2180/6733), salmonellosis ― in 7.5% (505/6733), other enteropathogenic viruses (noro-, adeno-, astro-, enteroviruses) ― in 3.6% (243/6733). Shigella caused acute diarrhea in 0.6% of patients (40/6733), Escherichia ― in 0.2% (14/6733). Modern acute respiratory infections maintain their «seasonality»: the winter-spring period is characterized by an increase in the incidence of rota- and norovirus infections, and the summer-autumn period is characterized by salmonellosis. Each age group of patients has differences in the structure of the main pathogens of acute intestinal infections, which must be taken into account when choosing a rational starting therapy.

    Key words: acute intestinal infections, etiology, children, adults.

    (For citation: Khaliullina S.V., Anokhin V.A., Mukhamerdieva Z.T., Kurbanova G.M. Etiological structure of acute intestinal infections in patients hospitalized to an infectious hospital. Practical medicine. 2019. Vol. 17, №8, P. 109-113)

    REFERENCES

    1. O sostoyanii sanitarno-epidemiologicheskogo blagopoluchiya naseleniya v Rossiyskoy Federatsii v 2018 godu: Gosudarstvennyy doklad [On the state of the sanitary-epidemiological well-being of the population in the Russian Federation in 2018: State report]. Moscow: Federal’naya sluzhba po nadzoru v sfere zashchity prav potrebiteley i blagopoluchiya cheloveka, 2019. 254 p.
    2. Sanitarno-epidemiologicheskie pravila SP 3.1.1.3108-13 ot 9 oktyabrya 2013 goda, postanovlenie no. 53 [Sanitary and epidemiological rules of SP 3.1.1.3108-13 of October 9, 2013, resolution No. 53], available at: http://www.consultant.ru/document/cons_doc_LAW_159501/fdfe61a520d37792a1aa9154bb3c969a042c1be5/
    3. Khaliullina S.V., Anokhin V.A., Gutor I.A., Khasanova G.R. The etiological structure of acute infectious diarrhea in children and adults. Prakticheskaya meditsina, 2012, vol. 56, no. 1, pp. 13-15 (in Russ.).
    4. Khaliullina S.V. Sovremennye printsipy diagnostiki i lecheniya ostrykh kishechnykh infektsiy u detey: avtoref. … d-ra med. nauk [Modern principles of diagnosis and treatment of acute intestinal infections in children. Synopsis of dis. Dr med. sciences]. Kazan, 2016. 40 p.

    Метки: 2019, acute intestinal infections, adults, Children, Etiology, G.M. KURBANOVA, Practical medicine part 17 №8. 2019, S.V. Khaliullina, V.A. Anokhin, Z.T. MUKHAMERDIEVA

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