Abstract
A retrospective analysis of the etiological structure and clinical manifestations of acute intestinal infections was conducted in 8459 children hospitalized in a specialized infectious disease department at the Children's City Clinical Hospital No.9 in Moscow, in 2015—2017 based on the study of statistical reports of the Children's City Clinical Hospital No.9 for 2015—2017 and 2417 case histories of children aged 1 month to 18 years old.It was found that children with age 1—7 years of age (58.5%) are more likely to have acute intestinal infections and are hospitalized. The etiological interpretation of acute intestinal infections remains at a low level and is 28.6%. The leading causative agents of acute intestinal infections are viruses (83%), mainly rotaviruses (62%), less often noroviruses (18%). Topical diagnosis in the vast majority of patients with acute intestinal infections was gastroenteritis (74.7%), which leads to the development of toxicosis with exsiccosis, especially in young children, which is the reason for hospitalization in the hospital. The share of bacterial diarrhea is small (17%), among them salmonella is significant, and in young children — staphylococcal infection. In recent years, the relevance of identifying campylobacter and clostridium, these pathogens may be the cause of the development of diarrhea with hemoccolitis.
Highlights
Информация о соавторах: Конфликт интересов: Авторы подтвердили отсутствие конфликта интересов, финансовой поддержки, о которых необходимо сообщить
A retrospective analysis of the etiological structure and clinical manifestations of acute intestinal infections was conducted in 8459 children hospitalized in a specialized infectious disease department at the Children's City Clinical Hospital No.9 in Moscow, in 2015—2017 based on the study of statistical reports of the Children's City Clinical Hospital No.9 for 2015—2017 and 2417 case histories of children aged 1 month to 18 years old
It was found that children with age 1—7 years of age (58.5%) are more likely to have acute intestinal infections and are hospitalized
Summary
Проведен ретроспективный анализ заболеваемости острыми кишечными инфекциями у детей, госпитализированных в 3 инфекционное отделение Детской городской клинической больницы No9 им. На основе изучения статистических отчетов за 2015— 2017 гг. И 1339 историй болезни детей в возрасте от 1 месяца жизни до 18 лет. Клинический диагноз ставился на основании данных эпидемиологического анамнеза, жалоб больного, анамнеза заболевания, объективного осмотра, лабораторных и инструментальных методов (УЗИ органов брюшной полости), консультации специалистов (хирурга, невропатолога) по показаниям. Объем терапии больных острыми кишечными инфекциями в стационаре соответствовал стандартам оказания медицинской помощи. При осложненном течении ОКИ стационарное лечение расширялось. Обработка результатов исследования проводилась с использованием программы статистики Microsoft Excel 2007 с определением стандартного отклонения по выборке
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