Etiological and epidemiological features of concomitant acute intestinal infections in children

Objective: to study the frequency, etiological, age, epidemiological features of combined acute intestinal infections in children.Materials and methods. In n the Department of intestinal infections of Pediatric Research and Clinical Center for  Infectious Diseases within a year have observed 167 chi...

Full description

Saved in:
Bibliographic Details
Main Authors: N. V. Gonchar, I. V. Razd`yakonova, N. V. Skripchenko, S. G. Grigor’ev
Format: Article
Language:Russian
Published: Journal Infectology 2020-06-01
Series:Журнал инфектологии
Subjects:
Online Access:https://journal.niidi.ru/jofin/article/view/1055
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850043528527216640
author N. V. Gonchar
I. V. Razd`yakonova
N. V. Skripchenko
S. G. Grigor’ev
author_facet N. V. Gonchar
I. V. Razd`yakonova
N. V. Skripchenko
S. G. Grigor’ev
author_sort N. V. Gonchar
collection DOAJ
description Objective: to study the frequency, etiological, age, epidemiological features of combined acute intestinal infections in children.Materials and methods. In n the Department of intestinal infections of Pediatric Research and Clinical Center for  Infectious Diseases within a year have observed 167 children with combined acute intestinal infections regardless of the severity of the disease. The etiology of the acute intestinal infections was verified by bacteriological, serological methods, PCR reagents “AmpliSens® AII screen-FL. Criteria for inclusion of patients in the study: no signs of nosocomial OKA. Statistical analysis of the results was performed using Excel 2007. Student’s criterion was used to estimate the difference of the studied data. Differences were considered significant at p<0.05. Results. Combined acute intestinal infections were diagnosed in 5,6% of 2968 patients, among whom children under 1 year were 21,6%, from 1 to 3 years – 48,4%, from 4 to 7 years – 18%, from 8 to 14 years – 9%, from 14 to 18 years – 3%. The combination of bacterial pathogens was noted in 12% of patients; viral – in 37,1%; viral and bacterial – in 50,9%. Viral-bacterial AII had rises in the  frequency of diagnosis in spring, summer, autumn; viral-viral acute intestinal infections – in spring and autumn, bacterial-bacterial acute intestinal infections – in autumn. Infants in the structure of patients with viral-viral acute intestinal infections were 23,3%, viral-bacterial acute intestinal infections – 29,6%, bacterial-bacterial acute intestinal infections – 5%; young age – 45%; 47,%; 40%; preschool age– 25%; 23,3%; 15,5%; school age – 30%; 8.3%; 7%  respectively. Among of associates the bacterial-bacterial acute intestinal infections, diarrheal Escherichia (60%), Salmonella (50%) and Campylobacters (40%) dominated. Among of associates of the viral-viral acute intestinal infections noroviruses (74,2%) and rotaviruses (at 69,4%) dominated. Among of viral associates of viral-bacterial acute intestinal infections more prevalent were rotaviruses (52,9%) and noroviruses (27,1%); among bacterial associates were diarrheal Escherichia (at 51,8%).The results of the study allowed establish etiological, seasonal, age patterns of formation of the epidemiological process of intestinal infections of combined etiology in children.
format Article
id doaj-art-1826c2fe27e048559ce3a7461b732d92
institution DOAJ
issn 2072-6732
language Russian
publishDate 2020-06-01
publisher Journal Infectology
record_format Article
series Журнал инфектологии
spelling doaj-art-1826c2fe27e048559ce3a7461b732d922025-08-20T02:55:13ZrusJournal InfectologyЖурнал инфектологии2072-67322020-06-0112211311810.22625/2072-6732-2020-12-2-113-118813Etiological and epidemiological features of concomitant acute intestinal infections in childrenN. V. Gonchar0I. V. Razd`yakonova1N. V. Skripchenko2S. G. Grigor’ev3Pediatric Research and Clinical Center for Infectious Diseases; North-Western State Medical University named after I.I. MechnikovPediatric Research and Clinical Center for Infectious DiseasesPediatric Research and Clinical Center for Infectious Diseases; Saint-Petersburg State Pediatric Medical UniversityPediatric Research and Clinical Center for Infectious Diseases; Military Medical Academy named after S.M. KirovObjective: to study the frequency, etiological, age, epidemiological features of combined acute intestinal infections in children.Materials and methods. In n the Department of intestinal infections of Pediatric Research and Clinical Center for  Infectious Diseases within a year have observed 167 children with combined acute intestinal infections regardless of the severity of the disease. The etiology of the acute intestinal infections was verified by bacteriological, serological methods, PCR reagents “AmpliSens® AII screen-FL. Criteria for inclusion of patients in the study: no signs of nosocomial OKA. Statistical analysis of the results was performed using Excel 2007. Student’s criterion was used to estimate the difference of the studied data. Differences were considered significant at p<0.05. Results. Combined acute intestinal infections were diagnosed in 5,6% of 2968 patients, among whom children under 1 year were 21,6%, from 1 to 3 years – 48,4%, from 4 to 7 years – 18%, from 8 to 14 years – 9%, from 14 to 18 years – 3%. The combination of bacterial pathogens was noted in 12% of patients; viral – in 37,1%; viral and bacterial – in 50,9%. Viral-bacterial AII had rises in the  frequency of diagnosis in spring, summer, autumn; viral-viral acute intestinal infections – in spring and autumn, bacterial-bacterial acute intestinal infections – in autumn. Infants in the structure of patients with viral-viral acute intestinal infections were 23,3%, viral-bacterial acute intestinal infections – 29,6%, bacterial-bacterial acute intestinal infections – 5%; young age – 45%; 47,%; 40%; preschool age– 25%; 23,3%; 15,5%; school age – 30%; 8.3%; 7%  respectively. Among of associates the bacterial-bacterial acute intestinal infections, diarrheal Escherichia (60%), Salmonella (50%) and Campylobacters (40%) dominated. Among of associates of the viral-viral acute intestinal infections noroviruses (74,2%) and rotaviruses (at 69,4%) dominated. Among of viral associates of viral-bacterial acute intestinal infections more prevalent were rotaviruses (52,9%) and noroviruses (27,1%); among bacterial associates were diarrheal Escherichia (at 51,8%).The results of the study allowed establish etiological, seasonal, age patterns of formation of the epidemiological process of intestinal infections of combined etiology in children.https://journal.niidi.ru/jofin/article/view/1055combined intestinal infectionschildrenetiologyepidemiology
spellingShingle N. V. Gonchar
I. V. Razd`yakonova
N. V. Skripchenko
S. G. Grigor’ev
Etiological and epidemiological features of concomitant acute intestinal infections in children
Журнал инфектологии
combined intestinal infections
children
etiology
epidemiology
title Etiological and epidemiological features of concomitant acute intestinal infections in children
title_full Etiological and epidemiological features of concomitant acute intestinal infections in children
title_fullStr Etiological and epidemiological features of concomitant acute intestinal infections in children
title_full_unstemmed Etiological and epidemiological features of concomitant acute intestinal infections in children
title_short Etiological and epidemiological features of concomitant acute intestinal infections in children
title_sort etiological and epidemiological features of concomitant acute intestinal infections in children
topic combined intestinal infections
children
etiology
epidemiology
url https://journal.niidi.ru/jofin/article/view/1055
work_keys_str_mv AT nvgonchar etiologicalandepidemiologicalfeaturesofconcomitantacuteintestinalinfectionsinchildren
AT ivrazdyakonova etiologicalandepidemiologicalfeaturesofconcomitantacuteintestinalinfectionsinchildren
AT nvskripchenko etiologicalandepidemiologicalfeaturesofconcomitantacuteintestinalinfectionsinchildren
AT sggrigorev etiologicalandepidemiologicalfeaturesofconcomitantacuteintestinalinfectionsinchildren