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Experimental and Clinical Gastroenterology

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Age characteristics and possibilities of laboratory diagnosis of infectious diarrhea in children in the tashkent city

https://doi.org/10.31146/1682-8658-ecg-215-7-66-71

Abstract

Objective: to study the age characteristics of pathogens of infectious diarrhea in children and evaluate the possibilities of laboratory diagnosis of intestinal infections in the Tashkent city. Material and methods. The study included 360 children aged 6 months to 18 years, hospitalized in Tashkent with a diagnosis of “Acute diarrhea”. Diagnosis of intestinal infection was carried out by bacteriological, immunochromatographic and PCR methods using RIDA®QUICK tests (R - BIOPHARM AG, Germany) and kits from Inter Lab Service “AmpliSens® OKI screen-FL”. Results. Analysis showed that the majority (56.7%) of children with diarrhea belonged to the age group of 3-7 and 7-14 years. In the etiological structure of diarrhea, the main share was occupied by viral and bacterial agents (30% and 45.8%, respectively). In 3.6% of cases parasitic diarrhea was observed and in 20.6% of patients the etiology of diarrhea remained unclear. A comparative evaluation of laboratory methods demonstrated the high efficiency of immunochromatographic and PCR methods compared with bacteriological examination in terms of early diagnosis of the etiological agent of diarrhea and the identification of viral pathogens. Conclusions. In children in the younger age group, diarrhea of viral etiology is more often observed, in contrast to older age groups, where bacterial ones are more common. Immunochromatographic and PCR methods enable earlier diagnosis of the causative agent of diarrhea and, consequently, the start of etiotropic treatment.

About the Authors

S. K. Ganiyeva
Republican specialized scientific practical medical center of epidemiology, microbiology, infectious and parasitic diseases
Russian Federation


G. K. Khudaykulova
Tashkent Medical Academy
Russian Federation


S. B. Rakhmatullaeva
Tashkent Medical Academy
Russian Federation


References

1. Usenko D.V., Ploskireva A. A., Gorelov A. V. Acute intestinal infections in children in pediatric practice: possibilities of diagnosis and therapy. Issues of modern pediatrics. 2014;13(3):12-20. (in Russ.)@@ Усенко Д. В. Острые кишечные инфекции у детей в практике педиатра: возможности диагностики и терапии / Д. В. Усенко, А. А. Плоскирева, А. В. Горелов // Вопросы современной педиатрии. - 2014. - том 13. - № 3. С. 12-20.

2. Guarino A. A., Zakharova I. N., Sugyan N. G. Management of children with acute gastroenteritis in the pediatric area: ESPGHAN-2014 Recommendations. Med. Council. 2016;(1):148-156. (in Russ.)@@ Гуарино, А. (Guarino A.). Ведение детей с острым гастроэнтеритом на педиатрическом участке: Рекомендации ESPGHAN-2014 / А. Гуарино (Guarino A.), И. Н. Захарова, Н. Г. Сугян. - Медиц. Совет, - 2016, - № 1. - С. 148-156.

3. Ploskireva, A. A. Rotavirus infection in children and its combined forms. Eksp. klin. gastroehnterol. 2017;142(6):26-30. (in Russ.)

4. On the state of sanitary and epidemiological well-being of the population in the Russian Federation in 2017: State report. Moscow. Federal Service for Supervision of Consumer Rights Protection and Human Welfare. 2018. 268 P. (in Russ.)@@ О состоянии санитарно-эпидемиологического благополучия населения в Российской Федерации в 2017 году: Государственный доклад. М.: Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека, - 2018. - С. 268.

5. Briko, N.I., Gorelov A. V. Rotavirus infection: a modern view of the problem. Medical Bulletin. 2014;(14-15):663-664. (in Russ.)@@ Брико, Н. И. Ротавирусная инфекция: современный взгляд на проблему / Н. И. Брико, А. В. Горелов // Медицинский вестник. - 2014. - № 14-15. - С. 663-664.

6. Mazankova L.N., Ilyina N. O. Modern aspects of diagnosis and treatment of acute intestinal infections in children.Russian Bulletin of Perinatology and Pediatrics. 2007;52(2):4-10. (in Russ.)@@ Мазанкова, Л. Н. Современные аспекты диагностики и лечения острых кишечных инфекций у детей / Л. Н. Мазанкова, Н. О. Ильина // Российский вестник перинатологии и педиатрии. - 2007. - Т. 52. - № 2. - С. 4-10.

7. Krasnov M.V., Akimova V. P., Stekolshchikova I. A., Andreeva L. V. Clinical and epidemiological features of rotavirus infection in children. Medical Almanac. 2016;5(45):229-231. (in Russ.)@@ Краснов М. В., Акимова В. П., Стекольщикова И. А., Андреева Л. В. Клинико-эпидемиологические особенности ротавирусной инфекции у детей. Медицинский Альманах. - 2016. Т. - 5(45). - С. 229-231.

8. Mazankova L.N., Gorbunov S. G. Diagnosis and treatment of rotavirus infection in young children. Pharmateka. 2017;4 (337):24-29. (in Russ.)@@ Мазанкова Л. Н., Горбунов С. Г. Диагностика и лечение ротавирусной инфекции у детей раннего возраста. Фарматека. - 2017. - Т 4 (337). - С 24-29.

9. Albano F., Bruzzese E., Bella A. et al. Rotavirus and not age determines gastroenteritis severity in children: a hospital-based study. Eur J Pediatr. 2007 Mar;166(3):241-7. doi: 10.1007/s00431-006-0237-6.

10. Quigley M.A., Kelly Y. J., Sacker A. Breastfeeding and hospitalization for diarrheal and respiratory infection in the United Kingdom Millennium Cohort Study. Pediatrics. 2007 Apr;119(4): e837-42. doi: 10.1542/peds.2006-2256.

11. Information on infectious and parasitic diseases for January-December 2018 in the Russian Federation. Children’s infections. 2019;18(1):5. (in Russ.)@@ Сведения об инфекционных и паразитарных заболеваниях за январь-декабрь 2018 в РФ // Детские инфекции. - 2019. - Т. 18. - № 1. - С. 5.


Review

For citations:


Ganiyeva S.K., Khudaykulova G.K., Rakhmatullaeva S.B. Age characteristics and possibilities of laboratory diagnosis of infectious diarrhea in children in the tashkent city. Experimental and Clinical Gastroenterology. 2023;(7):66-71. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-215-7-66-71

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