Широкая распространенность острых кишеч-ных инфекций среди детей делает вопросы этиологической диагностики весьма актуальными [1][2][3]. В свете последних данных происходит пере-смотр представлений об этиологической структуре вирусных гастроэнтеритов: к числу доминирующих возбудителей относится широкий спектр агентов -рота-, адено-, энтеро-, астро-, норо-и коронави-русы [4][5][6].Благодаря развитию и широкому внедрению мо-лекулярных методов исследований доля вирусных гастроэнтеритов установленной этиологии за по-следние 15 лет увеличилась. Однако и сегодня она © Коллектив авторов, 2017Адрес для корреспонденции: Рустамова Лала Ислаховна -к.м.н., доцент, зав. отделом вирусных инфекций Национального НИИ медицинской профилактики Кулиева Земфира Мамедовна -к.м.н., доцент кафедры педиатрии Азер-байджанского государственного института усовершенствования врачей им. А. Алиева. Аз 1012, Баку, Тбилисский проспект, д. 3165 Мухтаров Мирзамин Мирильяс оглы -к.м.н., доцент кафедры инфекци-онных болезней Азербайджанского медицинского университета. Азизова Наиба Агасаф кызы -диссертант Национального НИИ меди-цинской профилактики. Аз 1065, Баку, ул. Дж. Джабарлы, д. 35 Мамедова Матанат Наби кызы -к.м.н., доцент кафедры инфекционных болезней Азербайджанского медицинского университета. Аз 1022, Баку, ул. Бакиханова, д. 23. 84-87. DOI: 10,21508/102784-87. DOI: 10,21508/ -4065-2017 Objective The examinees included babies under 6 months (17,4%), infants aged 7 months to 1 year (6,4%), those 1-2 years of age (29,6%), and children aged 2-14 years (46,4%). Adenoviruses in conjunction with rotavirus were detected in 7 (4,5%) patients. Adenovirus monoinfection was seen in 23 (15%) children. The contribution of adenoviruses in the etiological structure of acute enteric infections in children was 19,3%. There was no significant difference in the frequency of adenoviruses depending on gender. Adenovirus monoinfection was registered in the children all year round. Adenovirus monoinfection occurred as moderate diarrhea whereas mixed adenovirus-rotavirus infection was characterized by the severe course of diarrheal syndrome and catarrhal manifestations. Аденовирусные гастроэнтериты у детей Key words: children, enteric infection, adenovirus gastroenteritis, adenovirus antigen, rotavirus.For citation: Rustamova L.I., Kuliyeva Z.M., Mukhtarov M.M., Azizova N.A., Mamedova M.N. Adenovirus gastroenteritides in children . Ros Vestn Perinatol i Pediatr 2017; 62:(2): 84-87 (in Russ). DOI: 10,21508/1027DOI: 10,21508/ -4065-2017 85 составляет не более 60-70% всех вирусных острых кишечных инфекций [5,6]. В последние годы адено-вирусная инфекция является наиболее частой причи-ной острых кишечных инфекций неустановленной этиологии после ротавирусов [7,8]. Анализируя ситуацию в целом, можно отметить, что в Азербайджане на базе практических лабора-торий диагностика кишечных вирусных инфекций ограничивается лишь выявлением рота-и аденови-русной инфекций. Вклад энтеровирусов в этиологи-ческую структуру острых вирусных гастроэнтеритов в течение 10 лет претерпева...
Aim. Study of the state of intestinal microflora in young children seen in an outpatient setting with acute enteric infections. Methods. The state of microflora of 156 children was examined. All children underwent bacteriological study. Children were divided into following groups by age: 0-6 months -59 (37.8%) patients; 6-12 months -32 (20.5%) and Адрес для переписки: iris.ax@mail.ru Поступила 27.12.2017; принята в печать 01.03.2018.
Background. Despite significant achievements in research and diagnostic practice, as well as in the field of Molecular and Biological Technology, the problem of non-polioenterovirus infections is still at the stage of serious research. Purpose. The purpose of the study epidemiological prevalense for some non-polioenteroviruses of Coxsackie group A among the population of Azerbaijan for 2015-2024. Materials and methods. In the study, the period of some non-polioenteroviruses belonging to Coxsackie group A – KA18, KA20 and KA21 serotypes was confirmed by polymerase chain reaction among the population in Baku during 2006-2010. The study was affirmed by design-descriptively; by method – clinically; by volume – by generalization; by type – scientifically; by material – retrospectively and prospectively; by term – transversely; by place – clinically. Statistical analysis was carried out in MS EXCELL-2019 and IBM Statistics SPSS-26 using determinant and regression methods (ARIMA). Results. On the basis of results of study the statistical reliability of prognostic model showing prediction of stabil appearing level of intestinal infection caused by some non-polioenteroviruses of Coxsackie group A (KA18, KA20 and KA21) among the child population of Azerbaijan for 2015-2024 have been determined. Practical implications. The results of investigation show the advisability of the using of ARIMA models for epidemiological prediction of intestinal infection caused by Coxsackie group A among the population in Azerbaijan.
The aim of investigation to study the of some clinico-microbiological characterisrics of mixed intestinal infections in children of early age. Material and methods -the children under the age of 3 (infants and children), hospitalized in the Children's Clinical Hospitals № 1 and 7 in Baku for the 2019 year have been examined. Bacteriological and serological studies were carried out to diagnose intestinal infections on the day of admission to hospital feces of sick children were take as material for analyses. Totally the 117 children have been observed. To convirm the diagnosis of bacterial intestinal infection feces were cultured with subsequent detection of sensitivity to antibiotics and for viral intestinal infection, immunochromatografic test was used. The bacteriological and serological investigations were arried out in the Scientific-Research Institute of Medical Prophylaxis named after V. Y. Akhundov during 2019 year. Results -As a result of our studies, 33,3% (39) of children had mixed infection: a combination of viruses, particularly rotaviruses with St.aureus, E.Coli and C.albicans. From observing children 25 were under 6 month (21,4%), 15 -7-12 month (12,8%), 77 -1-3 years (65,8%). The combination of rotaviruses with other viruses (adenovirus and astrovrus) were the most frequently observed ones (5,1±2,0% and 6,8±2,3% accordingly) (p=0,167; p=0,067). Among opportunistic microbes the S.albicans was a leader. (In 18 (15,4%) patients). C.albicans was with rotavirus (p=0,063), in 5 (4,3±1,9%) with St.aureus and rotavirus (p=0,118) and in 4 (3,4±1,7%) with rotavirus and E.Coli (p=0,056). The viral intestinal infection with 2 associates occured in 5 (4,3±1,9%) of patientsrotavirus + St.aureus + C.albicans and rotavirus + E.Coli + C.albicans (p=0,056).
The article presents the results of diagnostic of viral intestinal infections in children of early age with emergency states. At that it is established that in etiological structure of acute intestinal infections viruses make up significant portion (68.5%) of all isolated agents.
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