КЛИНИКО-ЭПИДЕМИОЛОГИЧЕСКИЕ АСПЕКТЫ ТЕЧЕНИЯ ЭНТЕРОБИОЗА У ДЕТЕЙ ШКОЛЬНОГО ВОЗРАСТА

The purpose of the study. Analyze the clinical and epidemiological aspects of the course of enterobiasis in children of school age in the Astrakhan region.Materials and methods. There were 164 children aged 9 months to 17 years, 49.4 ± 3.9% of them were children aged 7 to 17 years.The results of the study. Basically, enterobiosis was detected in children when they underwent scheduled medical examinations — 54.3 ± 5.5% (44 children). In single cases, enterobiosis was diagnosed in two children — contact by enterobiasis — 2.5 ± 1.7%. Another part of the children appealed directly to the infectious disease doctor with complaints — 43.2 ± 5.5% (35 people). So, the main complaints for all children who applied for medical help were pruritus itching, which occurs in the evening or at night — 43.2 ± 5.5% of all surveyed children (35 people). Also, a part of children reported sleep disturbances (restless sleep) — 22.2 ± ± 4.6% (18 children) and nausea — 12.3 ± 3.6% (10 children). Children who had enterobiasis detected during medical examinations and contact with a family member of children — there were no clinical complaints of the disease — 56.8 ± 5.5% (46 children). Clinical diagnosis of Enterobiosis was exposed to all children after conducting a laboratory study — scrapings from perianal folds in the morning hours after waking from sleep. After the diagnosis, all the children with invasive pinworms were prescribed a course of chemotherapy with various antiparasitic drugs: Albendazole, Pirantel and Mebendazole (Vermox). After taking medication, 95.1 ± 2.4% (77 children) experienced a full recovery, 3.7 ± 2.1% (3 children) — improvement was noted and only 1.2 ± 1.2% (1 child) — changes in the state were not observed.Conclusions. The presence of bad habits such as onychophagia and non-compliance with personal hygiene rules have been the main cause of children's disease with enterobiasis. The most frequent clinical symptoms in enterobiosis in the examined group of children were pruritus in the area of perianal folds, which occurs in the evening and at night, as well as restless sleep. Цель исследования. Проанализировать клинические и эпидемиологические аспекты течения энтеробиоза у детей школьного возраста в Астраханской области.Материалы и методы. Под наблюдением находилось 164 ребенка в возрасте от 9 месяцев до 17 лет, из которых 49,4 ± 3,9% составляли дети в возрасте от 7 до 17 лет.Результаты исследования. Энтеробиоз выявлялся у детей в основном при прохождении ими плановых медицинских осмотров — 54,3 ± 5,5% (44 ребенка). В единичных случаях энтеробиоз был диагностирован у двух контактных по энтеробиозу детей — 2,5 ± 1,7%. Другая часть детей обращалась непосредственно к врачу-инфекционисту с жалобами — 43,2 ± 5,5% (35 человек), чаще это был зуд в перианальной области, возникающий в вечернее или ночное время суток — 43,2 ± 5,5% от всех обследуемых детей (35 человек); также 22,2 ± 4,6% (18 детей) отмечали нарушение сна (беспокойный сон) и тошноту — 12,3 ± 3,6% (10 детей). При выявлении энтеробиоза во время медицинских осмотров и у контактных — клинические жалобы заболевания отсутствовали — 56,8 ± 5,5% (46 детей).Клинический диагноз «Энтеробиоз» был выставлен всем детям на основании лабораторного исследования — соскоба с перианальных складок в утренние часы после пробуждения. Всем инвазированным острицами детям назначался курс химиотерапии различными противопаразитарными препаратами: альбендазол, пирантел (в виде эмбоата) и мебендазол (Вермокс, Gedeon Richter, Венгрия). После приема препаратов в 95,1 ± 2,4% (77 детей) наступало полное выздоровление, в 3,7 ± 2,1% (3 ребенка) отмечалось улучшение состояния и только в 1,2 ± 1,2% (1 ребенок) — изменений в состоянии не наблюдалось. Выводы. Наличие вредных привычек, таких как онихофагия и несоблюдение правил личной гигиены послужили основной причиной заболевания детей энтеробиозом. Наиболее частыми клиническими симптомами при энтеробиозе являлись: зуд в области перианальных складок, возникающий в вечернее и ночное время, а также беспокойный сон

CLINICAL AND EPIDEMIOLOGICAL ASPECTS OF THE COURSE OF ENTEROBIOSIS IN SCHOOL-AGE CHILDREN

The purpose of the study. Analyze the clinical and epidemiological aspects of the course of enterobiasis in children of school age in the Astrakhan region.Materials and methods. There were 164 children aged 9 months to 17 years, 49.4 ± 3.9% of them were children aged 7 to 17 years.The results of the study. Basically, enterobiosis was detected in children when they underwent scheduled medical examinations — 54.3 ± 5.5% (44 children). In single cases, enterobiosis was diagnosed in two children — contact by enterobiasis — 2.5 ± 1.7%. Another part of the children appealed directly to the infectious disease doctor with complaints — 43.2 ± 5.5% (35 people). So, the main complaints for all children who applied for medical help were pruritus itching, which occurs in the evening or at night — 43.2 ± 5.5% of all surveyed children (35 people). Also, a part of children reported sleep disturbances (restless sleep) — 22.2 ± ± 4.6% (18 children) and nausea — 12.3 ± 3.6% (10 children). Children who had enterobiasis detected during medical examinations and contact with a family member of children — there were no clinical complaints of the disease — 56.8 ± 5.5% (46 children). Clinical diagnosis of Enterobiosis was exposed to all children after conducting a laboratory study — scrapings from perianal folds in the morning hours after waking from sleep. After the diagnosis, all the children with invasive pinworms were prescribed a course of chemotherapy with various antiparasitic drugs: Albendazole, Pirantel and Mebendazole (Vermox). After taking medication, 95.1 ± 2.4% (77 children) experienced a full recovery, 3.7 ± 2.1% (3 children) — improvement was noted and only 1.2 ± 1.2% (1 child) — changes in the state were not observed.Conclusions. The presence of bad habits such as onychophagia and non-compliance with personal hygiene rules have been the main cause of children's disease with enterobiasis. The most frequent clinical symptoms in enterobiosis in the examined group of children were pruritus in the area of perianal folds, which occurs in the evening and at night, as well as restless sleep

КЛИНИКО-ЭПИДЕМИОЛОГИЧЕСКИЕ АСПЕКТЫ ТЕЧЕНИЯ ЭНТЕРОБИОЗА У ДЕТЕЙ ШКОЛЬНОГО ВОЗРАСТА

The purpose of the study. Analyze the clinical and epidemiological aspects of the course of enterobiasis in children of school age in the Astrakhan region.Materials and methods. There were 164 children aged 9 months to 17 years, 49.4 ± 3.9% of them were children aged 7 to 17 years.The results of the study. Basically, enterobiosis was detected in children when they underwent scheduled medical examinations — 54.3 ± 5.5% (44 children). In single cases, enterobiosis was diagnosed in two children — contact by enterobiasis — 2.5 ± 1.7%. Another part of the children appealed directly to the infectious disease doctor with complaints — 43.2 ± 5.5% (35 people). So, the main complaints for all children who applied for medical help were pruritus itching, which occurs in the evening or at night — 43.2 ± 5.5% of all surveyed children (35 people). Also, a part of children reported sleep disturbances (restless sleep) — 22.2 ± ± 4.6% (18 children) and nausea — 12.3 ± 3.6% (10 children). Children who had enterobiasis detected during medical examinations and contact with a family member of children — there were no clinical complaints of the disease — 56.8 ± 5.5% (46 children). Clinical diagnosis of Enterobiosis was exposed to all children after conducting a laboratory study — scrapings from perianal folds in the morning hours after waking from sleep. After the diagnosis, all the children with invasive pinworms were prescribed a course of chemotherapy with various antiparasitic drugs: Albendazole, Pirantel and Mebendazole (Vermox). After taking medication, 95.1 ± 2.4% (77 children) experienced a full recovery, 3.7 ± 2.1% (3 children) — improvement was noted and only 1.2 ± 1.2% (1 child) — changes in the state were not observed.Conclusions. The presence of bad habits such as onychophagia and non-compliance with personal hygiene rules have been the main cause of children's disease with enterobiasis. The most frequent clinical symptoms in enterobiosis in the examined group of children were pruritus in the area of perianal folds, which occurs in the evening and at night, as well as restless sleep. Цель исследования. Проанализировать клинические и эпидемиологические аспекты течения энтеробиоза у детей школьного возраста в Астраханской области.Материалы и методы. Под наблюдением находилось 164 ребенка в возрасте от 9 месяцев до 17 лет, из которых 49,4 ± 3,9% составляли дети в возрасте от 7 до 17 лет.Результаты исследования. Энтеробиоз выявлялся у детей в основном при прохождении ими плановых медицинских осмотров — 54,3 ± 5,5% (44 ребенка). В единичных случаях энтеробиоз был диагностирован у двух контактных по энтеробиозу детей — 2,5 ± 1,7%. Другая часть детей обращалась непосредственно к врачу-инфекционисту с жалобами — 43,2 ± 5,5% (35 человек), чаще это был зуд в перианальной области, возникающий в вечернее или ночное время суток — 43,2 ± 5,5% от всех обследуемых детей (35 человек); также 22,2 ± 4,6% (18 детей) отмечали нарушение сна (беспокойный сон) и тошноту — 12,3 ± 3,6% (10 детей). При выявлении энтеробиоза во время медицинских осмотров и у контактных — клинические жалобы заболевания отсутствовали — 56,8 ± 5,5% (46 детей).Клинический диагноз «Энтеробиоз» был выставлен всем детям на основании лабораторного исследования — соскоба с перианальных складок в утренние часы после пробуждения. Всем инвазированным острицами детям назначался курс химиотерапии различными противопаразитарными препаратами: альбендазол, пирантел (в виде эмбоата) и мебендазол (Вермокс, Gedeon Richter, Венгрия). После приема препаратов в 95,1 ± 2,4% (77 детей) наступало полное выздоровление, в 3,7 ± 2,1% (3 ребенка) отмечалось улучшение состояния и только в 1,2 ± 1,2% (1 ребенок) — изменений в состоянии не наблюдалось. Выводы. Наличие вредных привычек, таких как онихофагия и несоблюдение правил личной гигиены послужили основной причиной заболевания детей энтеробиозом. Наиболее частыми клиническими симптомами при энтеробиозе являлись: зуд в области перианальных складок, возникающий в вечернее и ночное время, а также беспокойный сон.</p