Этиологическая структура острых кишечных инфекций у детей г. Ташкента

The study included 402 children with established etiology of acute intestinal infections (AII) at the age of 1 month. up to 5 years. That viruses (76.4%) are in the majority of cases the causative factor of AII in children in this age group is significantly less (23.6%) — pathogenic bacteria. Infections more often (62.4%) recorded in infants. At the same time at the age of 6 months, the peak registration viral diarrhea accounts for up to 1 year (41.3%), and bacterial-viral (36.3%), viral-viral (45%) and bacterial-bacterial (44.4% ) associations. Bacterial diarrhea often recorded in the older age groups — 1—2 years.Под наблюдением находились 402 ребенка с ОКИ установленной этиологии в возрасте от 1 мес. жизни до 5 лет. В большинстве случаев этиологическим фактором ОКИ в этой возрастной группе детей явились вирусы (76,4%), значительно реже (23,6%) — патогенные бактерии. Диарейные инфекции чаще всего (62,4%) регистрировались у детей грудного возраста. При этом на возраст от 6 месяцев до 1 года приходился пик регистрации вирусных диарей (41,3%), а также вирусно-бактериальных (36,3%), вирусно-вирусных (45%) и бактериально- бактериальных (44,4%) ассоциаций. Бактериальные диареи чаще регистрировались в более старших возрастных группах — 1—2 года

Experience in International Cooperation on Organization of Anti-Epidemic Measures by Health Care Institutions under COVID-19 Pandemic in the Republic of Uzbekistan

The results of the joint work of a panel of experts from Rospotrebnadzor and healthcare professionals of the Republic of Uzbekistan on organizing activities to counter the spread of the SARS-CoV-2 virus are described in the paper.The goal of the study was to determine the main driving forces of COVID-19 spread in the Republic of Uzbekistan and develop an action plan to reduce the incidence of coronavirus infection caused by the SARS-CoV-2 virus.Materials and methods. The organization of work in 14 health care institutions in Tashkent and Samarkand, as well as in Tashkent and Samarkand Regions, was analyzed: in 7 laboratories, 6 hospitals and 1 polyclinic. The routes for the movement of personnel, the demarcation of green and red zones, the features of disinfection and the use of personal protective equipment were studied. Attention is drawn to the diagnosis of COVID-19, the use of therapy aimed at reducing the period of virus shedding, the criteria for lifting quarantine restrictions for patients.Results and discussion. The main factors in the organization of work of institutions that contribute to the spread of COVID-19 among medical personnel and the population have been identifed: the lack of equipped gateways between the red and green zones with the accessibility of adequate disinfection, the wrong choice of personal protective equipment, monitoring of contact persons for 10 days, discharge from hospitals based on clinical improvement. The incorrect use of antiviral therapy, the lack of differentiated approaches to the selection of optimal regimens have been noted. Proposals are formulated for organizing the work of healthcare institutions, taking into account the requirements of biological safety. The introduction of targeted measures in addition to those previously adopted has led to a signifcant improvement in the epidemic situation: the total number of active cases in the Republic of Uzbekistan, despite the increase in testing volumes, decreased from 3,686 people on August 23 to 2335 on October 27. Towards December 20, 2020, 97 % of patients recovered completely. All diagnostic triage centers in the Republic of Uzbekistan are closed due to the absence of patients with COVID-19, most of the country’s medical institutions previously re-profled for patients with coronavirus infection have returned to the routine operations

The Etiological Structure of Acute Intestinal Infections in Children from Tashkent

The study included 402 children with established etiology of acute intestinal infections (AII) at the age of 1 month. up to 5 years. That viruses (76.4%) are in the majority of cases the causative factor of AII in children in this age group is significantly less (23.6%) — pathogenic bacteria. Infections more often (62.4%) recorded in infants. At the same time at the age of 6 months, the peak registration viral diarrhea accounts for up to 1 year (41.3%), and bacterial-viral (36.3%), viral-viral (45%) and bacterial-bacterial (44.4% ) associations. Bacterial diarrhea often recorded in the older age groups — 1—2 years

Этиологическая структура острых кишечных инфекций у детей г. Ташкента

The study included 402 children with established etiology of acute intestinal infections (AII) at the age of 1 month. up to 5 years. That viruses (76.4%) are in the majority of cases the causative factor of AII in children in this age group is significantly less (23.6%) — pathogenic bacteria. Infections more often (62.4%) recorded in infants. At the same time at the age of 6 months, the peak registration viral diarrhea accounts for up to 1 year (41.3%), and bacterial-viral (36.3%), viral-viral (45%) and bacterial-bacterial (44.4% ) associations. Bacterial diarrhea often recorded in the older age groups — 1—2 years.Под наблюдением находились 402 ребенка с ОКИ установленной этиологии в возрасте от 1 мес. жизни до 5 лет. В большинстве случаев этиологическим фактором ОКИ в этой возрастной группе детей явились вирусы (76,4%), значительно реже (23,6%) — патогенные бактерии. Диарейные инфекции чаще всего (62,4%) регистрировались у детей грудного возраста. При этом на возраст от 6 месяцев до 1 года приходился пик регистрации вирусных диарей (41,3%), а также вирусно-бактериальных (36,3%), вирусно-вирусных (45%) и бактериально- бактериальных (44,4%) ассоциаций. Бактериальные диареи чаще регистрировались в более старших возрастных группах — 1—2 года

The Quality of Patient-Nurse Communication during the Covid-19 Pandemic

In this article, we have focused on the aspects that are important for the medical staff to pay attention to when talking with the patient. Factors that are simple and not considered important for everyone can also be considered important for the patient who is struggling with the disease. Therefore, it is admirable that despite the complications in the work process (discomforts in protective clothing, talking through a mask in hot weather), the medical staff are focusing on the patient's recovery. However, as with any work process, this system has its own flaws and processes that need to be improved. In the article, we analyze these problems and their solutions. &nbsp

Клинический случай сочетанного течения COVID-19 и тропической малярии

   The global outbreak of the new coronavirus infection COVID-19 is still ongoing, leading to coinfections such as malaria and COVID-19 and others. As evidenced by the increase in various reports of coinfections. In recent years, Uzbekistan has achieved epidemiological stability for malaria and in 2018 received an official World Health Organization certificate confirming the country’s “malaria-free” status. At the present stage during the COVID-19 pandemic, imported malaria from abroad is relevant for our republic and, therefore, there is a constant danger of renewed transmission from imported cases. In this article presented the clinical case of coinfection of COVID-19 and malaria in a patient. From the epidemiological data, the patient was a citizen of Cameroon. During treatment of coronavirus infection, the patient noted intermittent chills all over the body and sweating, clinical symptoms of tropical malaria began to appear. Microscopy of a thick drop and a thin blood smear confirmed the presence of Pl. falciparum. The patient was prescribed antimalarial therapy with mefloquine, resulting in clinical recovery.   Глобальная вспышка новой коронавирусной инфекции COVID-19 все еще продолжается, что приводит к появлению сочетанных заболеваний, таких как малярия и COVID-19 и др., что подтверждается ростом различных сообщений о регистрации коинфекций. В последние годы Узбекистан добился эпидемиологической стабильности по малярии и в 2018 г. получил официальный сертификат Всемирной организации здравоохранения, подтверждающий статус страны, «свободной от малярии». На современном этапе в период пандемии COVID-19 для нашей республики актуальной является завозная малярия из-за рубежа и, следовательно, наличие постоянной опасности возобновления передачи инфекции от завозных случаев. Представлено клиническое наблюдение совместного течения новой коронавирусной инфекции и тропической малярии у больного 2003 г. р. Из эпидемиологического анамнеза: больной был гражданином Камеруна, на фоне лечения от коронавирусной инфекции больной отмечал периодический озноб по всему телу и потливость, начали проявляться клинические симптомы тропической малярии. Микроскопия толстой капли и тонкого мазка крови подтвердила наличие Pl. falciparum. Больному была назначена противомалярийная терапия мефлохином, в результате чего наступило клиническое выздоровление