Objective: to study the clinical and epidemiological features of influenza in children in the Stavropol Territory. Materials and methods: influenza prevalence is analyzed from 2015 to 2017 the paper used the data from the Territorial Rospotrebnadzor in the Stavropol Territory. We used the following methods: bibliographic, monographic description, epidemiological, analytical, statistical methods. Results: Among the deciphered acute respiratory viral infections, the specific gravity of influenza A (H1N1) 09 in 2016 reached 78%, and in 2017 influenza B prevailed – in 57,4% of children, and influenza A (H3N2) – in 42,6% of cases. In 2016 68,5% of children under 6 years of age, of all admitted, were hospitalized, and in 2017 – 83,86%. We presented the peculiarities of the course of influenza in different epidemic seasons. Conclusion: Unvaccinated children up to 6 years of age have the disease mainly in severe forms and with complications. The epidemic period began to increase in 2015–2016 at week 52, and in 2016–2017 from week 48, ended at week 13 and at week 17. At the epidemic of 2015–2016, intoxication syndrome with chills, microcirculation disturbance, catarrhal syndrome, ARDS prevailed in the clinical picture. The epidemic season of 2016–2017 was characterized by intoxication syndrome, encephalic reaction, hemorrhagic and myalgic syndromes.
A new coronavirus infection in children is more often asymptomatic or in mild forms, however, more and more severe cases of the disease have been recorded recently, and single deaths in children have been recorded in the world. The aim of the study was a clinical and laboratory analysis of the features of the course of a new coronavirus infection in children in the Stavropol Territory. Based on a retrospective study, 86 medical records of inpatient children who were treated at the Regional Specialized Clinical Infectious Diseases Hospital of the Stavropol Territory were analyzed with a diagnosis of U07.1 New coronavirus infection for the period from April 2020 to April 2021. The majority of hospitalized patients suffered from COVID-19 in a moderate form 59.3%. Children are more likely to become infected in family foci of infection – 51.2%. In 60% of cases, children are hospitalized 4—7 days from the onset of the disease. In the clinical picture, the leading symptoms were: fever (76.7%), cough (55.8%), weakness (38.4%), rhinitis (20.9%), gastrointestinal symptoms (12.8%). Pneumonia was detected in 37.2% of children. All patients were discharged with clinical recovery.
Children are more likely to have asymptomatic and mild forms of novel coronavirus infection, as well as a more favorable outcome of the disease compared to adult patients. Children account for about 15% of all cases of COVID-19 recorded in the country. There are more and more reports of severe and even fatal cases of a new coronavirus infection in children. The development of severe forms of COVID-19 is typical for children at risk. Of particular interest are special groups of pediatric patients, such as children with immunodeficiencies of various etiologies. A clinical case of a new coronavirus infection with a fatal outcome in a 10-year-old child with severe secondary immunodeficiency associated with hematopoietic stem cell transplantation against the background of acute lymphoblastic leukemia is presented.
Objective: to study the clinical and epidemiological features of brucellosis in children in the Stavropol region. Materials and methods: Analysis of brucellosis is made and the share of brucellosis in the Stavropol Territory from 2010 to 2014 is clarified. The paper used the data from the Territorial Rospotrebnadzor in the Stavropol Territory. Dynamic clinical indices were analyzed in 17 children with brucellosis under treatment and dispensary observation in the State Budget Institution of Health of the Stavropol Territory «Regional Clinical Hospital of Infectious Diseases». Analyzed an outbreak of brucellosis in Essentuki in 2016. We used the following methods: bibliographic, monographic description, epidemiological, analytical, statistical methods. Results. The proportion of the incidence of brucellosis in children in Stavropol Krai in comparison with the Russian figures were: in 2010 – 8,33%, in 2016 – 56%. A household way of infection increases, including children, who were infected in the farms of their own parents. The age of infection was 12–16 (47,06%), 8–11 (35,29%) and 4–7 years (17,65%). The main clinical syndromes were: arthritic, vegetative, asthenic, lymphoproliferative syndrome, liver disease, splenomegaly. Isolated forms did not occur. Predominantly, large joints with dysfunction of joints of I–II degree were affected. Late referral after the initial manifestation is typical. Late initiation of treatment. The etiotropic therapy is carried out at least 4 weeks, in the presence of carditis – up to 16 weeks. Conclusion. The epidemiological situation of brucellosis in the Stavropol territory has been tense in the recent years. The active migration of the population from the regions of the North Caucasus Federal District contributes to this. Intensive incidence rate of brucellosis exceeds the average Russian level by 5–8 times each year. The combination of the locomotor and visceral forms prevailed in the clinical picture. In dynamics, within 2–7 years persistent asthenovegetative and arthritic changes were formed and frequent exacerbation of bacterial flora and ENT pathology of the gastrointestinal tract was observed.
