Clinical and epidemiological features of mycoplasma infection in children in Ryazan region
- Authors: Belykh N.A.1, Fokicheva N.N.2, Piskunova M.A.2, Shilina S.A.2, Fedoseeva N.Y.2, Каlashnikova O.N.2, Skobeev I.G.2, Маyorova E.V.2
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Affiliations:
- Ryazan State Medical University
- Ryazan City Clinical Hospital №11
- Issue: Vol 26, No 2 (2018)
- Pages: 258-267
- Section: Original study
- URL: https://journals.rcsi.science/pavlovj/article/view/9098
- DOI: https://doi.org/10.23888/PAVLOVJ2018262258-267
- ID: 9098
Cite item
Abstract
Background. Acute respiratory infections are an urgent problem of pediatrics due to the high incidence rate and high risk of bacterial complications.
Aim. The aim of the study was to analyze the statistical indicators of the incidence of communityacquired pneumonia (CAP) in children of the Ryazan region, to determine the clinical and epidemiological features of mycoplasmal infection, and to assess its role in CAP morbidity in children.
Materials and Меthods. The analysis of the incidence of CAP in children of the Ryazan region (20142016) and of medical documentation of 106 children (55 boys, 51 girls) (age from 9 months to 17 years) was conducted. All patients underwent oxigenometry, clinical and laboratory examination, radiography, detection of specific IgM antibodies to M. pneumoniae.
Results. In the Ryazan region there is noted an increase in the incidence of CAP in children as compared to the stable level of the incidence of CAP in Russia: in children under 14 years of age the incidence is 1.5 times higher than in 2014 and 2.8 times higher than in 2015, and is 2 times higher than in 2014 in 1517 year old children. Most commonly mycoplasmosis was recorded in preschool age children, with the peak incidence in OctoberDecember. The disease began acutely without significant symptoms of intoxication and local changes. 77.3% of children had pneumonia, mostly rightsided (48.8%), and 33.1% had a mixed bacterial infection. Hematological indices indicated the presence of iron deficiency anemia in 12.3%, and moderate leukocytosis in 28% of children. Antibiotic therapy was carried out with the use of macrolides, and in case of mixed bacterial infection a combination of antibiotics with cephalosporins of the 3d generation was used.
Conclusion. In recent years there has been an increase in the incidence of CAP in children. Seasonality of hospitalization of children with mycoplasmal infection was revealed, and a high incidence of the disease in preschool children with chronic pathology. In 77.3% of examined children mycoplasmosis took the form of CAP, which influenced the incidence rate of CAP in children.
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##article.viewOnOriginalSite##About the authors
Nataliya A. Belykh
Ryazan State Medical University
Author for correspondence.
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-5533-0205
SPIN-code: 2199-6358
MD, Grand PhD, Head of the Department of Policlinic Pediatrics of Faculty of Additional Professional Education
Russian Federation, 9, Vysokovoltnaja str., Ryazan, 390026Nataliya N. Fokicheva
Ryazan City Clinical Hospital №11
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-8141-1949
SPIN-code: 1856-4420
MD, PhD, Нead of Pediatric Hospital
Russian Federation, RyazanMarina A. Piskunova
Ryazan City Clinical Hospital №11
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-0783-6463
SPIN-code: 2853-6755
MD, PhD, Head of Children's Infectious Diseases Department N1
Russian Federation, RyazanSvetlana A. Shilina
Ryazan City Clinical Hospital №11
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-5417-5784
SPIN-code: 5781-4208
Head of Children's Infectious Diseases Department N2
Russian Federation, RyazanNataliya Yu. Fedoseeva
Ryazan City Clinical Hospital №11
Email: nbelyh68@mail.ru
ORCID iD: 0000-0001-7052-7009
SPIN-code: 9173-8865
Pediatrician of Infectious Diseases Department №2
Russian Federation, RyazanOlga N. Каlashnikova
Ryazan City Clinical Hospital №11
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-2138-8994
SPIN-code: 3137-4979
Pediatrician of Infectious Diseases Department №1
Russian Federation, RyazanIgor G. Skobeev
Ryazan City Clinical Hospital №11
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-0399-8940
SPIN-code: 1001-9800
Pediatrician of Infectious Diseases Department №2
Russian Federation, RyazanElena V. Маyorova
Ryazan City Clinical Hospital №11
Email: nbelyh68@mail.ru
ORCID iD: 0000-0002-4920-8932
SPIN-code: 9304-5724
Pediatrician of Infectious Diseases Department №2
Russian Federation, RyazanReferences
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