Детские инфекции (Москва) (Apr 2018)
CLINICAL AND EPIDEMIOLOGICAL ASPECTS OF THE COURSE OF ENTEROBIOSIS IN SCHOOL-AGE CHILDREN
Abstract
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.
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