PROBLEMATIC ISSUES OF COMBINED INTESTINAL INFECTIONS

Abstract

The article presents the possible combinations of intestinal infections of various etiologies, some pathogenetic, clinical and epidemiological features and problems of epidemiological surveillance and control of associated infections. Details the combination of typhoid fever, shigelloses, salmonelloses, yersiniosis, pseudotuberculosis, rotavirus and norovirus infections between itself and other infectious and parasitic diseases. Discusses the clinical and epidemiological features different combinations of intestinal infections. It is shown that the proportion of combined intestinal infections can reach to 48.9±3.3% in the structure of all associated infections. The proportion of combination of two intestinal infections pathogens was 29,2±6,5%, 3 agents and 10,3±4,3% and 4 pathogens and 5,9±11,6 percent. In the overall structure of the combination of intestinal anthroponoses with anthroponoses was 61,9±5,3%, anthroponoses with zoonoses was 31,1±5,0%, the other combinations (zoonoses and zoonoses, zoonoses and sapronoses, antroponoses with zoonoses and sapronoses) of 7,0±9,3 percent. The article raises the question of the need to introduce into existing regulatory framework the new scientific data on the whole range of features of the epidemiology of intestinal infections combined.

Keywords

• сочетанность
• сочетанные инфекции
• кишечные инфекции
• брюшной тиф
• шигеллез
• сальмонеллез
• иерсиниоз
• псевдотуберкулез