Adult acute diarrhea lethal cases in Saint-Petersburg: etiological structure dynamics and course characteristics

Abstract

The paper suggests characteristics of the disease course in 193 adult acute diarrhea (AD) severe cases hospitalized in 2002-2004. Following the pathomorphological study records, the structures of AD cases hospitalized in 2002 - 2004 and in 2008-2010 has been compared. It is shown that adult AD severe cases are rather more than likely to have lethal outcome in case of comorbidity and hospital admission later than on the 3rd disease day. In the period of dysentery high-incidence level in structure of AD with lethal outcome, shigellosis (including that diagnosed morphologically) dominates, as compared to the period of dysentery low-incidence level when the burden of salmonellosis and AD of unknown etiology has been seen to grow.

Keywords

• динамика структуры
• острая диарея
• летальный исход
• сопутствующая патология
• structure dynamics
• acute diarrhea
• lethal outcome
• comorbidity