The incidence of Human Herpesvirus in preschool children: problems and solutions

Abstract

The results of the study of the registered morbidity caused by herpes viruses (HHV) type 4, 5, 6 in preschool children in a large industrial region are presented. Materials and methods. The information on the registered incidence of acute forms of HHV-4, 5, 6 infections in hospitals and clinics in Perm and Perm Krai in 2015—2018 was studied. The following nosologies were taken into account according to ICD-10: В 27.0, В 27.1, В 27.8, В 25., В 25., К 11., К 77.0, В 08.2. 13 452 outpatient cases of infections caused by HHV 4, 5, 6 children 1—6 years old were analyzed, of which in the city of Perm — 6330, in the Perm Krai — 7122, hospitalized — 1171 people. Results. The incidence of hospitalized patients in 92.0% of cases is represented by infectious mononucleosis. The outpatient incidence of HHV 4, 5, 6 infections in 80.6% of cases is represented by non-mononucleous cytomegalovirus diseases, the proportion of which exceeds those in hospitalized patients by 16 times. Conclusions. The analysis of the registered morbidity caused by HHV 4,5,6 in children 1—6 years old in the city of Perm revealed a significant pediatric problem consisting in incorrectness and overdiagnosis of cytomegalovirus infection.

Keywords

• herpes viruses
• morbidity
• children
• mononucleosis