INFECTIONS OF THE URINARY SYSTEM IN CHILDREN OF THE INDUSTRIAL CENTER OF WEST SIBERIA: MORBIDITY, ETIOLOGY
https://doi.org/10.24884/1561-6274-2005-9-1-52-57
Abstract
THE AIM of the investigation was to study the morbidity and etiology of infections of the urinary system (IUS) in children of the industrial center of the West Siberia. PATIENTS AND METHODS. The demographic indices on the total number of children under 14 years inclusive and birth rate are presented according to the following document: «Main indices of the medical maintenance of the population and work of health institutions» of the Health Department of Administration of the city of Omsk for 19922003. The cases of the established morbidity of IUS were analyzed by the results of work of the nephrological department of the city children clinical hospital N3 and the city perinatal clinical center of Omsk. The bacteriological investigation of urine and identification of the isolated microorganisms was fulfilled according to the order N535 of Health Ministry of the USSR of 1985. RESULTS. The demographic indices in Omsk for 19922003 were characterized by a substantially reduced total number of children under 15 years and at the same time an increased pathology of the urinary organs, infections of the urinary system included. In 2002 and 2003 there was a considerably increased birth rate and, at the same time, sharply increased morbidity of the new born children with infections of the urinary system. For the last 5 years the rate of IUS in the structure of the pathologies in the newborns became 5.5 times higher, and in terms of 1000 newborns 6.5 times higher. The results of a bacteriological examination show that a substantially decreased etiological role of E.coli and higher frequency of isolation of other microorganisms from the family of Enterobacteriaceae (Proteus, Klebsiella, Enterobacter) and Grampositive microflora took place. The microplasma infection was found in more than 60% of patients of all age groups. CONCLUSION. The increased growth of diseases of the IUS in children is observed. In the etiological structure of IUS there appeared a phenomenon of supplanting of E.coli by other representatives of the family of Enterobacteriaceae and Grampositive microflora. The role of an intrauterine infection of children is growing as the primary cause of IUS, the mycoplasma infection included.
For citations:
Lukiyanov A.V., Chesnokova M.G., Korableva O.A., Parikina E.I., Turitsa A.A. INFECTIONS OF THE URINARY SYSTEM IN CHILDREN OF THE INDUSTRIAL CENTER OF WEST SIBERIA: MORBIDITY, ETIOLOGY. Nephrology (Saint-Petersburg). 2005;9(1):52-57. (In Russ.) https://doi.org/10.24884/1561-6274-2005-9-1-52-57
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