Clinical and epidemiological aspects of human toxocarosis in the Astrakhan region
R. S. Arakelyan , E. I. Okunskaya , G. L. Shendo , V. K. Polyakov , A. R. Almukhambedova , V. A. Ityaksova , S. R. Saltereyev
Bulletin of the Russian Military Medical Academy ›› 2019, Vol. 21 ›› Issue (2) : 70 -73.
Clinical and epidemiological aspects of human toxocarosis in the Astrakhan region
Analyzed the clinical and epidemiological aspects of human toxocariasis in the Astrakhan region. It was established that from 2013 to 2017 in its territory 34 cases of human toxocariasis were recorded. In the structure of the total number of helminthoses for the analyzed period, the share of toxocariasis accounted for 0,2% of cases and 0,2% of the total number of all parasitosis recorded in the Astrakhan region. Both adults and children were affected by toxocariasis. Thus, the share of the adult population was 82,4%, incl. persons employed in production (working population) – 67,6%, pensioners – 11,8% and unemployed – 2,9%. The proportion of children in the overall incidence of toxocarcosis was 17,6%, of which 11,8% attended kindergartens and secondary school 2,9%. And in one case the child was unorganized – he was at home with his parents – 2.9%. The main complaints of people seeking medical care were: cough – 23,5%, general weakness – 17,6%, pain in the epigastric region and temperature rise to subfebrile numbers – 11,8%, allergic rhinitis and muscle pain and joints – by 5,9%, as well as decreased appetite, allergic rashes on the skin of varying degrees of intensity, feeling of suffocation and weight loss – by 2,9%. When ascertaining the epidemiological history, it was found that the probable cause of the development of the disease could be: not following personal hygiene rules – 94,1%, eating unwashed fruits and vegetables – 88,2%, close contact with domestic dogs – 52,9%, onigophagy – 20,6%, contact with domestic cats – 14,7%, geophagy and the habit of licking hands – 8,8% each, and contact with stray dogs – 5,9%. Personal hygiene rules were observed in 5,9% of patients. Generally, the current situation on human toxocariasis in the Astrakhan region remains highly relevant. The main causes of the disease were close contact with both domestic and stray animals, as well as non-compliance with the rules of personal hygiene. The presence of diseased antibody titers in the formulation of enzyme immunoassay 1:800 and above, as well as the presence of a clinical picture of the disease, indicates the direct presence of parasitic invasion in the examined.
Astrakhan region / toxocarosis / invasion / pain in the epigastric region / allergic rashes / geophagy / cats / dogs / personal hygiene / enzyme immunoassay
| [1] |
Божко, Г.Г. Встречаемость яиц токсокар в песочницах города / Г.Г. Божко [и др.] // Совр. пробл. науки и образ. – 2016. – № 4. – С. 212. |
| [2] |
Боткина, А.С. Токсокароз у детей / А.С. Боткина // Практика педиатра. – 2015. – № 2. – С. 4–8. |
| [3] |
Глазунова, Л.В. Токсокароз у детей / Л.В. Глазунова [и др.] // Лечебное дело. – 2008. – № 1. – С. 69–73. |
| [4] |
Думбадзе, О.С. Токсокароз – актуальный гельминтоз для России / О.С. Думбадзе [и др.] // Дальневост. журн. инфекц. патологии. – 2017. – № 33 (33). – С. 39–42. |
| [5] |
Кувайцева, Н.Г. Токсокароз глаз у детей / Н.Г. Кувайцева [и др.] // Росс. педиатр. офтальмолог. – 2013. – № 1. – С. 65–67. |
| [6] |
Нестерова, Ю.В. Токсокароз – важная проблема для Приморского края / Ю.В. Нестерова [и др.] // Дальневост. журн. инфекц. патологии. – 2017. – № 33 (33). – С. 43–45. |
| [7] |
Никулина, М.А. Токсокароз: клинико-эпидемиологическая характеристика / М.А. Никулина [и др.] // Дальневост. журн. инфекц. патологии. – 2012. – № 21 (21). – С. 172–175. |
| [8] |
Старостина, О.Ю. Токсокароз: современное состояние проблемы в Российской Федерации. Сообщение 2: Заболеваемость населения токсокарозом в различных административных территориях Российской Федерации / О.Ю. Старостина [и др.] // Эпидемиология и вакцинопрофилактика. – 2015. – Т. 14, № 3 (82). – С. 54–58. |
| [9] |
Чернова, Т.М. Проблема гельминтозов в педиатрии. Токсокароз. Что делать? / Т.М. Чернова // Мед. совет. – 2015. – № 4. – С. 73–76. |
| [10] |
Чернова, Т.М. Токсокароз в практике детского врача / Т.М. Чернова [и др.] // Педиатр. – 2010. – Т. 1, № 2. – С. 119–124. |
| [11] |
Шипкова, Л.Н. Токсокароз в Краснодарском крае / Л.Н. Шипкова [и др.] // Теория и практика борьбы с паразитарными болезнями. – 2016. – № 7. – С. 532–534. |
| [12] |
Щевелёва, Т.Н. Токсокароз, особенности эпидемиологии (обзор литературы и собственные исследования) / Т.Н. Щевелева [и др.] // Научное обозрение. Мед. науки. – 2016. – № 6. – С. 124–128. |
Arakelyan R.S., Okunskaya E.I., Shendo G.L., Polyakov V.K., Almukhambedova A.R., Ityaksova V.A., Saltereyev S.R.
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