Longterm epidemiological monitoring and clinical characteristics of non-poliomyelitic enterovirus infections in the Krasnodar Territory


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Resumo

Objective. To assess the epidemic situation over a long time and the clinical course of non-poliomyelitic enterovirus infections (NEVI) in the Krasnodar Territory. Subjects and methods. The manifestations of the epidemic process were retrospectively analyzed; the paper gives the results of virological monitoring and the characteristics of the clinical manifestations of NEVI in 170 adult patients hospitalized in the Krasnodar Territory from 2002 to 2019. Results. The epidemiological features of enterovirus infection in the territory are mainly sporadic childhood morbidity, summer-autumn seasonality, and contact transmission. The climatic and geographical features of the region determine the risks of complicating the epidemic situation associated with the possibility of importing new strains of enteroviruses due to the influx of tourists to the Black Sea coast in the summer months. NEVI was characterized by a benign clinical course and a tendency to the prevalence of its mild forms among outpatients and to that of serous meningitis among inpatients. Conclusion. The epidemic process of NEVI in the Krasnodar Territory is sustained and tends to increase in intensity due to the constant circulation of various enterovirus serotypes and to changes in the pathogenic landscape. It is advisable to take further measures for the epidemiological surveillance of NEVI, by developing prognostic technologies, as well as to train physicians of various specialties in diagnosing the disease.

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Sobre autores

Larisa Zhukova

Specialized Clinical Infectious Diseases Hospital, Ministry of Health of the Krasnodar Territory; Kuban State Medical University, Ministry of Health of Russia

Email: goukova@mail.ru
MD, Professor, Department of Infectious Diseases and Epidemiology; Infectiologist

Galina Rafeyenko

Kuban State Medical University, Ministry of Health of Russia; Center for Hygiene and Epidemiology in the Krasnodar Territory

Graduate Student, Department of Infectious Diseases and Epidemiology; Deputy Chief Physician for Laboratory Activities

Anfisa Shagina

Kuban State Medical University, Ministry of Health of Russia; Clinical Center for AIDS Prevention and Control, Ministry of Health of the Krasnodar Territory

Email: anfisas@mail.ru
Graduate Student, Department of Infectious Diseases and Epidemiology; Infectiologist

Anatoly Vanyukov

Kuban State Medical University, Ministry of Health of Russia

Email: wanjykow@rambler.ru
Cand. Med. Sci., Associate Professor, Department of Infectious Diseases and Epidemiology; Deputy Chief Physician for Clinical Care

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