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Clinical and epidemiologic characteristics of hepatitis A in children complicated with ascites

https://dx.doi.org/10.51350/zdravkg2021124224/zdravkg202112414105
Clinical and epidemiologic characteristics of hepatitis A in children complicated with ascites
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Abstract About the authors References

Abstract

The aim of the study was to study the clinical, laboratory and epidemiological features of hepatitis A (HA) in children complicated by ascites. Epidemiological, clinical and laboratory, serological and instrumental research methods were used. 29 children were under observation. The onset of the disease, in all patients, was acute, all periods of the disease were clearly distinguished. Patients were admitted to the hospital in the jaundice period of the disease with ascites, which was diagnosed on the basis of ultrasound, was registered in young and older children. HA manifested itself in a moderate and severe form. Already upon admission to the hospital, the condition of the patients was severe. Jaundice in all patients was moderate, only in one case it was intense (total bilirubin 204 mmol/L) and was accompanied by skin itching. The most common symptoms of the jaundice period were nausea, fever, vomiting, sleep disorders and anorexia. The liver in patients with severe HA increased to 3,0-3,5-3,5 cm, was painful, soft-elastic consistency. Splenomegaly was observed in 4 patients. Hyperalatemia was observed throughout the entire period of the disease, amounting to 1.25 ± 0.1 mkat at the time of hospitalization. The duration of the jaundice period averaged 14.4 ± 3.1 days. In severe forms of the disease, there were harbingers of an unfavorable course of the disease: sleep disorders, anorexia, nosebleeds. The severe course of the disease in patients with HA requires hospitalization of patients in hospitals and a differentiated approach is needed in terms of diagnosis, treatment tactics and patient management.

About the authors

Алишерова Арзыкан Шермаматовна, к.м.н., ассистент, Кыргызской государственной медицинской академия им. И.К.Ахунбаева, кафедра инфекционных болезней, Бишкек, Кыргызская Республика;
Анарбаева Аида Абдисаминовна, к.м.н., доцент, Ошский государственный университет, кафедра детской хирургии,Ош, Кыргызская Республика;
Садыбакасова Гулай Курманбековна, д.м.н., профессор, Кыргызско-Российский Славянский университет им. Б.Н. Ельцина, заведующая кафедрой микробиологии и вирусологии, Бишкек, Кыргызская Республика;
Суранбаева Гулмира Сайбилдаевна, д.м.н., профессор, Кыргызская государственная медицинская академия им. И.К.Ахунбаева, кафедра инфекционных болезней, Бишкек, Кыргызская Республика

Alisherova Arzykan Shermamatovna, PhD, assistant, I.K. Akhunbaev Kyrgyz state medical academy, infectious diseases department, Bishkek, Kyrgyzstan;
Anarbaeva Aida Abdisaminovna, PhD, docent, Osh state university, department of pediatric surgery, Osh, Kyrgyzstan;
Sadybakasova Gulai Kurmanbekovna, MD, professor, B.N. Yeltsin Kyrgyz- Russian Slavic University, head of the Department of Microbiology and Virology, Bishkek, Kyrgyzstan;
Suranbaeva Gulmira Saibildaevna, MD, professor, I.K. Akhunbaev Kyrgyz state medical academy, infectious diseases department, Bishkek, Kyrgyzstan.

Алишерова Арзыкан Шермаматовна, м.и.к., жардамчы, Кыргыз мамлекеттик И.К. Ахунбаев атындагы медициналык академиясы, инфекциялык оорулар кафедрасы, Бишкек, Кыргыз Республикасы;

Анарбаева Аида Абдисаминовна, м.и.к., доцент, Ош мамлекеттик университети, балдар хирургия кафедрасы, Ош, Кыргыз Республикасы;

Садыбакасова Гулай Курманбековна, м.и.д., профессор, Б.Н. Ельцин атындагы Кыргыз-Россия Славян университети, медицина микробиология жана вирусология кафедрасынын башчысы,  Бишкек, Кыргыз Республикасы;

Суранбаева Гулмира Сайбилдаевна, м.и.д., профессор, Кыргыз мамлекеттик И.К. Ахунбаев атындагы медициналык академиясы, инфекциялык оорулар кафедрасы,  Бишкек, Кыргыз Республикасы.

References

1. Karetkina, G.N. Viral hepatitis A: past, present and future. Infectious diseases: News, Opinions, Training. – 2014. - Vol. 3 (8), P.38-48.
2. Hepatitis А. Newsletter WHO. - 2013. - № 328.
3. Experience of stopping an aquatic outbreak of hepatitis A using emergency vaccination in a large industrial city [Text] / [O.N.
4. Knyagina, I.N. Okun, V.L. Pogodina] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 60-62.
Comparative assessment of the epidemiological and economic effectiveness of different hepatitis A vaccination strategies [Text] / [V.N. Loshkareva, V.V. Semerikov, L.V. Sofronova] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 98-104.
5. Suranbaeva, G. S. Clinical course of etiologically verified viral hepatitis in children. PhD dissertation. Scientific and Production Centre for Preventive Medicine of the Ministry of Health of Kyrgyz Republic. - Bishkek, 2004. - 131 p.

1. Karetkina, G.N. Viral hepatitis A: past, present and future. Infectious diseases: News, Opinions, Training. – 2014. - Vol. 3 (8), P.38-48.
2. Hepatitis А. Newsletter WHO. - 2013. - № 328.
3. Experience of stopping an aquatic outbreak of hepatitis A using emergency vaccination in a large industrial city [Text] / [O.N.
4. Knyagina, I.N. Okun, V.L. Pogodina] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 60-62.
Comparative assessment of the epidemiological and economic effectiveness of different hepatitis A vaccination strategies [Text] / [V.N. Loshkareva, V.V. Semerikov, L.V. Sofronova] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 98-104.
5. Suranbaeva, G. S. Clinical course of etiologically verified viral hepatitis in children. PhD dissertation. Scientific and Production Centre for Preventive Medicine of the Ministry of Health of Kyrgyz Republic. - Bishkek, 2004. - 131 p.

1. Karetkina, G.N. Viral hepatitis A: past, present and future. Infectious diseases: News, Opinions, Training. – 2014. - Vol. 3 (8), P.38-48.
2. Hepatitis А. Newsletter WHO. - 2013. - № 328.
3. Experience of stopping an aquatic outbreak of hepatitis A using emergency vaccination in a large industrial city [Text] / [O.N.
4. Knyagina, I.N. Okun, V.L. Pogodina] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 60-62.
Comparative assessment of the epidemiological and economic effectiveness of different hepatitis A vaccination strategies [Text] / [V.N. Loshkareva, V.V. Semerikov, L.V. Sofronova] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 98-104.
5. Suranbaeva, G. S. Clinical course of etiologically verified viral hepatitis in children. PhD dissertation. Scientific and Production Centre for Preventive Medicine of the Ministry of Health of Kyrgyz Republic. - Bishkek, 2004. - 131 p.

Keywords
clinic , Viral hepatitis A , epidemiology , Outcome , ascites , prevention
Для цитирования

Алишерова А.Ш., Анарбаева А.А., Садыбакасова Г.К., Суранбаева Г.С. Клиническая и эпидемиологическая характеристика гепатита А у детей, осложнившихся асцитом. Здравоохранение Кыргызстана 2021, № 4, с. 105-110.

https://doi.org/10.51350/zdravkg202112414105
For citation

Alisherova A.Sh., Anarbaeva A.A., Sadybakasova G.K., Suranbaeva G.S.Clinical and epidemiologic characteristics
of hepatitis A in children complicated with ascites. Health care of Kyrgyzstan 2021, No. 4, pp. 105-110.

https://doi.org/10.51350/zdravkg202112414105
Цитата үчүн

Алишерова А.Ш., Анарбаева А.А., Садыбакасова Г.К., Суранбаева Г.С. Балдардын курч гепатит А оорусунун асцит менен оорлошкон түрүнө клиникалык жана эпидемиологиялык мүнөздөмө. Кыргызстандын Cаламаттык Cактоо 2021, № 4, б.  105-110. https://doi.org/10.51350/zdravkg202112414105
Authors Alisherova A.Sh., Anarbayeva A.A., Sadybakasova G.K., Suranbaeva G.S.
Link doi.org https://dx.doi.org/10.51350/zdravkg2021124224/zdravkg202112414105
Pages 105-110
Keywords clinic, Viral hepatitis A, epidemiology, Outcome, ascites, prevention
Russian
Об авторах

Алишерова Арзыкан Шермаматовна, к.м.н., ассистент, Кыргызской государственной медицинской академия им. И.К.Ахунбаева, кафедра инфекционных болезней, Бишкек, Кыргызская Республика;
Анарбаева Аида Абдисаминовна, к.м.н., доцент, Ошский государственный университет, кафедра детской хирургии,Ош, Кыргызская Республика;
Садыбакасова Гулай Курманбековна, д.м.н., профессор, Кыргызско-Российский Славянский университет им. Б.Н. Ельцина, заведующая кафедрой микробиологии и вирусологии, Бишкек, Кыргызская Республика;
Суранбаева Гулмира Сайбилдаевна, д.м.н., профессор, Кыргызская государственная медицинская академия им. И.К.Ахунбаева, кафедра инфекционных болезней, Бишкек, Кыргызская Республика
Полный текст

 PDF (RUS)
Список литературы

1. Karetkina, G.N. Viral hepatitis A: past, present and future. Infectious diseases: News, Opinions, Training. – 2014. - Vol. 3 (8), P.38-48.
2. Hepatitis А. Newsletter WHO. - 2013. - № 328.
3. Experience of stopping an aquatic outbreak of hepatitis A using emergency vaccination in a large industrial city [Text] / [O.N.
4. Knyagina, I.N. Okun, V.L. Pogodina] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 60-62.
Comparative assessment of the epidemiological and economic effectiveness of different hepatitis A vaccination strategies [Text] / [V.N. Loshkareva, V.V. Semerikov, L.V. Sofronova] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 98-104.
5. Suranbaeva, G. S. Clinical course of etiologically verified viral hepatitis in children. PhD dissertation. Scientific and Production Centre for Preventive Medicine of the Ministry of Health of Kyrgyz Republic. - Bishkek, 2004. - 131 p.
Для цитирования

Алишерова А.Ш., Анарбаева А.А., Садыбакасова Г.К., Суранбаева Г.С. Клиническая и эпидемиологическая характеристика гепатита А у детей, осложнившихся асцитом. Здравоохранение Кыргызстана 2021, № 4, с. 105-110.

https://doi.org/10.51350/zdravkg202112414105
English
About authors

Alisherova Arzykan Shermamatovna, PhD, assistant, I.K. Akhunbaev Kyrgyz state medical academy, infectious diseases department, Bishkek, Kyrgyzstan;
Anarbaeva Aida Abdisaminovna, PhD, docent, Osh state university, department of pediatric surgery, Osh, Kyrgyzstan;
Sadybakasova Gulai Kurmanbekovna, MD, professor, B.N. Yeltsin Kyrgyz- Russian Slavic University, head of the Department of Microbiology and Virology, Bishkek, Kyrgyzstan;
Suranbaeva Gulmira Saibildaevna, MD, professor, I.K. Akhunbaev Kyrgyz state medical academy, infectious diseases department, Bishkek, Kyrgyzstan.
Full text

 PDF (RUS)
References

1. Karetkina, G.N. Viral hepatitis A: past, present and future. Infectious diseases: News, Opinions, Training. – 2014. - Vol. 3 (8), P.38-48.
2. Hepatitis А. Newsletter WHO. - 2013. - № 328.
3. Experience of stopping an aquatic outbreak of hepatitis A using emergency vaccination in a large industrial city [Text] / [O.N.
4. Knyagina, I.N. Okun, V.L. Pogodina] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 60-62.
Comparative assessment of the epidemiological and economic effectiveness of different hepatitis A vaccination strategies [Text] / [V.N. Loshkareva, V.V. Semerikov, L.V. Sofronova] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 98-104.
5. Suranbaeva, G. S. Clinical course of etiologically verified viral hepatitis in children. PhD dissertation. Scientific and Production Centre for Preventive Medicine of the Ministry of Health of Kyrgyz Republic. - Bishkek, 2004. - 131 p.
For citation

Alisherova A.Sh., Anarbaeva A.A., Sadybakasova G.K., Suranbaeva G.S.Clinical and epidemiologic characteristics
of hepatitis A in children complicated with ascites. Health care of Kyrgyzstan 2021, No. 4, pp. 105-110.

https://doi.org/10.51350/zdravkg202112414105
Kyrgyz
Авторлор жөнүндө

Алишерова Арзыкан Шермаматовна, м.и.к., жардамчы, Кыргыз мамлекеттик И.К. Ахунбаев атындагы медициналык академиясы, инфекциялык оорулар кафедрасы, Бишкек, Кыргыз Республикасы;

Анарбаева Аида Абдисаминовна, м.и.к., доцент, Ош мамлекеттик университети, балдар хирургия кафедрасы, Ош, Кыргыз Республикасы;

Садыбакасова Гулай Курманбековна, м.и.д., профессор, Б.Н. Ельцин атындагы Кыргыз-Россия Славян университети, медицина микробиология жана вирусология кафедрасынын башчысы,  Бишкек, Кыргыз Республикасы;

Суранбаева Гулмира Сайбилдаевна, м.и.д., профессор, Кыргыз мамлекеттик И.К. Ахунбаев атындагы медициналык академиясы, инфекциялык оорулар кафедрасы,  Бишкек, Кыргыз Республикасы.
Толук текст

 PDF (RUS)
Шилтемелер

1. Karetkina, G.N. Viral hepatitis A: past, present and future. Infectious diseases: News, Opinions, Training. – 2014. - Vol. 3 (8), P.38-48.
2. Hepatitis А. Newsletter WHO. - 2013. - № 328.
3. Experience of stopping an aquatic outbreak of hepatitis A using emergency vaccination in a large industrial city [Text] / [O.N.
4. Knyagina, I.N. Okun, V.L. Pogodina] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 60-62.
Comparative assessment of the epidemiological and economic effectiveness of different hepatitis A vaccination strategies [Text] / [V.N. Loshkareva, V.V. Semerikov, L.V. Sofronova] // Epidemiology and vaccine prevention. - 2012. - Vol. 7. - P. 98-104.
5. Suranbaeva, G. S. Clinical course of etiologically verified viral hepatitis in children. PhD dissertation. Scientific and Production Centre for Preventive Medicine of the Ministry of Health of Kyrgyz Republic. - Bishkek, 2004. - 131 p.
Цитата үчүн

Алишерова А.Ш., Анарбаева А.А., Садыбакасова Г.К., Суранбаева Г.С. Балдардын курч гепатит А оорусунун асцит менен оорлошкон түрүнө клиникалык жана эпидемиологиялык мүнөздөмө. Кыргызстандын Cаламаттык Cактоо 2021, № 4, б.  105-110. https://doi.org/10.51350/zdravkg202112414105
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