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Clinical and epidemiological features of diphtheria
Khilko A.S., Chemych O.M., 5-th year student
Supervisor of studies – D.M., prof. the Head of infectious diseases and epidemiology department M.D. Chemych
Sumy State University, chair of infectious diseases and epidemiology with course of microbiology, virology, immunology
Actuality. Gradual decline of morbidity on diphtheria in ХХ century it was it is interrupted in 1991-1992 sharp getting up, that put under a doubt efficiency specific prophylaxis this disease. It became actual study of modern clinical and epidemiological features of given infections.
Purpose of work - study clinical and epidemiological features of modern to diphtheria in terms North-eastern, boundary region of Ukraine (Sumy region).
Research object - medical maps of patients with diphtheria from 1987 to 2008 years. Epidemiology maps of patients for the same period.
Cardinal the feature of epidemic was predominance adult population among patients on diphtheria. Amount of adults presented 488 (81,33 %) from 600 diseased, children it was in 4,35 time less than are 112 cases (18,67 %). For adults illness ran across heavier - for period a supervision was it is registered 19,88 % heavy to the flow of disease adult population and only 3,74 % - for children. Patients, instilled, have illness against diphtheria ran across in to the easy form; happened although cases middling-heavy and heavy flow of illness, that can testify to the defects inoculation or inopportuneness revaccination.
Thus, these researches show that on modern diphtheria are ill more frequent adults, illness has thus more heavy motion in patients of this group. Vaccination of population against diphtheria high enough but development is in instilled medium severity and heavy forms testifies to violation inoculation or absence timely revaccination. Data of researches shows that at proper prophylactic measures, it is possible not only to stop distribution diphtheria infection, but also to stop her.
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