Clinical and epidemiological features of the Measles in children of the Astrakhan region
According to the Rospotrebnadzor of the Russian Federation for the first quarter of 2019 were registered 872 cases of measles, which indicates a tense epidemic situation for this pathology. Objective: to establish clinical and epidemiological features of measles in children depending on age in the Astrakhan region for the period from January 2013 to June 2019. Research methods: the analysis of 370 cases of measles in children aged 3 months to 1 7 years, confirmed by enzyme immunoassay (ELISA). The results of the study: in the age structure of the incidence of measles in the Astrakhan region prevail unvaccinated children aged 2-3 years, and less than 1 year, not subject to vaccination against measles. The main reasons for the lack of vaccinations in children with measles are: medical taps. The incidence of vaccinated children against measles can be a consequence of violations in the organization of vaccination work. The causes of the presence of measles foci with the spread of infection are nosocomial outbreaks, measles drifts in organized groups, as a result of late detection and isolation of patients. Measles in children of different age groups, both vaccinated and unvaccinated proceeded typically with a predominance of moderate forms. The symptom of Filatov-Koplik remains the main sign of the diagnosis of measles in the catarrhal period of the disease, the gradual appearance of a spotty-papular rash in combination with catarrhal syndrome - in the period of rash, and pigmentation is a retrospective sign of the survive infection.