MODERN ASPECTS OF INFECTIOUS DIARRHEAS OF VIRAL ETIOLOGY IN ADULTS: A CLINICIST'S VIEW
Most of the publications on the problem of viral diarrhea are devoted to morbidity in children. However, acute intestinal infections of viral etiology in adults are becoming increasingly important. In the Voronezh region, there is an increase in the proportion of viruses as the etiological cause of acute infectious gastroenteritis. This is due to the introduction of centralized research using molecular biological methods for the detection of pathogens. PCR made it possible to simultaneously determine the presence of bacteria and viruses in the test material - the causative agents of acute intestinal infections (multiplex format). In the etiological structure of viral diarrhea in children and adults, rotaviruses dominate. With the expansion of the range of laboratory tests and clinical observations performed, the number of cases of norovirus infection is growing. The stability of pathogens in the environment, the presence of asymptomatic carriers, the frequent family and group nature of the disease, the ease of infection in various ways, the low coverage of specific prevention, create prerequisites for an increase in the incidence. This article studied the clinical and epidemiological features of the most relevant infectious diarrhea of rotavirus and norovirus etiology. This information is of undoubted interest for practitioners, it aims to help in the early detection of patients, the implementation of adequate anti-epidemic measures and rational pathogenetic treatment.