Clinical and epidemiological aspects of Ascariasis in children in the Astrakhan region
The purpose of the study: to analyze the clinical and epidemiological condition of children infected with ascariids in 2° 15-2°1 9 on the territory of the Astrakhan region. Materials and methods. During the analyzed period, 87 cases of ascariasis in children were registered in the Astrakhan region. We observed 23 children (26.4%) diagnosed with Ascariasis. Research result. The age of children whose eggs of Ascaris lumbricoides were found in the biomaterial ranged from 1 to 17 years, and in the age groups of children (schoolchildren - preschoolers), cases of ascariasis were recorded almost equally. Clinically, the disease occurred in the form of complaints of children - 65.2% (n = 15) for pain in the epigastric region - 34.8% (n = 8), nausea, vomiting, cough and poor appetite - 2°.°% (n = 3), liquid stool and fever to subfebrile numbers - 1 3.3% (n = 2). In isolated cases, children complained of teeth grinding at night, frequent fatigue and headache-6.7% (n = 1). Complaints about the exit of the parasite at the time of the act of defecation were made by 4°.°% (n = 6). Some patients had no complaints - 34.8% (n = 8). Conclusions: Ascariasis was registered almost equally in all age groups. The main complaints were epigastric pain, nausea, decreased appetite, and loose stools. The main cause of the disease was non-compliance with personal hygiene rules, eating unwashed fruits and vegetables, and the habit of eating without first washing your hands. Isolation of a male Ascaris lumbricoides at the time of defecation and a negative result of fecal examination indicate the absence of a female Ascaris lumbricoides in the macroorganism and does not require further treatment.