Epidemiological approach to the evaluation of combined infectious diseases

Shkarin V.V., Blagonravova A.S., Chubukova O.A.

Nizhny Novgorod State Medical Academy, Ministry of Health of Russia
The article discusses the topical issues of epidemiological approach to the evaluation of combined infectious diseases. The current structure of co-infections from perspective of ecological and epidemiological classification, as well as according to component composition, is demonstrated. The article critically presents the basic concepts and definitions relating to this group of infections, including the terms «comorbid», «combined», «mixed infection», «associated», «satellite», «mixed», «concomitant», «conjugated». The possible combinations of pathogens and their biological interactions in the human body are considered. The questions of definition of infectious and epidemic process in co-infections are discussed. The necessity of careful attention of various specialists to the problem of combined pathology due to an underestimation of the role and place of comorbidity in infectious pathology is substantiated. It is proposed to make changes in regulatory and procedural guidelines in the field of co-infections, use an integrated approach to the assessment of epidemiological process of these infections, create customized parameters for epidemiological surveillance, and develop and implement preventive and anti-epidemic measures, depending on the specific epidemiological determinants of each infection.


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About the Autors

For correspondence:
Shkarin Vyacheslav Vasilyevich, MD; Prof.; Corresponding Member of the Russian Academy of Medical Sciences; Honored Scientist of the Russian Federation; Head, Department of Epidemiology; President, Nizhny Novgorod State Medical Academy, Ministry of Health and Social Development of Russia
Address: 10/1, Minin and Pozharsky Sq., Nizhny Novgorod 603005
Telephone/fax: (831) 439-01-63
E-mail: prezident@nizhgma.ru

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