Epidemiology and Infectious Diseases » Human ascariasis in the Astrakhan Region (2015

Human ascariasis in the Astrakhan Region (2015–2017)

DOI: https://dx.doi.org/10.18565/epidem.2018.4.30-33

Arakelyan R.S., Okunskaya E.I., Konnova O.V., Galimzyanov Kh.M., Postnova V.F., Shendo G.L., Ramazanova D.N., Kadralieva S.A., Kuksina Yu.M.
1 Astrakhan State Medical University, Ministry of Health of Russia, Astrakhan, Russia; 2 City Children’s Polyclinic Three, Astrakhan, Russia; 3 Center for Hygiene and Epidemiology in the Astrakhan Region, Astrakhan, Russia; 4 Federal Service for Supervision of Consumer Rights Protection and Human Well-Being Directorate for the Astrakhan Region, Astrakhan, Russia; 5 City Polyclinic One, Astrakhan, Russia

Objective. To analyze the epidemic situation of ascariasis in the Astrakhan Region over 2015–2017.
Subjects and methods. Thirty-eight epidemiological survey schedules were analyzed in persons infected with Ascaris worms. Among the patients, there were 19 (50%) children younger than 17 years and 19 (50%) adults aged 18 to 65 years. Coproovoscopic techniques were used to diagnose the disease.
Results. The main complaints were abdominal pain (23.7%), bowel dysfunction (10.5%), poor appetite (10.5%), nausea (7.9%), vomiting (7.9%), fever (5.3%), rapid fatigue (5.3%), headache (5.3%), and cough (5.3%). In isolated cases, the patients complained of teeth grinding at night (2.6%), heaviness and rumbling in the epigastric region (2.6%), skin itch (2.6%), and general weakness (2.6%); 6 (15.8%) persons noted an independent exit of a round parasite measuring 10 to 30 cm.
Conclusion. Annual preventive examinations revealed most of the patients with ascariasis. The primary cause of the infection is failure to comply with good personal hygiene. The presence of cough in ascariasis indicates the extraintestinal site of the parasite. The absence of complaints in persons invaded by Ascaridae is characteristic of the asymptomatic course of the disease. The unfertilized parasite eggs found in the stool suggest that only an immature female Ascaris worm is present in the patient’s body. Negative test results and the exit of a male roundworm at time of defecation confirm that the adults are absent in the human body.

Keywords: soil-transmitted helminth infection, stool testing for helminth eggs, coproovoscopic techniques, pyrantel, albendazole, ascariasis

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Literature

1. Bedlinskaya N.R., Galimzyanov Kh.M., Burkin A.V., Arshba T.E., Lazareva E.N., Goreva O.N., Mirekina E.V. [Clinico-laboratory features of the course of Astrakhan rickettsial fever in patients with essential hypertension]. Astrakhanskiy meditsinskiy zhurnal 2012; 7(2): 44–7. (In Russ.).

2. Karpenko S.F., Galimzyanov Kh.M., Kasimova N.B., Rubalskiy O.V., Mikhailovskaya T.I. [Dynamics of clinical manifestations and catalase activity of blood serum in patients with coxsillosis younger than 50 years]. Astrakhanskiy meditsinskiy zhurnal 2012; 7(2): 64–8. (In Russ.).

3. Lazareva E.N., Maleev V.V., Galimzyanov Kh.M., Mirekina E.V., Burkin A.V., Babaeva M.A., Kraskov A.V. [Peroxide oxidation of platelet lipids in Crimean haemorrhagic fever]. Infektsionnyye bolezni 2011; (9): 205. (In Russ.).

4. Bedlinskaya N.R., Galimzyanov Kh.M., Lazareva E.N., Goreva O.N., Babaeva M.A. [The role of antihypoxic therapy in correction of hemocoagulation disorders in patients with Astrakhan rickettsial fever]. Astrakhanskiy meditsinskiy zhurnal 2016; 11(1): 72–80. (In Russ.).

5. Kutyin A.V. [Analysis of the dehydrogenase activity of neutrophils in patients with Astrakhan rickettsial fever]. Sovremennyye nauchnyye issledovaniya i razrabotki 2016; (7): 419–20. (In Russ.).

6. Chubirko M.I., Berezina Yu.A., Azarenkova I.K. [The use of the method of enzyme immunoassay in the diagnosis of parasitic diseases]. Nauchno-meditsinskiy vestnik Tsentralnogo Chernozemia 2014; (58): 122–6. (In Russ.).

7. Talabov M.S., Radzhabova M.H., Khasanbaeva D.T. [Features of intestinal microflora in children with ascariasis]. Vestnik Avitsenny 2010; (2): 76–9. (In Russ.).

8. Talabov M.S., Umarova C.S., Umarova Ch.Sh., Umarova C.S., Shodiev M.Sh., Shodiev M.Sh. [Features of the clinical course of ascaridosis in children]. Vestnik Avitsenny 2010; (3); 105–9. (In Russ.).

9. Naralenkova N.V., Murashkevich T.G. [Askaridoz: manifestations of the epidemic process and prevention in the Gomel region]. Nauchnyye stremleniya 2014; (4): 67–76. (In Russ.).

10. Ermolenko A .V., Bartkova A.D., Rumyantseva E.E., Voronok V.M., Zakharova G.A., Besprozvannykh V.V. [Askaridoz people in the Primorsky Territory]. Vestnik Dalnevostochnogo otdeleniya Rossiyskoy akademii nauk 2015; (5): 114–8. (In Russ.).

For citations: Arakelyan R.S., Okunskaya E.I., Konnova O.V., Galimzyanov Kh.M., Postnova V.F., Shendo G.L., Ramazanova D.N., Kadralieva S.A., Kuksina Yu.M. Human ascariasis in the Astrakhan Region (2015–2017). Èpidemiologiâ i infekcionnye bolezni. Аktual’nye voprosy 2018; (4):30–33 (In Russ.).

About the Autors

Rudolf S. Arakelyan, Cand. Med. Sci., Associate Professor, Department of Infectious Diseases and Epidemiology, Astrakhan State Medical University, Ministry of Health of Russia, Astrakhan, Russia; е-mail: rudolf_astrakhan@rambler.ru; ORCID: http://orcid.org/0000-0001-7549-2925
Elena I. Okunskaya, Infectious Disease Parasitologist, Head, Helminthology Center, Children’s Polyclinic Three, Astrakhan, Russia; e-mail okunska@bk.ru
Olga V. Konnova, Cand. Philology Sci., Associate Professor, Department of Foreign Languages, Astrakhan State Medical University, Ministry of Health of Russia, Astrakhan, Russia; e-mail: vip.konnova@bk.ru
Prof. Khalil M. Galimzyanov, MD, Academician of the Russian Academy of Natural Sciences, Head, Department of Infectious Diseases and Epidemiology, Astrakhan State Medical University, Ministry of Health of Russia, Astrakhan, Russia; е-mail: agma@astranet.ru; ORCID: http://orcid.org/0000-0002-6263-8814
Valentina F. Postnova, Head, Parasitology Laboratory, Center for Hygiene and Epidemiology in the Astrakhan Region, Astrakhan, Russia; е-mail: astrfguz@yandex.ru
Gennady L. Shendo, Head Physician, Center for Hygiene and Epidemiology in the Astrakhan Region, Astrakhan, Russia; е-mail: astrfguz@yandex.ru
Dilyara N. Ramazanova, Subject Matter Expert, Department of Epidemiological Surveillance, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being Directorate for the Astrakhan Region, Astrakhan, Russia; е-mail: tu_rpn@astrakhan.ru
Salua A. Kadralieva, Head, Department of Therapy, City Polyclinic One, Astrakhan, Russia; е-mail: gp1astra@yandex.ru
Kuksina Julia Mikhailovna, Sixth-Year Student, Faculty of General Medicine, Astrakhan State Medical University, Ministry of Health of Russia, Astrakhan, Russia; е-mail: kica_95.2001@bk.ru

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