CLINICAL AND EPIDEMIOLOGICAL FEATURES OF THE COURSE OF SHIGELLOSIS IN ADULTS AT THE PRESENT STAGE IN 2009-2019

Abstract

The remaining high incidence of acute intestinal infections requires special attention to the study of the etiological structure of their pathogens, epidemiology and clinical manifestations in the modern period. The purpose of the study: to determine the clinical and epidemiological characteristics of shigellosis in adults in the modern period. Currently, the epidemic process in shigellosis involves mainly the elderly, more often women. The dominant causative agent of shigellosis is Shigella Flexner. The clinical features of shigellosis in the modern period are the presence of scanty stools with mucus (in 93.3% of patients), the absence of tenesmus (in 91% of patients) and, at the same time, the presence of false urges in every 4th patient. Moderate and severe course of the disease dominates (85.8%) and colitis forms of shigellosis prevail (62.5%). In the peripheral blood, leukocytosis in 67.1% of patients, however, the leukocyte formula retains a neutrophilic character and a stab shift is observed (12.9%).