Saratov JOURNAL of Medical and Scientific Research

Romanovskaya A.V.

Saratov State Medical University n.a. V.I. Razumovsky, Department of Obstetrics and Gynecology of Therapeutic Faculty, Assistant, Candidate of Medical Science

Клинико-эпидемиологическая характеристика гриппа в постпандемический период

Year: 2013, volume 9 Issue: №2 Pages: 186-192
Heading: Infectious Diseases Article type: Original article
Authors: Maleev V.V., Mikhailova E.V., Chudakova Т.К., Romanovskaya A.M., Danilov A.N., Khripunova G.I., Dubovitskaya N.A.
Organization: Central Scientific Research Institute of Epidemiology, Saratov State Medical University

Objective: To analyze the clinical and epidemiological characteristics in the post-pandemic influenza seasons in 2010/11/12/13 years. Material and methods: The analysis of the incidence of acute respiratory viral infections and flu in the Saratov region from 2009 to 2013. A clinical and laboratory examination of 252 patients with a diagnosis of «flu»: 152 pregnant women at different stages of pregnancy at the age of 18 years to 41 years and 100 children aged from 5 months to 14 years. The work was carried out to assess the epidemiological pattern and clinical course of influenza, and the effective operation of antiviral therapy. Results: In the post-pandemic period 2010-2013 simultaneously circulating influenza A viruses (N1N1/09) pd, influenza A (H3N2) and influenza B. In most cases, influenza in adults and children is of moderate form. All serious forms of influenza have been caused by influenza A with the development of viral-bacterial pneumonia, respiratory failure and neurotoxic syndrome. Late hospitalization and absence of antiviral therapy in the prehospital are at risk of severe and complicated forms. Conclusion: Early initiation of antiviral therapy is one of the main factors for the effectiveness of treatment and reduce the risk of influenza complications.

2013-02_186-192.pdf298.39 KB

Issue of acute respiratory viral infection and influenza A (H^swin) in modern obstetrics

Year: 2012, volume 8 Issue: №2 Pages: 218-223
Heading: Obstetrics and Gynecology Article type: Original article
Authors: Salov I.A., Romanovskaya А.V., Mikhailova E.V.
Organization: Saratov State Medical University

Objective: To study the clinical features of the course and outcome of pregnancy accompanied by acute respiratory viral infections and influenza A (HN^win). Methods and materials. 152 pregnant women who suffered from influenza A (H l^swin), acute respiratory viral infections in different duration of gestation. Results. Similar clinical symptomatology of both influenza A (H1N1 swin) and acute respiratory viral infections during the period of epidemic raise of influenza allow to suggest present nosology including pregnant patients with acute respiratory viral infections. Conclusion. In 4 cases the fatal outcome from influenza related to presence of associated pathology and development of the severe form of influenza complicated by acute respiratory and cardiovascular insufficiency, pulmonary edema, and cerebral edema were registered

201202_218-223.pdf279.43 KB