Epidemiology and clinic of microbial-inflammatory nephropathy in children living in an ecologically unfavorable region

E. P. Sitnikova, T. G. Pukhova, E. Spivak
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Abstract

The aim is to establish the epidemiology and features of the clinic of microbial inflammatory nephropathy in children living in an ecologically unfavorable area.Research methods. The prevalence of microbial-inflammatory nephropathies and their incidence in the urban children's population, as well as in areas with favorable and unfavorable environmental situation were analyzed. A clinical and laboratory examination of patients was carried out with an assessment of the features of the manifestations of the disease in children living in an area with environmental pollution.The results of the study. Over the past two decades, there has been a decrease in the incidence of microbial inflammatory nephropathies and their general prevalence in the urban children's population. However, in an urban area with an unfavorable environmental situation, a significant increase in these epidemiological indicators has been recorded over a ten-year period. The peculiarities of microbial-inflammatory nephropathies in children living in an area with significant air and soil pollution are their occurrence against the background of congenital anomalies or malformations of the kidneys and urinary tract, frequent relapses, the presence of complications. They are characterized by a frequent combination of kidney and bladder lesions, higher activity of the inflammatory process with impaired renal function, slow reverse dynamics of symptoms during treatment.Conclusion. Microbial-inflammatory nephropathies in children living in ecologically unfavorable areas of the city have features of epidemiology and clinical manifestations, which must be taken into account when carrying out medical support for this category of patients.
生态不利地区儿童微生物性炎症性肾病的流行病学及临床研究
目的是了解生态不利地区儿童微生物性炎症性肾病的流行病学及临床特点。研究方法。分析了微生物性炎症性肾病在城市儿童、环境有利地区和环境不利地区的患病率和发病率。对患者进行了临床和实验室检查,对生活在环境污染地区的儿童的疾病表现特征进行了评估。研究的结果。在过去的二十年中,微生物性炎症性肾病的发病率和城市儿童的总体患病率有所下降。然而,在环境状况不利的城市地区,这些流行病学指标在十年期间显著增加。生活在空气和土壤污染严重地区的儿童的微生物性炎症性肾病的特点是其发生的背景是先天性异常或肾脏和泌尿道畸形,频繁复发,存在并发症。它们的特点是经常合并肾脏和膀胱病变,炎症过程的活动性较高,肾功能受损,治疗期间症状逆转缓慢。生活在城市生态不利地区的儿童的微生物性炎症性肾病具有流行病学和临床表现的特点,在对这类患者进行医疗支持时必须考虑到这些特点。
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