perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2017-62-5-88-92perinatology-556Research ArticleПЕРИНАТОЛОГИЯ И НЕОНАТОЛОГИЯPERINATOLOGY AND NEONATOLOGYЭтиологическая структура и особенности клинических проявлений неонатальных инфекций у детей, рожденных путем кесарева сеченияEtiological structure and features of clinical manifestations of neonatal infections in children born by cesarean sectionНиколаеваИ. В.NikolaevaI. V.

д.м.н., проф., зав. кафедрой инфекционных болезней Казанского государственного медицинского университета

420012, г. Казань, ул. Бутлерова, 49

ШайхиеваГ. С.ShaikhievaG. S.

спирант кафедры инфекционных болезней Казанского государственного медицинского университета

420012, г. Казань, ул. Бутлерова, 49

ХаертыновХ. С.KhaertynovKh. S.

к.м.н., доцент кафедры детских инфекций Казанского государственного медицинского университета

420012, г. Казань, ул. Бутлерова, 49

ГатауллинМ. Р.GataullinM. R.

гл. врач Республиканской клинической инфекционной больницы им. проф. А.Ф. Агафонова

420140 Казань, пр. Победы, д. 83

УрманчееваЮ. Р.UrmancheevaYu. R.

зам. гл. врача по медицинской части Республиканской клинической  инфекционной больницы им. проф. А.Ф. Агафонова

420140 Казань, пр. Победы, д. 83

ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава РоссииРоссияKazan State Medical University, Ministry of Health of the Russian FederationRussian FederationРеспубликанская клиническая инфекционная больницаРоссияRepublican Clinical Hospital of Infectious DiseasesRussian Federation2017111120176258892Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20172017Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/556

Изучена этиологическая структура и клинические проявления неонатальных инфекций у 194 новорожденных детей, госпитализированных в инфекционный стационар, в том числе 44 ребенка рождены путем кесарева сечения, 150 детей – вагинальным путем. Дети, рожденные путем кесарева сечения, достоверно чаще госпитализировались по поводу микстинфекций респираторного, желудочно-кишечного тракта и гнойно-воспалительных заболеваний кожи (20,5% против 3,3%; p<0,01). У детей, рожденных оперативным путем, достоверно чаще была диагностирована инфекционная диарея (66% против 39%; p<0,01), бронхиолит (20,8% против 6,25%; р<0,05), пиодермия, обусловленная S. aureus (23% против 15,9%; р<0,05) и тяжелые формы ОРВИ (20,8% против 6,25%; р≤0,05). Выявленные особенности течения неонатальных инфекций у детей, рожденных путем кесарева сечения, диктуют необходимость проведения углубленных исследований по данной теме.

The etiological structure and clinical manifestations of neonatal infections in 194 newborns hospitalized in an infectious hospital werestudied. 44 children were born by cesarean section (CS), 150 children – by vaginal delivery (VD). Children born by cesarean section were significantly more often hospitalized for mixed infections of the respiratory, gastrointestinal tract and pyoinflammatory skin diseases (CS-20.5% and VD-3.3%, p<0.01). In children born by the operative route, infectious diarrhea (CS-66% and VD-39%, p<0.01), bronchiolitis (CS-20.8% and VD-6. 25%, р<0. 05), pyodermia caused by S. aureus (CS-23% and VD-15.9%, р<0.05), severe acute respiratory viral infections (CS-20.8% and VD-6.25%, р<0.05) were diagnosed more often than in children born by the vaginal delivery. The revealed features of the course of neonatal infections in children born by cesarean section dictate the need for in-depth studies on this topic.

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The authors declare that there are no conflicts of interest present.