Study of infectious diarrheas, in Transylvania-Romania

L. Deac
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Abstract

Diarrhea” is an alteration in a normal bowel movement characterized by an increase in the water content, volume, or frequency of stools. Acute diarrhea of infectious etiology, often referred to as gastroenteritis and is typically associated with clinical signs and symptoms including: nausea, vomiting, abdominal pain and cramps, bloating, flatulence, fever, passage of bloody stools, tenesmus, and fecal urgency. Infectious diarrheal diseases are the second leading cause of morbidity and mortality worldwide. It is the diarrhea we have also found out, during a large 3 yeas study 2017-2020 in Transylvania – Romania. 3577 number of cases were transmitted during this time by the 12 territory sanitary polices, to the Epidemiology Department from the Public Health Center Cluj. These were mostly diagnosed by the territorial family doctors in the region and more then 20%, have need hospitalization, for several days, because of the mentioned disease disorders 3 children died during this time, because of severe complications. The detected infectious microbial etiology, were determined in authorized laboratories, in which it was identified: Shigella spp, Salmonella spp Campylobacter spp, and Yersinia spp or Rotavirus Giardia, and Fungi species. Most number of cases appeared in children, followed by elderly or adult people, as quantified number of determination. In light of these data, acute diarrheal illness had to be considered a major public health issue against which control efforts are needed. Public health surveillance and response in the field of infectious acute diarrhea include obligatory strategies of infection control.
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罗马尼亚特兰西瓦尼亚地区传染性腹泻的研究
“腹泻”是一种正常排便的改变,其特征是大便含水量、体积或频率增加。感染性急性腹泻,通常被称为肠胃炎,通常与临床症状和体征相关,包括:恶心、呕吐、腹痛和痉挛、腹胀、胀气、发烧、便血、下急和大便急症。传染性腹泻病是全世界发病率和死亡率的第二大原因。在2017-2020年在罗马尼亚特兰西瓦尼亚进行的一项为期三年的大型研究中,我们也发现了腹泻。在此期间,12个地区的卫生政策向克鲁日公共卫生中心流行病学部门传播了3577例病例。这些大多是由该地区的领土家庭医生诊断的,超过20%的人需要住院几天,因为上述疾病紊乱,3名儿童在此期间因严重并发症而死亡。检测到的感染微生物病原学是在授权实验室确定的,其中确定了志贺氏菌、沙门氏菌、弯曲杆菌、耶尔森氏菌或贾第鞭毛虫轮状病毒和真菌种类。发病人数以儿童居多,其次为老年人或成年人,以量化人数确定。根据这些数据,急性腹泻病必须被视为一个重大的公共卫生问题,需要采取控制措施。感染性急性腹泻领域的公共卫生监测和应对包括强制性感染控制策略。
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