EPIDEMIOLOGICAL SIGNIFICANCE OF EARLY DETECTION OF INFECTIOUS DISEASES PRESENTING WITH EXANTHEM IN CHILDREN
Keywords:
exanthem, children, early detection, epidemiological surveillance, measles, rubella, varicella, scarlet fever, primary health care.Abstract
Infectious diseases accompanied by exanthem remain one of the most common reasons for paediatric consultations and an important source of outbreaks in preschool and school collectives. Several of them – measles, rubella, varicella, scarlet fever and meningococcal infection – combine high communicability or high lethality with the fact that the patient is infectious before the rash appears or before the diagnosis is confirmed. This narrative review, based on international guidelines and peer-reviewed publications, summarises the epidemiological characteristics of the main exanthematous infections of childhood and substantiates why detection at the prodromal or earliest rash stage changes the course of an epidemic process.
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References
1. Nelson Textbook of Pediatrics / ed. by R.M. Kliegman, J.W. St. Geme, N.J. Blum et al. – 21st ed. – Philadelphia: Elsevier, 2020.
2. Feigin and Cherry's Textbook of Pediatric Infectious Diseases / ed. by J.D. Cherry, G.J. Harrison, S.L. Kaplan et al. – 8th ed. – Philadelphia: Elsevier, 2019.
3. Red Book: 2021–2024 Report of the Committee on Infectious Diseases / ed. by D.W. Kimberlin, M.T. Brady, M.A. Jackson, S.S. Long. – 32nd ed. – Itasca, IL: American cademy of Pediatrics, 2021.
4. Moss W.J. Measles // Lancet. – 2017. – Vol. 390. – P. 2490–2502.
5. Strebel P.M., Orenstein W.A. Measles // N. Engl. J. Med. – 2019. – Vol. 381. – P. 349 357.
