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spisanie Detski i infektsiosni

Editor:
Central Medical Library ®,
MU - Sofia

 

 

 

 

 



 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Journal "Detski i infectsiosni bolesti" (Pediatric and Infectious Diseases)

REVIEWS

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Vol. 6, 2014

 

Vol. 6, 2014, № 2

CHILD DISEASES
REVIEWS

I. Kozhuharov, J. Nichev, S. Lazarov, A. Kaneva and M. Tzonzarova. Cardiostimulation in childhood - Detski i infectsiosni bolesti, V. 6, 2014, No2, 3-7.(Abstract)

 

Cardiostimulation in childhood - Detski i infectsiosni bolesti, V. 6, 2014, No2, 3-7.
I. Kozhuharov(1), J. Nichev(1), S. Lazarov(2), A. Kaneva(3) and M. Tzonzarova(3)
(1) Department of Cardiostimulation to the Clinic of Cardiology
(2) Department of Children’s Cardiac surgery
(3) Clinic of Children’s Diseases and Pediatric Cardiology, National Heart Hospital – Sofia
Summary: The history and the characteristics of cardiostimulation in childhood with primary implantations and replacements depending on the used implants are examined in this review. The accent is on the congenital and acquired AV block in relation to etiology, the role of stimulation type and inserted implants. The essential approaches of implantation are considered – surgical and invasive – with the advantages and disadvantages of the applied in the two cases implants. The review reveals the dependence of survival on some essential factors: (1) anthropometric – age and weight, (2) factors associated with implants – the type of PM and electrodes, (3) factors associated with operative activity – the threshold of stimulation, the frequency of stimulation, and the type of access. The implantation of permanent cardiostimulators in the childhood is a complicated team activity between cardiologists, cardiosurgeons, pediatricians and specialists in cardiostimulation, which requires a differentiated and individual approach to each particular case. The main factors for the choice of a PM and electrodes are the weight and age of the child. The predictors of the risk of reimplantation of PM and electrode are: a child’s weight under 20 kg, an age from 0 to 60 months, the surgical access with implantation of epicardial unipolar electrode with active fixation and abdominal localization. A risky factor regarding the decreased life of PM is also the high threshold of stimulation as well as the high frequency of stimulation. 
Key words: permanent cardiostimulation, implantation, replacement, childhood, weight, electrode – epicardial, endocardial, access, risk factors
Address for correspondence:
I. Kozhuharov, MD, Department of Cardiostimulation to the Clinic of Cardiology; NCH - Sofia, tel. +3592 9217 153 ; e-mail: ivokozhuharov@mail.bg

 

 

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Vol. 6, 2014, № 1

INFECTIOUS DISEASES
REVIEWS

Z. Ruseva-Slavyanova, R. Gergova and I. Mitov. Virulence and antimicrobial susceptibility of Streptococcus pyogenes -- actual state of the problem - Detski i infectsiosni bolesti, V. 6, 2014, No1, 22-33. (Abstract)

V. Doycheva, Y. Mitova, N. Chumak and S. Angelova. Epidemiological characteristics and surveillance of Salmonellosis and Shigellosis in Europe (2011-2012) - Detski i infectsiosni bolesti, V. 6, 2014, No1, 34-39. (Abstract)

T. Petkova. Varicella -- surveillance and vaccine prophylaxis - Detski i infectsiosni bolesti, V. 6, 2014, No1, 40-44. (Abstract)

 

 

Virulence and antimicrobial susceptibility of Streptococcus pyogenes -- actual state of the problem - Detski i infectsiosni bolesti, V. 6, 2014, No1, 22-33.
Z. Ruseva-Slavyanova, R. Gergova and I. Mitov

Department of Medical Microbiology, Medical Faculty, Medical University -- Sofia
Summary: Streptococcus pyogenes is an agent with an actual role in contemporary infectious pathology but with still insufficiently investigated mechanisms of pathogenicity. Its rich and complex set of virulence factors is an object of intensified studies in the past years with the aim to develop typing methods and epidemiological markers. Increasing macrolide resistance as an indirect virulence factor requires following and investigation of the mechanisms with positive effect on clinical practice and therapy of streptococcal infections. The introduction of vaccines against Streptococcus pneumoniae and Haemophilus influenzae provides a niche for growth of S. pyogenes in the nasopharynx and additionally leads to an increased incidence of streptococcal infections.
Key words: Streptococcus pyogenes, infections, virulence factors, resistance
Address for correspondence: Z. Ruseva-Slavyanova, Department of Medical Microbiology, Medical Faculty, Medical University -- Sofia, 1 Sv. G. Sofiisky Str, 1431 Sofia.

 

 

Epidemiological characteristics and surveillance of Salmonellosis and Shigellosis in Europe (2011-2012) - Detski i infectsiosni bolesti, V. 6, 2014, No1, 34-39.
V. Doycheva, Y. Mitova, N. Chumak and S. Angelova
Department of Epidemiology, Medical University -- Sofia
Summary: Salmonellosis is a zoonosis -- a disease or infection that can be transmitted directly or indirectly between animals and humans. Usual symptoms of human Salmonellosis include fever, diarrhoea and abdominal cramps. In foods, it is most frequently found in eggs and meat from chickens. It can spread to humans through contaminated foods. Safe handling of raw meat and other raw food ingredients, thorough cooking and good kitchen hygiene can prevent or reduce the risk posed by contaminated food. Salmonellosis continues to be most commonly reported gastrointestinal infection and important cause of food borne outbreaks in the EU/ EEA. In 2011, the confirmed case rate of Salmonellosis was 20.4 cases per 100 000 population in the EU/EEA. Shigellosis is caused by Shigella bacteria, which includes several species pathogenic to man, with humans as the main reservoir. Transmission occurs by the oral-faecal route, either directly person to person or spread via contaminated food or water. The infective dose may be very low. More recently, sexual transmission among males that have sex with males has become a more common cause of outbreaks in several countries. Prevention measures are based on good general food and waste hygiene and proper hand-washing. In 2011, the confirmed case rate of Shigellosis was 1.61 per 100 000 population in Europe.
Key words: Salmonellosis, Shigellosis, epidemiological outbreak, epidemiological surveillance
Address for correspondence: V. Doycheva,M.D., Department of Epidemiology, Medical University -- Sofia
e-mail: v.doycheva@abv.bg

 

 

Varicella -- surveillance and vaccine prophylaxis - Detski i infectsiosni bolesti, V. 6, 2014, No1, 40-44.
T. Petkova
Department of Infectious Diseases, Epidemiology, Medical Parasitology and Tropical Medicine, Medical University -- Pleven
Summary: Varicella is an acute respiratory antroponosis taking a leading position in the acute infectious pathology in Bulgaria. The summarized data of EUVAC.NET аnd National Center of Public Health and Analysis about epidemiological surveillance of varicella in Europe and Bulgaria are presented. The current recommendations of WHO, ECDC and CDC on vaccine prophylaxis of the disease are considered.
Key words: varicella, surveillance, varicella vaccine
Address for correspondence: T. Petkova,M.D., Department of Infectious Diseases, Epidemiology, Medical Parasitology and Tropical Medicine, Medical University -- Pleven, e-mail: tanja_1973@abv.bg

 

 

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Last update: 21.05.2015