RESPIRATORY CHLAMYDIA INFECTION IN CHILDREN

Abstract

The results of the study of clinical and epidemiologic features of сhlamydia infection in children with bronchopulmonary diseases are given in the article. From 2008 till 2010 two groups of children were examined: the first group consisted of 155 children of the first year of their life, the second group had 1048 children from 1 to 14 years old. With the method of polymerase chain reaction the detection of Chlamydia trachomatis (the first group) and Chlamydophyla pneumonia (the second group) was done in the induced sputum, throat swab and bronchoalveolar lavage. It was found out that Chlamydia trachomatis was the cause of out-patient pneumonia and bronchitis in children of early age in 7-35% of cases in different years. At long, recurrent and chronic diseases of bronchopulmonary system in children at the age from 1 till 14 years old there is Chlamydophyla pneumonia in 0.5-1.8% of cases and it is oftener in children older than 7 (68% of all infected ones). The comparative estimation of clinical, roentgenological, laboratory parameters in children with bronchopulmonary diseases of chlamydial and pneumococcal etiology was done. «Atypical» character of pneumonia caused by Chlamydia and the differences from the most spread pneumococcal pneumonias are presented by slower and gradual development of infection, by increase of before hospital and in hospital stages, and by slow dynamics of roentgenological data.