Pryimenko N, Koval T, Kotelevska T, Bodnar V, Syzova L, Marchenko O. HEPATITIS A. THE FEATURES OF DISEASE COURSE IN ADULTS.
WIADOMOSCI LEKARSKIE (WARSAW, POLAND : 1960) 2023;
76:2572-2578. [PMID:
38290019 DOI:
10.36740/wlek202312104]
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Abstract
OBJECTIVE
The aim: To analyze the incidence of Hepatitis A in Ukraine and Poltava region and to study the clinical and epidemiological features of the course of Hepatitis A in adult patients.
PATIENTS AND METHODS
Materials and methods: The course of HA in 96 hospitalized patients was analyzed. The diagnosis of HA was established on the basis of clinical and epide¬miological data and confirmed by the results of laboratory studies (serological and molecular biological).
RESULTS
Results: In 2019, in the Poltava region, there was an increase in the incidence of Hepatitis A with a predominance among sick people of working age, among the urban population. This part of people aged from 60 to 75 years old constitutes 9.4%. This study showed that the waterway was the dominant way of HA transmission. The course of the disease in most hospitalized patients was typical and cyclic, with a predominance of a mixed variant of the pre-jaundice period and jaundice. One third of patients survey that they had fever, which persisted with jaundice.
CONCLUSION
Conclusions: The findings of this study indicates that the patients older than 40 years were more likely to have concomitant chronic pathology than younger patients, and Hepatitis A was more severe with the development of prolonged cholestasis, wave-like course and recurrence. In most patients under the age of 40, the course of Hepatitis A was mild, but splenomegaly and severe cytolytic syndrome were more common.
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