actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problems10.29413/ABS.2018-3.4.19actabiomedica-660Research ArticleЭПИДЕМИОЛОГИЯEPIDEMIOLOGYНЕОБХОДИМОСТЬ СОВЕРШЕНСТВОВАНИЯ ЭКСТРЕННОЙ ДИАГНОСТИКИ КЛЕЩЕВЫХ ИНФЕКЦИЙ У ЛЮДЕЙ, ПОСТРАДАВШИХ ОТ УКУСОВ ИКСОДОВЫХ КЛЕЩЕЙ ЗА ПРЕДЕЛАМИ РОССИИNECESSITY TO IMPROVE THE EMERGENCY DIAGNOSTICS OF TICK-BORNE INFECTIONS IN PEOPLE BITTEN BY IXODID TICKS ABROAD OF THE RUSSIAN FEDERATIONДанчиноваГ. А.DanchinovaG. A.

664003, г. Иркутск, ул. Тимирязева, 16, Россия

доктор биологических наук, руководитель лаборатории трансмиссивных инфекций, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека» 

тел. (3952) 33-39-71

 

ul. Timiryazeva 16, Irkutsk 664003, Russian Federation

Doctor of Biological Sciences, Head of the Laboratory of Arthropod-Borne Infections, Scientific Centre for Family Health and Human Reproduction Problems 

tel. (3952) 33-39-71

dan-chin@yandex.ruhttps://orcid.org/0000-0002-6947-5771ЛяпуновА. В.LiapunovA. V.

664003, г. Иркутск, ул. Тимирязева, 16, Россия

кандидат биологических наук, старший научный сотрудник лаборатории трансмиссивных инфекций, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека» 

ul. Timiryazeva 16, Irkutsk 664003, Russian Federation

Candidate of Biological Sciences, Senior Research Officer at the Laboratory of Arthropod-Borne Infections, Scientific Centre for Family Health and Human Reproduction Problems

liapunov.asp@mail.ruhttps://orcid.org/0000-0002-3891-7661МанзароваЭ. Л.ManzarovaE. L.

664003, г. Иркутск, ул. Тимирязева, 16, Россия

лаборант-исследователь лаборатории трансмиссивных инфекций, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека» 

ul. Timiryazeva 16, Irkutsk 664003, Russian Federation

Clinical Research Assistant at the Laboratory of Arthropod-Borne Infections, Scientific Centre for Family Health and Human Reproduction Problems

manzarova89@yandex.ruhttps://orcid.org/0000-0001-6039-0854ЛяпуноваН. А.LiapunovaN. A.

664003, г. Иркутск, ул. Тимирязева, 16, Россия

младший научный сотрудник лаборатории трансмиссивных инфекций, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека»

ul. Timiryazeva 16, Irkutsk 664003, Russian Federation

Junior Research Officer at the Laboratory of Arthropod-Borne Infections, Scientific Centre for Family Health and Human Reproduction Problems

nataly2193@mail.ruhttps://orcid.org/0000-0001-9936-5330СоловаровИ. С.SolovarovI. S.

664003, г. Иркутск, ул. Тимирязева, 16, Россия

младший научный сотрудник лаборатории трансмиссивных инфекций, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека» 

ul. Timiryazeva 16, Irkutsk 664003, Russian Federation

Junior Research Officer at the Laboratory of Arthropod-Borne Infections, Scientific Centre for Family Health and Human Reproduction Problems

keschass@mail.ruПетроваИ. В.PetrovaI. V.

664003, г. Иркутск, ул. Тимирязева, 16, Россия

врач высшей категории, руководитель отделения аллергологии, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека» 

ul. Timiryazeva 16, Irkutsk 664003, Russian Federation

Head of the Allergology Department, Scientific Centre for Family Health and Human Reproduction Problems 

irina_petrova_62@list.ruhttps://orcid.org/0000-0002-8441-3640ХаснатиновМ. А.KhasnatinovM. A.

664003, г. Иркутск, ул. Тимирязева, 16, Россия

кандидат биологических наук, ведущий научный сотрудник лаборатории трансмиссивных инфекций, ФГБНУ «Научный центр проблем здоровья семьи и репродукции человека» 

ul. Timiryazeva 16, Irkutsk 664003, Russian Federation

Candidate of Biological Sciences, Leading Research Officer at the Laboratory of Arthropod-Borne Infections, Scientific Centre for Family Health and Human Reproduction Problems

khasnatinov@yandex.ruФГБНУ «Научный центр проблем здоровья семьи и репродукции человека»Scientific Centre for Family Health and Human Reproduction Problems20182807201834129137Copyright © Данчинова Г.А., Ляпунов А.В., Манзарова Э.Л., Ляпунова Н.А., Соловаров И.С., Петрова И.В., Хаснатинов М.А., 20182018Данчинова Г.А., Ляпунов А.В., Манзарова Э.Л., Ляпунова Н.А., Соловаров И.С., Петрова И.В., Хаснатинов М.А.Danchinova G.A., Liapunov A.V., Manzarova E.L., Liapunova N.A., Solovarov I.S., Petrova I.V., Khasnatinov M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/660Введение

Введение. С каждым годом среди людей, пострадавших от присасываний иксодовых клещей и обратившихся в Центр диагностики и профилактики клещевых инфекций ФГБНУ  НЦ ПЗСРЧ (Иркутск), всё чаще отмечаются факты укусов, произошедшие за пределами  Прибайкалья и даже Российской Федерации. При этом данная категория людей редко  доставляет для исследования клеща или его фрагменты, обычно удаётся провести исследование крови. Особый интерес к этим случаям связан с возможностью  инфицирования этого контингента людей неизвестными и/или новыми патогенами от  клещей других видов. В практическом плане в связи с появлением новых инфекций у  специалистов медицинских учреждений могут возникнуть затруднения в постановке диагноза и лечении таких пациентов.

Цель исследования

Цель исследования: анализ потенциальной опасности инфицирования патогенами, переносимыми иксодовыми клещами за пределами РФ.

Материал и методы

Материал и методы. В статье использована информация электронных баз данных, созданных авторами по материалам обращаемости населения в Центр диагностики и  профилактики клещевых инфекций за 2007 по 2017 гг.

Результаты и обсуждение

Результаты и обсуждение. За 11 лет зарегистрировано 52 присасывания клещей, произошедших в 20 странах, большинство из которых – в восточном полушарии (92,3 %),  три – в США и одно – в Республике Куба. Это исследование свидетельствует о реальной  опасности инфицирования «клещевыми» патогенами людей, выезжающих с туристическими  и деловыми целями в страны Европы, Азии и Америки. Имеется вероятность заражения  населения арбовирусами, бактериями (Borrelia, Rickettsia, Ehrlichia, Anaplasma и  Neorickettsia), простейшими (Babesia) и др.

Заключение

Заключение. Необходимо усовершенствование существующего алгоритма диагностики, профилактики и лечения для людей, пострадавших от присасываний иксодовых клещей за  пределами РФ, с учётом возможности заражения людей «экзотическими» завозными инфекциями.

Introduction

Introduction. Annually, there are several patients attended the Center for Diagnosis and Prevention of Tick-borne Infections in  Irkutsk after bites of ticks that happened outside the Pribaikalye  region or abroad. In such cases, the attacking ticks do not belong to  convenient species that are usual for Eastern Siberia. Consequently,  the spectrum of pathogenic microorganisms transmitted by these  ticks may significantly differ from those that are detected by usual  laboratory tests. Thus, both physicians and laboratory personnel may  have difficulties in proper detection and identification of pathogens as well as in diagnosing and treating of such patients.

The purpose of the study was the analysis of potential risks of human infection with the pathogens that are common in foreign countries outside the Russian Federation.

Material and methods

Material and methods. The article uses information from electronic databases created by the authors during 2007-2017.

Results and discussion

Results and discussion. During 11 years of observations, 52 tick bites were registered in 20 countries, with 48 of them in the Eastern  Hemisphere (92.3 %), three (5.8 %) in the United States and one  (1.9 %) in the Republic of Cuba. The results indicate a real danger of infection by tick-borne pathogens of people traveling as the tourists  and with business purposes to the countries of Europe, Asia and America.

 

 

Conclusion

Conclusion. It is necessary to improve the existing algorithm for diagnosis, prevention and treatment for people bitten by ixodid ticks  outside the Russian Federation, taking into account the possibility of  infection by inconvenient imported infections.

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The authors declare that there are no conflicts of interest present.