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УДК: 614.1:613.12 DOI:10.33920/med-08-2012-08

Incidence assessment of skin and subcutaneous tissue diseases in cadets studying in the Kaliningrad anclave

Rakhmanov Rofail’ Salykhovich PhD in Medicine, Professor, Professor at the Department of Hygiene, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 10/1 Minina i Pozharskogo square, Nizhny Novgorod, 603950, e-mail: raf53@mail.ru, https://orcid.org /0000-0003-1531-5518
Bogomolova Elena Sergeevna PhD in Medicine, Professor, Head of the Department of Hygiene, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 10/1 Minina i Pozharskogo square, Nizhny Novgorod, 603950, e-mail: olenabgm@rambler.ru, https://orcid.org/0000-0002-1573-3667
Tarasov Andrei Viacheslavovich PhD Candidate in Medicine, Associate Professor at the Department of Fundamental Medicine, Immanuel Kant Baltic Federal University; Kaliningrad, 236016, e-mail: drup1@yandex.ru, https://orcid.org/ 0000-0001-5749-1216
Razgulin Sergei Aleksandrovich PhD in Medicine, Associate Professor, Head of the Department of Emergency Medicine, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 10/1 Minina i Pozharskogo square, Nizhny Novgorod, 603950; e-mail: kafedramk@pimunn.ru, https://orcid.org / 0000000183562970
Potekhina Natal’ia Nikolaevna PhD in Medicine, Professor, Professor at the Department of Hygiene, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation; 10/1 Minina i Pozharskogo square, Nizhny Novgorod, 603950, e-mail: nn-potechina@yandex.ru, https://orcid.org/0000-0001-6519-5513

Some features were revealed when the incidence of nosological forms of skin and subcutaneous tissue diseases of class «skin and subcutaneous tissue diseases» was analyzed in cadets of two higher military educational institutions in the Kaliningrad anclave for 2012–2017. Diseases of only three groups were registered: skin and subcutaneous tissue infections; dermatitis and eczema; other skin and subcutaneous tissue diseases. The first group accounted for 80.4–73.4 %; the second — 18.2–20 %, the third — 1.4–5.8 %. The level and duration of the first group’s prevalence over the second one was 4 years for cadets at University No.1, and 3 years at University No.2. The leading diseases were pyoderma (in University No.1–120.9 ± 5.6‰, University No.2–42.5 ± 4.3‰), skin abscess, furuncle and carbuncle (University No.1–40.2 ± 3.4‰, University No.2–15.2 ± 2.6‰). The incidence of pyoderma prevailed over abscess, furuncle and carbuncle in each university in cadets of the first three years. Pyoderma was recorded significantly less often at University No.1 in each training year from 1st to 4th. Abscess, furuncle and carbuncle were recorded in the 1st year more often than in the 2nd year; the numbers were equal in the 2nd-4th years, and they were only recorded significantly less frequently in the 5th year than in previous ones. The incidence of pyoderma was equal at university No.2 in cadets of 1st-2nd years, it was recorded 2.8–4.4 times less often in 3rd-5th years. Abscess, furuncle, and carbuncle were recorded without significant differences in training years. Differences in the skin and subcutaneous tissue infection incidence among cadets of the two universities indicated the presence of specific health risk factors. That determines further retrospective studying and full-scale (microbiological, immunological, etc.) testing.

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Skin and subcutaneous diseases were the 18th leading cause of global DALY in the Global Burden of Disease ranking in 2013. If we exclude mortality, skin diseases were the 4th most important cause of disability in the world [1]. They pose a serious problem for some countries [2, 3].

The incidence of skin and subcutaneous tissue diseases is high among students of the Kaliningrad anclave: they ranked 2–3 in ICD10 structure in 2012–2017 [4, 5].

The study aimed to assess the incidence of nosological forms of skin and subcutaneous tissue diseases in students of Kaliningrad anclave.

We analyzed nosological forms of primary skin and subcutaneous tissue diseases under ICD-10 in cadets of two higher military educational institutions in 2012–2017. The levels of incidence per 1 thousand people (‰), structure ( %), and long-term trends were determined. We compared the incidence recorded in each year.

Data on primary incidence were obtained at copying from the medical cards of a patient under ambulatory medical care (file No. 025/u): n1 = 1127, n2 = 671.

The reliability of differences was determined by the Student’s t-test for mean values and mean errors (M ± m). We determined the reliability of differences (d) between the incidence indicators of the given training year with the indicators of the next one. The primary data were processed using the computer program Statistica 6.1.

Three groups of diseases were identified among all the skin and subcutaneous tissue diseases in cadets (Table 1). The share of the group «infections of skin and subcutaneous tissue» (L00‑L08) in each observation object accounted 80.4 and 73.9 %, respectively; the group «dermatitis and eczema» (L20 — L30) — 18.2 and 20.3 %; the group «other skin and subcutaneous tissue diseases» (L80 — L99) — 1.4 and 5.8 %. Hence, the primary incidence was 2.8 and 2.3 times, respectively, greater than the one in University No.2 for the first two groups in University No.1; on the contrary, it exceeded 1.6 times in University No.2 for the third group.

Для Цитирования:
Rakhmanov Rofail’ Salykhovich, Bogomolova Elena Sergeevna, Tarasov Andrei Viacheslavovich, Razgulin Sergei Aleksandrovich, Potekhina Natal’ia Nikolaevna, Incidence assessment of skin and subcutaneous tissue diseases in cadets studying in the Kaliningrad anclave. Санитарный врач. 2020;12.
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