V.I. Grodzinskiy

Acute uncomplicated infections of urinary tracts. Cystitis as precondition for pyelonephritis: epidemiologic specificity by territorial features

The work presents the results of the analyzed epidemiologic situation concerning the incidence rate of acute cystitis (AC) among different levels of population (all adults, teenagers, able-bodied, those above able-bodied age, urbanites, ruralists) in Ukraine as a whole and in the Western Region in which 30% of all its administrative territories are concentrated, and the fifth part from the whole quantity of population of the country live and also in Kyiv which is of interest both from the point of view of the aged structure of persons living there and from medical assurance and its availability. The retrospective review (2004-2013), based on the official statistical data, included the rates of morbidity, the specific feature was determination of two 5-year periods which helped to assign not only dynamics of changes in phenomena but also the intensity of changes. There were retraced the territorial specificities. The tendencies of morbidity levels were found to be close over Ukraine as a whole and in the Western Region. With the exception of teenagers, the growth of findings during the first 5 years (2004-2009) yields to the drop during the next (2020-2013) more slowly among the able-bodied population. It was confirmed that the most vulnerable category of population is girls and women > 18 years; in the total number of patients of this category they present 82.5% and 81.4% over Ukraine as a whole and 79.0% and 78.9% in the Region. There has been proved the necessity to monitor the corresponding indices not only over Ukraine but also in the separate administrative territories and the possession of the results of such monitoring can be the base for substantiation and development of clinical organizing measures aimed at the prophylaxis of acute cystitis and with this to preserve the health of population and, in particular, in women of reproductive age.