STATE AND PROSPECTS OF IMPROVING THE DIAG NOSIS OF ACUTE ENTERIC INFECTIONS AT THE PREHOSPITALIZATION STAGE

Comprehensive analysis of the incidence of acute enteric infections (A EI) in Moscow over the period of 1985-1990 was made. The analysis demo nstrated serious drawbacks in the diagnosis of a number of AEI, includ ing alimentary toxicoinfections, salmonellosis, dysentery, typhoid-par atyphoid diseases, Yersinia and Escherichia infections, and in renderi ng timely medical care of the patients at the prehospitalization stage . The analysis also revealed that in all AEI the outpatient and inpati ent diagnosis still did not coincide in too many cases, and the diagno stic errors in recognition of surgical diseases in infectious patients were too frequent. This analysis also showed an increase in the numbe r of cases of untimely hospitalization of AEI patients, which was the cause of severe and prolonged course of diseases and lethal outcomes. To improve the work at the prehospitalization stage, the following rec ommendations were made: to improve professional skills of medical pers onnel at all levels; to introduce differentiated hospitalization of AE I patients, with due consideration of the severity of the case and con comitant diseases and the patient's age; to organize hospital-type tre atment at home, as well as to promote insurance medicine.