Pokrovskiĭ V I, Solodovnikov Iu P
Zh Mikrobiol Epidemiol Immunobiol. 1978 Feb(2):101-6.
The authors present the elaborated and formed epidemiological theory ("conformity theory") according to which the etiological structure of dysentery is determined by the etiological selectivity of the main (primary) waves of transmission of the infection differing in various nosological forms of dysentery. In Grigoriev-Shiga dysentery the domestic way of the spread of infection plays the main role, in Flexner and Newcastle dysentery--the water way, and in Sonne dysentery--the food way (particularly through the milk). Evolution of the etiological structure of dysentery serves as the reflection of evolution of the principal ways of transmission. The complex of prophylactic and antiepidemic measures in individual noslogical forms of dysentery should be differentiated and be directed in epidemiological sense to the neutralization of the corresponding main (primary) way of transmission of the infection.
作者们提出了详尽且成型的流行病学理论（“整合理论”），根据该理论，痢疾的病因结构由痢疾不同病种感染主要（原发性）传播途径的病因选择性所决定。在格里戈里耶夫-志贺痢疾中，感染传播的家庭途径起主要作用；在弗莱克斯纳和纽卡斯尔痢疾中，水传播途径起主要作用；而在宋内痢疾中，食物传播途径（尤其是通过牛奶）起主要作用。痢疾病因结构的演变反映了主要传播途径的演变。针对痢疾各个病种的预防和防疫措施组合应有所区别，且从流行病学意义上讲，应旨在消除相应的主要（原发性）感染传播途径。
