Open AccessFrequently ill children: has everything been resolved?
Author(s) -
А Л Заплатников,
А.А. Гирина,
Э. Э. Локшина,
И. В. Леписева,
И. Д. Майкова,
О. А. Кузнецова,
А. С. Воробьева,
Л. В. Гончарова,
Natalia F. Dubovets
Publication year - 2018
Publication title -
medicinskij sovet
Language(s) - English
Resource type - Journals
eISSN - 2658-5790
pISSN - 2079-701X
DOI - 10.21518/2079-701x-2018-17-206-214
Subject(s) - medicine , intensive care medicine , epidemiology , disease , respiratory system , pediatrics , psychiatry , pathology
The article presents an analysis of causes of recurrent respiratory infections in children. The special attention is drawn to the need for improvement of the epidemiological, anamnestic, social and other data to clarify the causes and provoking factors for increased respiratory morbidity. It has been shown that allergic diseases, immunodeficiency states, persistent herpetic infections, functional gastrointestinal disorders, etc. are often hidden.under the mask of “frequently ill children”. This determines the importance of a detailed assessment of clinical manifestations of each episode of the disease and the correct interpretation of examination results for the timely diagnosis specification. It was proposed to move from targeting the “frequently ill children” group to nosological verification, which have a high level of respiratory morbidity. It has been proved that early arriving at a diagnosis makes it possible to timely prescribe etiopathogenetic therapy, which significantly increases the effectiveness of treatment. The article presents an analysis of clinical studies of the effectiveness and safety of OM-85 immunomodulator of bacterial origin in children with recurrent respiratory diseases.