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RECURRENT BRONCHITIS AND ITS SAFE
PHARMACOTHERAPY IN CHILDREN
Abdurazakova Sh.A.
Tashkent Pediatric Medical Institute
Khakberdieva G.E.
Tashkent Pediatric Medical Institute
Kasimova Sh.Sh.
Tashkent Pediatric Medical Institute
Uzbekistan, Tashkent
Introduction
Effective and safe pharmacotherapy of recurrent bronchitis in children of
different ages and prevention of its chronicization is important. More than
100 million cases of bronchopulmonary diseases among children are registered
worldwide. Of all pathological conditions, today respiratory diseases account for
more than 50% of the total morbidity in children of different ages. A high increase
in bronchopulmonary diseases is observed especially among children of
preschool and school age, and improper management and self-medication of such
patients can subsequently lead to a protracted and recurrent course of the
pathological process, which acquires medical and social significance.
Recurrent bronchitis is characterized by repeated episodes of acute
bronchitis 2-3 times or more during the year against the background of an acute
respiratory infection. The criteria for diagnosing an acute episode correspond to
the clinical and radiological signs of acute bronchitis
–
clinical data: increased
div temperature, dry cough, sometimes wet, diffuse dry and variable moist rales
in the lungs; X-ray picture: change in the pulmonary pattern without infiltrative
and focal shadows in the lungs.
Material and methods
We studied 20 medical histories of children aged 1.5 to 10 years who were
treated in the pulmonology department with bronchopulmonary pathology at the
TashPMI clinic. Two groups of patients were identified: the first group consisted
of patients with acute bronchitis
–
10 children, the second group
–
patients with
recurrent bronchitis
–
10 children. The general condition of all patients was of
moderate severity, all children had concomitant diseases: ENT diseases (chronic
tonsillitis, chronic otitis media, chronic sinusitis), grade 1-2 anemia,
nasopharyngitis. In both groups, patients received adequate therapy according to
the standard of treatment in compliance with age-specific doses and dosage
regimens, taking into account the severity of the disease. The diagnosis of
recurrent bronchitis was given to patients (10 children), given that they had
repeated bronchitis up to 3
–
4 times a year.
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«Актуальные вопросы практической
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Results
All patients underwent clinical, laboratory, biochemical, and instrumental
studies. The patients were examined by specialized specialists: an ENT doctor and
a cardiologist. All patients are recommended to drink plenty of fluids and eat a
diet rich in protein and vitamins; physiotherapeutic procedures in the form of
exercise therapy, inhalations with drugs, chest massage. Pharmacotherapy
included 3rd generation cephalosporin antibiotics: ceftriaxone in 65% of cases
and 1st generation cefazolin in 35% of cases in the appropriate dose parenterally
(intramuscular and intravenous). Patients with bronchial obstruction and
concomitant allergic diseases received antihistamines in the form of suprastin
solutions intravenously and intramuscularly, and orally Diazolin tablets.
According to indications, bromhexine was prescribed in tablets or syrup form. If
the div temperature rises above 38 degrees, ibuprofen syrup or a lytic mixture
is prescribed. At the end of the course of treatment, sick children were discharged
home under the supervision of a local doctor in satisfactory condition with
normalization of laboratory and instrumental data on days 8
–
10.
Conclusions
Thus, analysis of pharmacotherapy based on medical histories for the
pathology of bronchitis in children, recommended cephalosporin antibiotics and
antihistamines, drinking plenty of fluids, eating a diet rich in protein and vitamins,
physiotherapeutic procedures in the form of exercise therapy, inhalations with
drugs, chest massage gave a positive effect and they can help prevent relapse and
progression of the disease into a chronic form.
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