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Сравнительно заболеваемость детей составила до развития ЭксУ 0,28/10000 (детей в
возрасте 0-14) и через 5 лет ЭксУ 0,31/10000 (p<0,05). В то же время заболеваемость БОД,
из которых более 96% составляли воcпалительные заболевания инфекционной этиологии,
также существенно изменились: заболеваемость гриппом с 3,88 до 14,42 и пневмониями с
5,31 до до 160,12, лишь острыми инфекциями верхних дыхательных путей множественной
и неуточненной локализации (ОРЗ) снизилась (не существенно) с 8367,69 до 8158,54
(p>0,05).
Совершенно очевидно, что подобные изменения заболеваемости не могли не
обусловить увеличения объемов ИмД/ТБ за счет индивидуальной туберкулинодиагностики
с использование только ДСТ на 23,5%, в результате резко увеличив объемы функции
врачебной должности не только врачей педиатрической службы.
Выводы
.
ЭпС по СЗБ и объемы ИмД/ТБ у детей изменяются при ЭксУ с объемами
функции врача педиатрической и других служб здравоохранения.
ASPECTS OF ACUTE RESPIRATORY DISEASES IN CHILDREN
Koshimbetova G. K.
Tashkent Pediatric Medical Institute, Republic Uzbekistan, Tashkent
Introduction.
Acute respiratory infections are the most common in childhood. They
account for about 70% of all morbidity in children. The frequency of ARI depends on the child's
age: it is higher in children of the first 3 years of life due to the peculiarities of the immune function,
anatomical and functional characteristics of the organs and systems of the div, especially the
respiratory organs.
Objective.
To study the epidemiology, clinical and laboratory features of the course of acute
respiratory diseases in children.
Materials and methods.
The 66 medical records of inpatients of children, children's clinical
hospital with acute respiratory diseases were analyzed.
Results and discussion.
The study group consisted of 35 boys (52.2%) and 32 girls
(47.8%). There were 20 children under 3 years of age (29.9%), and 47 children over 3 years of age
(70.1%). There were 43 organized children (64.2%), and 24 unorganized children (35.8%). Among
the acute pathologies of the respiratory tract, bronchitis was the most common - 28.3%, while
obstructive bronchitis accounted for 31.5%. Pharyngitis was the second most common - 3.9%.
Tracheitis - 14.9% and laryngotracheitis - 13.4% were approximately equally common.
Pneumonia accounted for 19.4%, each of which was uncomplicated. Right-sided localization of
the process was 30.8%, left-sided — 23.1%, bilateral — 46.1%. Focal pneumonia was 46.1%,
segmental — 53.9%. Most often, sick children (40.3%) are admitted to hospital on the 2-3 day
from the onset of the disease. On the 4-6 day were admitted 16.4%, after 7 days from the onset of
the disease — 29.8%, only 13.4% were admitted on the 1st day of the disease. The time of
admission largely determines the severity of the general condition. Moderate condition upon
admission was in 68.6% of cases, severe — in 31.4%. The severity of the general condition is
affected by the height and duration of fever. At the outpatient stage, fever was up to 3 days in
46.3%, up to 7 days — in 37.3, over 7 days — in 14.9%. In hospital, fever lasting for 3 days was
observed in 70.1%, up to 7 days — in 28.3%, over 7 days — in 1.5%. In 58.2%, the temperature
fluctuated within 38.5 °C, in
41.8% — above 38.5 °C. In the general blood test, leukocytosis was noted in 58.2% of cases,
neutrophilia was in 79.1% of cases, of which 73.6% were children under 5 years old.
Lymphocytosis was in 19.4%. ESR up to 15 mm/h — in 58.2% of cases, over 15 mm/h — in
41.8% of cases. At the outpatient stage, antiviral drugs (groprinosin, angrimax, aflubin, anaferon,
46
arpetol, interferon) were received by 13.4%. In hospital, all children received antiviral therapy
(kagocel, arpetol, interferon). Antibacterial therapy - 80.6% (ceftriaxone, cefotaxime,
clarithromycin, amoxicillin, macropen).
Conclusions.
The main clinical symptom of acute respiratory diseases is high temperature,
which is the reason for seeking medical care and an indication for hospitalization. The blood
picture corresponds to the nosological form of the disease and, in combination with the clinical
picture, determines the need for antibacterial therapy.
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Шамансурова, Эльмира Аманнулаевна, and Нигора Хикматовна Исаханова. "Частые
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практика 4.S (2019): 606-606.
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Агзамова, Ш. "Артериальная гипертензия у детей: Полиморфизм BsmI (rs1544410) гена
VDR и витамина D." Актуальные вопросы практической педиатрии 1.1 (2023): 17-19.
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ёшдан
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Рамзиддиновна Насирова. "Влияние ингаляционной бактериофаг-терапии на
мукозальный иммунитет ротовой полости у детей с острым тонзиллитом." Инфекция и
иммунитет 13.5 (2023): 939-946.
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CHARACTERISTIC OF THE VENTILATING FUNCTION OF RESPIRATORY IN
CHILDREN, OFTEN AFFECTING ACUTE RESPIRATORY DISEASES
Koshimbetova G. K.
Tashkent Pediatric Medical Institute, Republic Uzbekistan, Tashkent
Introduction.
In recent years, there has been a clear trend in the deterioration of the somatic
health of schoolchildren and youth in the world. Many authors have shown that multiple
recurrences of acute respiratory infections per year weaken the immune system of children, disrupt
the course of metabolic processes. All this is reflected in a decrease in the intensity of age-related
development of the physiological systems of the div, in particular the respiratory system.
Objective.
To study the nature of deviations in the ventilation function depending on the
frequency of diseases of the upper respiratory tract of the lungs in children.
Materials and methods.
We examined children, pupils of the 1st - 6th grades of schools in
Tashkent, among whom were identified all frequently ill (4-5 times a year) acute respiratory
infections. The standard method for examining respiratory function is to record the flow-volume
