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QUESTIONS OF INFLUENZA VACCINATION IN CHILDREN AND
ADOLESCENTS DURING THE COVID-19 PANDEMIC
Ganieva D.K.
Tashkent Pediatric Medical Institute,
Republic Uzbekistan, Tashkent
Introduction.
Among acute respiratory viral diseases, influenza is the most severe infection
in terms of clinical manifestations, frequency of complications and adverse outcomes. During the
COVID-19 pandemic, simultaneous infection of the respiratory tract with influenza viruses and
SARS-CoV-2 can lead to a more severe course of the disease and increase the risk of
complications.
Objective.
To assess the level of awareness and commitment to influenza vaccination
among children's clinic doctors, adolescents and parents of children's clinic patients.
Materials and methods.
An analysis of the questionnaire survey of doctors of the State
Healthcare Institution "Sverdlovsk City Hospital No. 8" (30 people), adolescents (30 people) and
parents of patients of the children's clinic (100 people) in 2022 was conducted.
Results and discussion.
According to the results of the study, the awareness rate about the
inclusion of the influenza vaccine in the National Immunization Schedule of Uzbekistan (NIS)
among doctors of the children's clinic was 97%, while the awareness rates were significantly lower
among parents and adolescents - 33 and 23%, respectively. Adherence to influenza vaccination
among doctors of the children's clinic was 100% and differed significantly among parents and
adolescents - 74 and 63%, respectively. The coverage rate of influenza vaccination among children
in the State Health Institution "Syndrome of the City Hospital No. 8" in 2022 was 66%, including:
among children aged 6 months to 3 years - 10%; among children aged 3 to 6 years - 41%; among
schoolchildren aged 7 to 17 years - 83%; among adolescents studying in vocational schools and
technical schools, aged 15 to 17 years - 12%.
Conclusion.
Children's clinic physicians showed high rates of awareness and commitment
to influenza vaccination; lower rates of awareness and commitment to influenza vaccination were
found among adolescents and parents. During the COVID-19 pandemic, in order to increase the
proportion of children and adolescents vaccinated against influenza, it is necessary to strengthen
health education work among adolescents and parents.
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DYNAMICS OF PHYSICAL DEVELOPMENT OF YOUNG CHILDREN AGAINST
THE BACKGROUND OF OBSTRUCTIVE BRONCHITIS
Ganieva D.K., Karimova D.I.
Tashkent Pediatric Medical Institute,
Republic Uzbekistan, Tashkent
Introduction.
Obstructive bronchitis (OB) is one of the most common causes of
hospitalization in young children. Respiratory diseases are one of the important problems of
pediatrics, since so far, despite the successes achieved, they occupy one of the leading places in
the structure of childhood morbidity - according to official statistics, 50-73%. One indicator of
health status is physical development, which is an important indicator of mental and somatic
health. In domestic and foreign practice, it is customary to determine normal physical development
and deviations from it on the basis of two indicators of div length and mass-growth index (BMI).
The identification of deviations from the standard values of the child's div length and weight,
as well as the BMI characteristic of each age period, is the simplest and most accessible method
for a practical doctor to assess early signs of health problems. On the other hand, approaching the
norm of physical development indicators to a certain age period can be, together with other clinical
and laboratory signs, a criterion for reducing the severity of the chronic disease and the
effectiveness of the treatment.
Objective.
To assess the dynamics of the physical development of children with obstructive
bronchitis from birth to 3 years inclusive, to identify features in comparison with a group of
practically healthy children.
Materials and methods.
The study was conducted among 250 children, young. Two groups
of children were formed: group I - children with OB (73 children, of which 70 (63.6%) boys) and
group II almost healthy children, (107 people, of which 54 (50.5%) boys). The inclusion criteria
in group I were: the presence of OB, frequent relapses of ARVI. The criteria for inclusion in control
group II were the absence of chronic diseases, including respiratory diseases. Anthropometry was
carried out according to the standard method using scales and a rostometer. The construction of
individual trajectories (div weight and length, BMI) examined anthropometric indicators at
discrete periods of life (at birth, at 1 and at 3 years). Statistical processing of the material was
carried out using the application package "Statistica7.0" with the calculation of average values
(M), standard deviations (Std). Differences were considered significant at p < 0.05.
Results and discussion.
At birth, the gestational age in group I (children with OB) and II
(control group) did not differ significantly (p > 0.05). However, div weight and length, BMI of
children with OB at birth had a significantly greater value compared to controls. We found that
children who subsequently developed OB were significantly larger than children from the control
group, in weight and height not only during the newborn period. These differences persisted at 1
