scholarly journals Management of children with allergic rhinitis in the practice of a local pediatrician

2021 ◽  
pp. 212-219
Author(s):  
I. V. Koltuntceva ◽  
I. M. Gaiduk ◽  
L. V. Sakhno ◽  
S. V. Bairova
Keyword(s):  
Allergic Rhinitis ◽  
Viral Infections ◽  
Allergic Diseases ◽  
Integrated Approach ◽  
Point Of View ◽  
Diagnosis And Treatment ◽  
Upper Respiratory Tract ◽  
General Pathology ◽  
Respiratory Viral Infections ◽  
Acute Rhinitis

Due to the increase in the weight of allergic diseases in the general pathology of childhood, the diagnosis and treatment of allergic rhinitis in children and the management of these patients at the outpatient stage have not lost their relevance. The period of preschool and school age is characterized by a high frequency of acute respiratory diseases of the upper respiratory tract, especially acute rhinitis, rhinopharyngitis, rhinosinusitis. This daily poses to the district pediatrician the tasks of differential diagnosis of allergic rhinitis and acute rhinitis with a prolonged course. Allergic rhinitis most often does not require hospitalization and, with timely diagnosis, does not lead to serious consequences. It is known that children who are prone to allergies suffer from acute respiratory viral infections more often and more severely than their peers. An integrated approach to the diagnosis and treatment of such children with the participation of an allergist, an otorhinolaryngologist, under the constant supervision of a district pediatrician, the rational use of drug therapy can reduce the duration of the disease, improve the quality of life of the patient.The article presents generalized principles of management of patients with allergic rhinitis from the point of view of domestic and international recommendations, describes in detail the rules of life for children with allergic rhinitis, emphasizes the role of the district pediatrician in teaching parents to ensure a hypoallergenic environment of the child. The authors present a clinical example of the effective use of a combined decognensant and an antihistamine for the treatment of acute respiratory viral infections in a child with allergic rhinitis.

Arguments in favor of the use of modern blockers of H1-histamine receptors for the treatment of patients with allergic rhinitis occurring against the background of acute respiratory viral infection

2021 ◽  
Vol 20 (6) ◽  
pp. 125-135
Author(s):  
A. Yu. Ovchinnikov ◽  
◽  
N. A. Miroshnichenko ◽  
Yu. O. Nikolaeva ◽  
◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Viral Infections ◽  
Adult Population ◽  
Allergic Diseases ◽  
Therapeutic Effects ◽  
Upper Respiratory Tract ◽  
Therapy Regimen ◽  
Nasal Symptoms ◽  
Respiratory Viral Infections

Allergic rhinitis is characterized by a significant prevalence among the adult population. Patients with allergic diseases have a higher sensitivity to pathogens of acute respiratory infection of the upper respiratory tract (ARVI). Inflammation of the mucous membrane of the nasal cavity and paranasal sinuses in such patients is characterized by more pronounced symptoms and greater resistance to therapy. An observational study was conducted at the Department of Otorhinolaryngology of the Moscow State Medical University named after A. I. Evdokimov, during which the effect of modern antihistamines on the severity of nasal and non-nasal symptoms of inflammation was evaluated in patients who were diagnosed with the development of acute respiratory viral infections against the background of seasonal exacerbation of allergic rhinitis. The data of 50 patients divided into two groups were analyzed. In the first group (n = 25), benzhydrylpiperazinylbutylmethylxanthine succinate (Theoritin) was included in the therapy regimen, in the second – cetirizine preparations (n = 5). During the follow-up, each patient underwent a clinical assessment of the severity of nasal and non-nasal symptoms three times (1st, 7th and 14th days of follow-up), and the severity of nasal obstruction was assessed using anterior active rhinomanometry. According to the data obtained, there was a pronounced positive dynamics in both groups, while the clinical efficacy was confirmed by instrumental evaluation data. However, by the 7th day of treatment, the positive dynamics was more pronounced in the group of patients receiving theoritin as part of therapy. The use of modern antihistamines in patients comorbid for allergic rhinitis and acute respiratory diseases has a significant therapeutic effect. Theoritin provides more pronounced therapeutic effects in the early stages, which makes its further study and use of the drug for the treatment of acute respiratory viral infections against the background of allergic rhinitis promising.

scholarly journals The current state of the problem with the diagnosis and treatment of allergic rhinitis in pediatric practice

2021 ◽  
Vol 16 (5) ◽  
pp. 375-383
Author(s):  
T.O. Kruchko ◽  
O.Ya. Tkachenko ◽  
V.V. Sherbak ◽  
I.O. Kolenko ◽  
L.M. Bubyr
Keyword(s):  
Allergic Rhinitis ◽  
Pollen Allergy ◽  
Allergic Diseases ◽  
Individual Characteristics ◽  
Diagnosis And Treatment ◽  
Cochrane Library ◽  
Upper Respiratory Tract ◽  
Pediatric Practice

Among all allergic diseases in pediatric practice, allergic rhinitis is one of the most common pathologies of the upper respiratory tract. This review deals with the problem of modern principles for the diagnosis and treatment of allergic rhinitis in children based on the analysis of literature sources using electronic databases PubMed, Web of Science, MedLine, the Cochrane Library. Allergic rhinitis is an important medical and social problem of our time the importance of which has increased significantly in recent years. The growing number of people sensitized to pollen, the variety of symptoms and the negative impact on the quality of life of patients make pollen allergy one of the major problems in pediatrics. Despite the development of international national protocols and clinical guidelines, in many countries the control of allergic rhinitis in children remains insufficient. Therefore, it is necessary to take into account the individual characteristics of patients, pay attention to both nasal and extranasal symptoms, consider all pathognomonic diagnostic aspects, because the underdiagnosis of this allergic disease leads to inadequate therapy, complications, more severe atopy and reduced quality of children’s life in general. Recently, there is growing evidence of the need for personalized selection of the most effective therapy for allergic rhinitis in children. In-depth study of the pathogenetic role of circadian molecular clock in children with seasonal allergic rhinitis using informative molecular genetic methods may allow characterizing in detail the mechanism of regulation of allergic inflammation of the upper airway mucosa and evaluating the role of circadian genes in the development of allergic diseases, in particular allergic rhinitis. In the future, these studies may become an alternative to improve control over the course of allergy and the organization of a comprehensive monitoring system, development of new strategies for the treatment and prevention of allergic rhinitis in children.

scholarly journals Allergic rhinitis or adenoid vegetations/adenoids. Where is the truth?

2014 ◽  
Vol 11 (1) ◽  
pp. 59-63
Author(s):  
V A Revyakina ◽  
T I Garaschenko ◽  
A M Samohvat
Keyword(s):  
Allergic Rhinitis ◽  
Viral Infections ◽  
Clinical Symptoms ◽  
Specific Ige ◽  
House Dust Mites ◽  
Adenoid Hypertrophy ◽  
Upper Respiratory Tract ◽  
Ige Antibodies ◽  
Specific Ige Antibodies ◽  
Respiratory Viral Infections

Background. Children with frequent acute respiratory viral infections and clinical symptoms of the upper respiratory tract are often prescribed unwarranted surgical treatment. The aim of this study was to assess the allergic reactivity in children with frequent acute respiratory viral infections and obstructed nasal breathing. Methods. The study included 48 children aged from 2 to 7 years old, 29 boys and 19 girls. Clinical examination including anamnesis morby and family anamnesis of allergy, endoscopic examination of the nose and nasopharynx, total and allergen-specific IgE determination were performed. Results. In 87,5% of children with frequent acute respiratory viral infections and previously diagnosed adenoid hypertrophy degree II-III with a block of auditory tube pharyngeal mouths or hypertrophy of adenoid hypertrophy with II degree pipe rollers, pipe tonsils, allergic rhinitis (?) hypersensitivity to house dust mites and in 54,1% to pollen was detected. In 25,0% of children allergen-specific IgE antibodies to food allergens (cow’s milk, nuts, grains, pears) were identified. 33,3% of children had high levels of allergen-specific IgE antibodies to cats and dogs epidermidis. Conclusion. Children with frequent acute respiratory viral infections and nasal obstruction require allergist survey to develop treatment strategies.

scholarly journals New possibilities of elimination-irrigation therapy drugs during the seasonal rise in the incidence of acute respiratory viral infections and influenza

2020 ◽  
Vol 64 (6) ◽  
pp. 110-113
Author(s):  
E. Yu. Radtsig
Keyword(s):  
Trace Elements ◽  
Viral Infections ◽  
Sea Water ◽  
Symptomatic Treatment ◽  
Upper Respiratory Tract ◽  
Treatment And Prevention ◽  
Upper Respiratory ◽  
Respiratory Viral Infections ◽  
Minerals And Trace Elements ◽  
Inflammatory Effect

Various methods and variants of nasal cavity irrigation are one of the most ancient in the treatment and prevention of diseases of the upper respiratory tract. When choosing a remedy for elimination and irrigation therapy, preference is given to preparations based on sea water, containing in its composition minerals and trace elements that cause additional therapeutic effect. A new direction in this type of therapy is the use of drugs containing fucoidans (obtained from brown algae extract). Their immunostimulatory and anti-inflammatory effect can improve the effectiveness of elimination and irrigation therapy in symptomatic treatment of ARVI / influenza and their complications (sinusitis, adenoiditis).

scholarly journals New prospects for local etiotropic treatment of acute respiratory viral infections

2019 ◽  
pp. 105-108
Author(s):  
A. A. Krivopalov ◽  
V. A. Shatalov ◽  
S. V. Shervashidze
Keyword(s):  
Respiratory Tract ◽  
Respiratory System ◽  
Safety Profile ◽  
Viral Infections ◽  
Inflammatory Diseases ◽  
Upper Respiratory Tract ◽  
Positive Experience ◽  
High Efficacy ◽  
Upper Respiratory ◽  
Respiratory Viral Infections

According to WHO, the respiratory system diseases are currently inside the ten most common pathologies. The modern strategy for treating influenza and ARVI gives priority to the antiviral and immunostimulating agents, but the symptomatic drugs, which include preparations based on silver and its compounds, also play an important role. The large positive experience in using silver preparations supported by numerous clinical studies shows their high efficacy and satisfactory safety profile in the treatment of infectious and inflammatory diseases of the nose and upper respiratory tract in children and adults.

scholarly journals Investigation of markers of allergic sensitization and viral infections in children with allergy and asthma

2017 ◽  
Vol 24 (3) ◽  
pp. 145-152
Author(s):  
Rūta Dubakienė ◽  
Vilija Rubinaitė ◽  
Malvina Petronytė ◽  
Indrė Dalgėdienė ◽  
Odilija Rudzevičienė ◽  
...  
Keyword(s):  
Viral Infections ◽  
Allergic Sensitization ◽  
Allergic Diseases ◽  
Developed Countries ◽  
Specific Ige ◽  
High Rate ◽  
Control Group ◽  
Igg Antibodies ◽  
Airway Infections ◽  
Respiratory Viral Infections

Background. Allergic diseases are the most prevalent chronic diseases in the developed countries. It is believed that early allergic sensitization and respiratory viral infections play an important role in the development of allergic diseases and asthma. Methods. The current study investigated the correlation between asthma, allergy, and various markers – allergen-specific IgE, IgG4 and IgA, ECP, IgM, and IgG antibodies against respiratory viruses hRSV and hPIV1-4 – in blood serum samples from 80 children (mean age 5.2 years) recruited from the Lithuanian birth cohort. Children were divided into three groups according to their diagnosis: asthma (n = 25), allergy without asthma (n = 14), and control group (n = 41). Results. Based on retrospective data, airway infections and bronchitis by the age of two years were associated with asthma in later childhood. The presence of IgM and IgG antibodies against hRSV and hPIV1–4 at the age of five years were not associated with asthma and allergy: a high rate of persistent or past respiratory viral infections was revealed in all three groups. Among allergic children, increased levels of allergen-specific IgE and d1-specific IgG4 were determined. Conclusion. The current study provides new insights into the relationships between allergic sensitization and respiratory virus infections in children.

scholarly journals Derivatives of acridone acetic acid in pediatric practice

2019 ◽  
Vol 64 (2) ◽  
pp. 110-116
Author(s):  
A. A. Shuldyakov ◽  
E. P. Lyapina ◽  
V. K. Polyakov ◽  
Yu. B. Barylnik ◽  
O. B. Lisko ◽  
...  
Keyword(s):  
Acetic Acid ◽  
Viral Infections ◽  
Allergic Diseases ◽  
Pediatric Practice ◽  
Tick Borne Encephalitis ◽  
Combined Use ◽  
Respiratory Viral Infections ◽  
Sick Children ◽  
Derivatives Of ◽  
Rotavirus Infections

The article justifies the use of interferon inducers in a clinical practice of pediatrician. The authors isolated a group of derivatives of acridone acetic acid, which effectiveness is associated with the features of pharmacokinetics and pharmacological activity. They demonstrated preventive and therapeutic efficacy of cycloferon in the complex treatment of children with influenza and other acute respiratory viral infections, herpes virus, arbovirus, rotavirus infections, viral hepatitis and tick-borne encephalitis due to its immunomodulatory potency. The article analyzed the use of cycloferon in frequently sick children, patients with allergic diseases, chronic tonsillitis, etc.; also it showed a decrease in the frequency of relapses of both infectious and allergic diseases, the possibility of combined use with other etiotropic and symptomatic drugs.

scholarly journals Acute respiratory viral infections in children

2019 ◽  
Vol 23 (3) ◽  
pp. 19-22
Author(s):  
Irina E. Moiseeva
Keyword(s):  
Respiratory Tract ◽  
General Condition ◽  
Viral Infections ◽  
Clinical Manifestations ◽  
Symptomatic Therapy ◽  
Upper Respiratory Tract ◽  
Child Morbidity ◽  
Upper Respiratory ◽  
Respiratory Viral Infections ◽  
Instrumental Methods

Acute respiratory viral infections in children lead in the structure of child morbidity. The defeat of the upper respiratory tract accompanied by fever and impaired general condition, the main symptoms of acute respiratory viral infections. Diagnosis of most acute respiratory viral infections is based on the assessment of clinical manifestations and does not require the use of specific laboratory and instrumental methods. Modern approaches to treatment are timely and adequate symptomatic therapy.

scholarly journals The treatment of allergic rhinitis improves the recovery from asthma and upper respiratory infections

1995 ◽  
Vol 113 (5) ◽  
pp. 968-972 ◽  
Author(s):  
Willy Sarti ◽  
Lídia Alice Gomes-Monteiro ◽  
Claudia Saad Magalhães Machado
Keyword(s):  
Allergic Rhinitis ◽  
Bronchial Asthma ◽  
Beclomethasone Dipropionate ◽  
Viral Infections ◽  
Respiratory Infections ◽  
Disodium Cromoglycate ◽  
Upper Respiratory Tract ◽  
Asthmatic Children ◽  
Upper Respiratory Infections ◽  
Upper Respiratory

Forty-six asthmatic children with repeated respiratory infections presented symptoms of allergic rhinitis. All patients were treated locally for allergic rhinitis either with disodium cromoglycate or beclomethasone dipropionate. After six months of treatment, 95% of the children showed improvement of allergic rhinitis and 84% improvement of bronchial asthma, as well as fewer infections. We concluded that allergic rhinitis plays an important role in facilitating infections of the upper respiratory tract, and a possible association of rhinitis, viral infections and bronchial asthma is discussed.

Sign in / Sign up

Export Citation Format

Share Document