ANALYSIS OF THE EFFECTIVENESS OF THE PREVENTION OF DISEASES OF THE UPPER RESPIRATORY TRACT IN CHILDREN IN THE PUBLIC AND PRIVATE HEALTH SECTOR OF THE MOSCOW REGION

Author(s):  
Oleynik A.V. ◽  
Mushnikov D.L. ◽  
Sadovnikova N.A.

The relevance of the research topic is determined by the high prevalence of diseases of the upper respiratory tract in children. The purpose of the study: to assess the effectiveness of the prevention of upper respiratory diseases in children in the public and private health sector. The analysis of morbidity by circulation and primary morbidity of children in the Moscow region and the city of Ramenskoye as a whole and by class "Respiratory diseases" is carried out. The material of the study is based on the analysis of the primary documentation of the children's polyclinic and the private children's medical center in Ramenskoye, Moscow region. Differences between public and private medical organizations were established: the number of episodes of upper respiratory tract diseases in the observation of children in a state medical organization is 1.4 times higher than in a private medical organization (3.8, against 2.8); the duration of episodes of diseases of the upper respiratory tract per 1 observed child per year in a state medical organization is 39.0% higher than in a private medical organization; the average duration (exacerbation) of the case of diseases of the upper respiratory tract in children in the state medical organization is 2 times higher than when observed in a private medical organization, which is associated with the use of modern treatment technologies and an individual approach. When analyzing the preventive work of children's polyclinics, it was revealed that in the context of the region there are significant fluctuations in the volume of visits made for the purpose of rehabilitation. At the same time, the share of those in need of rehabilitation from the number of those examined in the order of planned rehabilitation amounted to 65.7% in the region, in the city of Ramenskoye 65.4%. Satisfaction of this need was noted at the level of 60.6% in the region, in the city of Ramenskoye 72.3%. The results of the study showed the need to study the factors that determine the high incidence of children with diseases of the upper respiratory tract.

2010 ◽  
Vol 8 (2) ◽  
pp. 197-199 ◽  
Author(s):  
Amilton Mouro ◽  
Luci Black Tabacow Hidal ◽  
Marines Dalla Valle Martino ◽  
Jacyr Pasternark

ABSTRACT Objective: To evaluate the prevalence of pathogens in the upper respiratory tract according to age at a tertiary care hospital in the city of São Paulo. Methods: A total of 6,144 biological material tests from upper respiratory airways were analyzed: 740 bacterial cultures, 726 virus screenings and 4,678 rapid tests for S. pyogenes. Results: The most frequently found etiological agent was respiratory syncytial virus (29.6%; 215/726). The main agents detected per age groups were: respiratory syncytial virus (25.34%; 184/726) in patients aged 28 days-3 years; S. pyogenes (9.5%; 70/740) in 3-12 year-old children; influenza virus (8.8%; 64/726) in adults (18-59 years). Conclusions: The etiologic agents of upper respiratory infections vary according to age and imply diverse clinical and therapeutic management.


2020 ◽  
Author(s):  
Guixian Wu ◽  
Susu He ◽  
Qian Chen ◽  
Lin Ling ◽  
Shuangquan Yan ◽  
...  

Abstract Background: An acute respiratory disease, caused by a novel coronavirus (SARS-CoV-2, previously known as 2019-nCoV), the coronavirus disease 2019 (COVID-19), has spread throughout China and received worldwide attention. After nearly 2 months efforts by the Chinese government and people from all walks of life, the epidemic in China has gradually been controlled. The awareness of the disease has gradually increased. We have detected the SARS-CoV-2 gene in the patient's sputum, throat swabs and feces, blood and even urine samples, but whether the SARS-CoV-2 RNA is detected in the upper and lower respiratory tracts and the extrapulmonary age is unknown.Methods: We collected data from 146 patients admitted to the Public Health Center of Taizhou Hospital, Zhejiang University, China from January 23, 2020 to March 11, 2020, and confirmed the diagnosis of new-type coronavirus pneumonia by RT-PCR. The final selection was made after screening. For a total of 134 confirmed patients, we collected their clinical data and sputum, nasopharyngeal swabs or throat swabs, fecal nucleic acid test results, and calculated the age of each specimen.Results: A total of 134 confirmed patients were included in the study; of them, 93 were of the common type, and 41 were critically ill. There were no significant differences between males and females, P = 0.853) and their epidemiological history (P = 0.441). The average age of severe patients was 55.85 ± 13.28 years, which was higher than that of common patients at 44.06 ± 12.86 years (P = 0.00). The results showed that the time of SARS-CoV-2 RNA in the upper respiratory tract was 15.1 ± 7.23 days for common patients and 20.56 ± 6.59 days for severe patients, which was longer than that of common patients (P = 0.00). The time of SARS-CoV-2 RNA in the lower respiratory tract was 27.45 ± 10.06 days for common patients and 29.78 ± 10.11 days for severe patients. There was no statistical difference (P = 0.328); SARS-CoV-2 RNA existed in the digestive tract. The time was 22.6 ± 7.69 days for common patients and 27.24 ± 7.86 days for severe patients, which was longer than that of common patients (P = 0.01). SARS-CoV-2 existed for a shorter time in the upper respiratory and digestive tracts than in the lower respiratory tract.CONCLUSION: SARS-CoV-2 is present in the lower respiratory tract for longer than the upper respiratory and digestive tracts, and there were no statistical differences in the lower respiratory tract between common and severe patients.


2019 ◽  
Vol 9 (1) ◽  
pp. 71
Author(s):  
Sebastianus Adi Santoso Mola ◽  
Nelci D. Rumlaklak ◽  
Ni Putu Dana Prityaningsih

Acute Respiratory Infection (ARI) is a disease caused by infections of the respiratory tract, larynx, pharynx, sinuses and nose. ARI often causes death because the sufferer who comes for treatment is underestimated is already suffering from severe ARI. In 2013 to 2015 ARI was one of the ten most common illnesses in the city of Kupang, where ARI ranked first, followed by other diseases of the upper respiratory tract and grastitis. This study produced an expert system to diagnose ARI using the Variable Centered-Rule System method which functions to facilitate knowledge development and Dempster-Shafer Theory which serves to overcome uncertainty by entering the density of each symptom of ARI in the system. The VCIRS method is a method of building knowledge and inference strategies on expert systems. This method is rigid in accommodating changes in inference strategies except for changes in knowledge structures. This study aims to make the VCIRS method dynamic in an inference process where the sequence of variables in inference is determined by the occurrence and density of the variable. System accuracy by using medical record data of 95% with the triggering sequence of symptoms becoming dynamic every time a consultation session occurs.


1970 ◽  
Vol 3 (2) ◽  
pp. 265-276 ◽  
Author(s):  
Jack D. Clemis ◽  
Eugene L. Derlacki

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