• The role of enterovirus infections in the development of exanthematous disease in children: clinical and epidemiological features and the possibilities of drug correction

The role of enterovirus infections in the development of exanthematous disease in children: clinical and epidemiological features and the possibilities of drug correction

SOVREMENNAYA PEDIATRIYA.2017.5(85):19-24; doi 10.15574/SP.2017.85.19

Usachova O. V.
Zaporizhzhia State Medical University, Ukraine

Objective: To study the clinical progression of enterovirus exanthematous diseases in children and to analyze the efficiency of advanced therapy.
Material and methods. The medical records of 29 patients with infectious exanthema and/or enanthema were analyzed. In all patients a complete clinical and laboratory examination at the hospital of the 3rd level of medical care were provided. Enteroviral RNA in patients' faeces by using PCR was investigated. 16 patients as a complex therapy were administered a drug containing hiporhaminum in the form of dry refined extract obtained from the sea buckthorn leaves (Erebra®).
Results. Only in 55.2% of cases suspected of EV-exanthema confirmed the etiology of the disease. The use of the herbal remedy, which is made from sea buck-thorn, had a definite positive effect on the specific symptoms of enterovirus infection exanthema and enanthema. In patients who were administered hiporhaminum, the decreased appetite normalization was observed faster due to the oropharyngeal pain relief. Against the background of the drug intake, the need of oropharyngeal antiseptics, anesthetics, and saline nasal solutions, as well as the duration of rash on the skin, were decreased.
Conclusions. Enteroviruses are common pathogens of diseases with rash and vesicular lesions of the oral mucosa (every second patient is involved). Treatment efficacy of Erebra® in children with enterovirus exanthematous diseases is shown that is manifested in the decreased duration of the main symptoms exanthema and enanthema.
Key words: enterovirus infection, exanthema, enanthema, hiporhaminum, children.

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