• Severe bronchial asthma in children: the role of clinical and anamnestic indices in diagnosis verification 

Severe bronchial asthma in children: the role of clinical and anamnestic indices in diagnosis verification 

SOVREMENNAYA PEDIATRIYA.2016.2(74):105-108; doi 10.15574/SP.2016.74.105 

Severe bronchial asthma in children: the role of clinical and anamnestic indices in diagnosis verification 

Kolyubakina L. V., Khilchevs'ka V. S.

HSEIU «Bukovina State Medical University», Chernivtsi, Ukraine 

The paper presents comparative analysis of results of clinical and anamnestic examination of children depending on the asthma severity. Severe asthma in schoolchildren relative to moderate phenotype characterized by birth overweight, more burdened individual allergic history, highly infectious index, drug or combined (medication, food and household) allergies, seasonal exacerbations (mainly from November to March, what associated with the trigger role of ARVI

and meteorological factors), inadequate asthma control during standard basic therapy. 

Key words: children, severe bronchial asthma, clinical and anamnestic indices. 

REFERENCES

1. Astafeva NG, Gamova IV, Udovichenko EN. 2014. Ozhirenie i bronhialnaya astma. Lechaschiy vrach. 4: 25—29.

2. Bezrukov LA, Nechitaylo YuN, Cherevko SA. 1989. Diagnostika i lechenie ostryih pnevmoniy i ORVI, oslozhnennyih BOS u detey rannego vozrasta. Chernovtsyi: 23.

3. Bezrukov LO, Marusyk UI. 2014. Klinichno-anamnestychna kharakterystyka bronkhialnoi astmy u shkilnomu vitsi. Dytiachyi likar. 2: 35—37.

4. Geppe NA. 2013. Bronhialnaya astma u detey. Napravleniya v sovershenstvovanii vedeniya patsientov. Meditsinskiy sovet. 11: 26—32.

5. Globalnaya strategiya lecheniya i profilaktiki bronhialnoy astmyi (peresmotr 2011 g.). Pod red AS Belevskogo. Moskva, Rossiyskoe respiratornoe obschestvo, 2012: 108.

6. Ilina NI, Luss LV, Kurbacheva OM. 2014. Vliyanie klimaticheskih faktorov na spektr i strukturu allergicheskih zabolevaniy na primere Moskovskogo regiona. Rossiyskiy allergologich zhurn. 2: 25—31.

7. Kulikov ES, Ogorodova LM, Freydin MB. 2013. Molekulyarnyie i farmakologicheskie mehanizmyi tyazhYoloy bronhialnoy astmyi. Vestnik RAMN. 3: 15—23.

8. Machulina LN, Belyaeva LM, Matush LI. 1999. Kompleksnaya otsenka sostoyaniya zdorovya rebenka. Ofits izd. Minsk: 52. (Nopmativnyiy dokument Ministerstva Zdravoohraneniya Respubliki Belarus. Metod rekomendatsii).

9. Nenasheva NM. 2013. Vozmozhnosti terapii tyazhYoloy bronhialnoy astmyi. Meditsinskiy sovet.4: 16—26.

10. Pro zatverdzhennia ta vprovadzhennia medyko-tekhnolohichnykh dokumentiv zi standartyzatsii medychnoi dopomohy pry bronkhialnii astmi. Nakaz MOZ Ukrainy vid 08.10.2013 № 868. http://www.moz.gov.ua.

11. Federalnyie klinicheskie rekomendatsii po diagnostike i lecheniyu bronhialnoy astmyi. Rossiyskoe respiratornoe obschestvo. Moskva, 2013: 44.

12. Devulapalli CS. 2007. Birth weight and adult lung function. Thorax. 2: 1016—1017.

13. Fitzpatrick АМ, Teague WG. 2011. Progressive airflow limitation is a feature of children with severe asthma. Journal of Allergy and Clinical Immunology. 127(1): 282—284.

14. Caliskan М, Bochkov YA, Kreiner-Moller Е et al. 2013. Rhinovirus wheezing illness and genetic risk of childhood-onset asthma. N Engl J Med. 368: 1398—1407.

15. Rzehak P, Wijga АН, Keil Т. 2013. Body mass index trajectory classes and incident asthma in childhood: results from 8 European birth cohorts — a Global Allergy and Asthma European Network initiative. J Allergy Clin Immunol. 131: 1528—1536.

Confirm the action on the portal med-expert.com.ua:

The information is intended only for healthcare professionals, persons with higher or secondary specialized medical education. Confirm that you are a specialist in the field of healthcare and are familiar with the user agreement.