Buy (150 RUB)
Generate QR code
Open Access
Subscription or Fee Access
Errors in the diagnosis and therapy of bronchial asthma in children
https://doi.org/10.21508/1027-4065-2023-68-4-102-XX
Abstract
The analysis of outpatient records of children with bronchial asthma was carried out to identify the timeliness of the diagnosis of bronchial asthma, which showed that the diagnosis was made with a delay of 3.8 years. In children with prolonged persistent cough, repeated acute obstructive bronchitis, bronchophonography revealed latent bronchospasm, the subsequent appointment of preventive anti-inflammatory therapy to these patients made it possible to clarify the diagnosis of bronchial asthma in 58.9 % of cases. Analysis of the register of patients with bronchial asthma revealed the absence of basic therapy in 2/3 of children with a mild persistent course of the disease. The frequency of emergency medical calls and hospitalizations was higher in children with mild bronchial asthma who did not receive control therapy. An analysis of the expenditure of short-acting β2-agonists in 96 children with asthma indicates their excessive use in 50% of patients. Conducting training seminars increased the knowledge of district pediatricians on modern thera-
peutic and diagnostic approaches to bronchial asthma.
About the Authors
M. K. Ermakova
Izhevsk State Medical Academy
Russian Federation
Russian Federation
Izhevsk
L. P. Matveeva
Izhevsk State Medical Academy
Russian Federation
Russian Federation
Izhevsk
S. N. Naidenkina
Izhevsk State Medical Academy
Russian Federation
Russian Federation
Izhevsk
References
1. Bronchial asthma in children: treatment strategy and prevention. National program (fifth edition). Moscow: Original-maket, 2017; 138. (in Russ.)
2. Ermakova M.K., Матveeva L.P., Gaynutdinova R.I., Kapustina N.R., Najdyonkina S.N., Guznishheva L.A. Prevalence of allergic respiratory diseases in school-age children of the Udmurt Republic. Rossiyskiy pediatricheskiy zhurnal 2008; 1: 35–37. (in Russ.)
3. Ermakova, M.K., Matveeva L.P., Kapustina N.R. Current trends in the prevalence of asthma-like symptoms in primary school children. Pediatriya. Consilium medicum 2021; 3: 138–140. (in Russ.) DOI: 10.26442/26586630.2021.2.200990
4. Namazova-Baranova L.S., Ogorodova L.M., Tomilova A.Yu., Deev I.A., Alekseeva A.A., Vishneva E.A. et al. Prevalence of asthma-like symptoms and diagnosed asthma in the population of adolescents. Pediatricheskaya farmakologiya 2009; 6(3): 55–59. (in Russ.)
5. Ministry of Health of the Russian Federation. Statistical information [accessed 21. 09. 2017]. (in Russ.) https://minzdrav.gov.ru/documents/6686-statisticheskaya-informatsiya The link is active on 22. 06. 2023.
6. Global Strategy for Asthma Management and Prevention. Global Initiative for Asthma (GINA); 2014. Global Initiative for Asthma. https://rsmu.ru/fileadmin/templates/DOC/Faculties/LF/gt2/pulmonology/GINA_2014.pdf/ The link is active on 22. 06. 2023.
7. Selroos O., Löfroos A.B., Pietinalho A., Riska H. Asthma control and steroid doses 5 years after early or delayed introduction of inhaled corticosteroids in asthma: a real-life study. Respir Med 2004; 98(3): 254–262. DOI: 10.1016/j.rmed.2003.10.007
8. Ovsyannikov D.Yu. Challenges and errors in the diagnosis and treatment of asthma in children. Medicinskii sovet 2017; 1: 100–106. (in Russ.) DOI: 10.21518/2079–701X-2017–1–100–106
9. Fedorov I.A., Rybakova O.G. Early diagnosis of bronchial asthma in children younger than 5 years. Sovremennye problemy nauki i obrazovaniya 2018; 2: 33–40. (in Russ.) DOI:10.17513/spno.27492
10. Mizernitsky Yu.L. Differential diagnosis and differentiated therapy of acute bronchial obstruction in acute respiratory viral infections in young children. Prakticheskaya meditsina 2014; 9: 82–88. (in Russ.)
11. Fedorov I.A., Rybakova O.G., Stepanov O.G. Diagnosis of bronchial asthma in children who have suffered episodes of acute obstructive bronchitis in pre-school age, based on the results of ten-year follow-up. Chelovek. Sport. Meditsina 2017; 17(1): 28–35. (in Russ.) DOI: 10.14529/hsm170103
12. Brozek G., Lawson J., Shpakou A., Fedortsiv O., Hryshchuk L., Rennie D. et al. Childhood asthma prevalence and risk factors in three Eastern European countries — the Belarus, Ukraine, Poland Asthma Study (BUPAS): an international prevalence study. BMC Pulm Med 2016; 16(1): 11–16. DOI: 10.1186/s12890–016–0172-x
13. Ivanova N.A. Recurrent bronchial obstruction and asthma in children during the first five years of life. Rossiyskiy vestnik perinatologii i pediatrii 2016; 61(5): 64–69. (in Russ.) DOI: 10.21508/1027–4065–2016–61–5–64–69
14. Krasnovsky A.L., Grigoriev S.P., Alexandrov O.V., Loshkareva E.O., Korvyakov S.A., Korotkova E.S. Provocative bronchoconstrictor tests in modern pulmonological practice. RMZH 2014; 4: 41–46. (in Russ.) URL: https://www.elibrary.ru/item.asp?id=21946939&ysclid=lm90vca351726189302
15. Lapshin V.F., Umanets T.R. Criteria and difficulties of diagnosis of bronchial asthma in children. Electronic resource. (in Russ.) http://www.health-ua.org/archives/health/1697.html/ The link is active on 22. 06. 2023.
16. Balabolkin I.I., Bulgakova V.A. Diagnosis of bronchial asthma in children. Farmateka 2016; 4: 27–32. (in Russ.)
17. Diakova S.E., Mizernitskiy Yu.L. New possibilities of the study of respiratory function in children. Rossiyskiy Vestnik Perinatologii i Pediatrii 2018; 63:(4): 79–83. (in Russ.) DOI: 10.21508/1027–4065–2018–63–4–79–83
18. Geppe N.A., Malyshev V.S., Lisicyn M.N., Seliverstova N.A., Podenova T.A. Bronchophonography in the complex diagnosis of bronchial asthma in children. Pul`monologiya 2002; 5: 33–39. (in Russ.)
19. Zaitseva O.V., Murtazaeva O.A. Bronchial asthma in children: modern aspects of therapy. Voprosy` sovremennoi pediatrii 2011; 10(6): 148–156. (in Russ.)
20. Wilson A.M., Dempsey O.J., Sims E.J., Lipworth B.J. A comparison of topical budesonide and oral montelukast in seasonal allergic rhinitis and asthma. Clin Exp Allergy 2001; 31: 616–624. DOI: 10.1046/j.1365–2222.2001.01088.x
Review
For citations:
Ermakova M.K., Matveeva L.P., Naidenkina S.N. Errors in the diagnosis and therapy of bronchial asthma in children. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2023;68(4):102-107. (In Russ.) https://doi.org/10.21508/1027-4065-2023-68-4-102-XX
Views:
502
Email this article 