ALGORITHM FOR MANAGEMENT OF FREQUENTLY ILL CHILDREN OF EARLY AND SCHOOL AGE

Abstract

Frequently ill children are a category of children exposed to a high incidence of acute respiratory diseases due to transient, correctable disorders in the body's defense systems. The group of frequently ill patients includes children who suffer more than 4-6 episodes of acute respiratory infections per year, which can occur in various clinical forms. Frequently ill children should be examined by a pediatrician, ENT doctor, allergist-immunologist; The diagnostic algorithm includes: CBC, culture from the mucous membranes of the pharynx and nose, detection of infections using PCR, allergy tests, immunogram studies, radiography of the paranasal sinuses and chest. Frequently ill children need sanitation of foci of chronic infection, etiopathogenetic therapy of acute respiratory infections, vaccination and nonspecific prevention.The author provides literature data on the characteristics of the biocenosis of the upper respiratory tract, the immune system, against infectious immunity, including local protection of the respiratory tract (lymphoepithelial pharyngeal system), in children of early and preschool age, causing their higher incidence of acute respiratory infections (ARI). presents a detailed description of frequently ill children (FIC), who are a heterogeneous group of patients (immaturity of the immune system, depletion of the immune system due to frequent recurrence of acute respiratory infections, partial immunodeficiencies, concomitant pathology of ENT organs and allergies, etc.).The author describes the diagnostic and treatment algorithm depending on the child’s belonging to one or another group of acute respiratory syndrome, in particular, the indications and results of the effectiveness of immunostimulating therapy are given.