IMMUNOLOGICAL ASPECTS OF DIAGNOSIS AND TREATMENT OF SICK CHILDREN WITH CHRONIC PURULENT MEDIUM OTITITIS ON THE BACKGROUND OF CHRONIC HEPATITIS
Keywords:
chronic hepatitis, immunogram, cellular and humoral immunity, imunofan, chronic otitis mediaAbstract
The immunograms of 93 sick children with chronic purulent otitis media on the background of chronic hepatitis (39 mesotympanitis and 54 epitympanitis) were studied. A comparative analysis of immunogram indices was carried out depending on the severity of inflammatory changes and the inclusion of imunofan in the therapy regimen. The results of the work showed that in sick children with chronic purulent otitis media against the background of chronic hepatitis, the immunogram reflects the peculiarities of the course of the inflammatory process. Chronic inflammatory process in the temporal bone and surgical trauma sharply suppress cellular and humoral immunity, which prompts the use of immunocorrectors in the scheme of postoperative treatment. The inclusion of imunofan in the therapy scheme allowed to completely normalize the immunogram indices in patients with epitympanitis and to improve the clinical course of the postoperative period.
References
Vlasova, G. V. Features of general and local immunological reactivity in children with chronic otitis media / G. V. Vlasova, L. V. Egorov, A. Yu. Kotov et al. // Cytokines and inflammation. - 2015. - p 4. - pp. 54-56.
Karaulov, A. V. Imunofan: immediate and long-term results of treatment of patients with chronic bronchitis / A.V.Karaulov, S. I. Sokurenko // Medical Market. 1 2012. - No. 34. - pp.21-24.
Lantsov, AA Local immunity and treatment of patients with chronic purulent otitis media / AA Lantsov, NM Khmelnitskaya, EB Endaltseva // News of otorhinolaryngology and logopathology. - 2013. - No. 1. - pp. 3-7.
Lebedev, K. A. Immunogram in clinical practice / K. A. Lebedev, I. D. Ponyakina. -Moscow: Nauka, 2014, p. 1224.
Lawlor Jr., G. Clinical Immunology and Allergology / G. Lawlor Jr., G. Fisher, D. Adelman; ed. G. Lawlor Jr.; per. from English I M .: Practice, 2015, p. 1 806.
Pinegin, P.V. Modern concepts of immunoprophylaxis and immunotherapy of surgical infections / P.V. Pinegin, T.M. Andronova, M.I. Karsonova et al. // Anesthesiology and resuscitation. - 2012. - No. 3. - pp. 61-67.
Pogosov V.S. The effectiveness of combined immunocorrection in the treatment of patients
chronic epitampanitis / V. S. Pogosov, S. D. Polyakova // Bulletin of otorhinolaryngology - 2017. -№ 5. -pp. 12-15.
Pokrovsky, V. I. Imunofan - a regulatory peptide in the treatment of infectious and non-infectious diseases / V. I. Pokrovsky; ed. V.I. Pokrovsky. - M.: Praminko, 2018, p. - 119.
Polyakova SD Dependence of the effectiveness of immunocorrection on blood groups in patients with chronic suppurative otitis media / SD Polyakova, AM Zemskov // Bulletin of otorhinolaryngo-logic. - 2018. - No. 5. - pp. 18-19. |
Totolyan, A. A. Cells of the immune system / A. A. Totolyan, I. S. Freidlin. - SPb. : The science,2001.-231 p.
Freidlin, I. S. How to read an immunogram / I. S. Freidlin // Soros educational journal. - 2017. - No. 7. - pp. 25-30.
Narzullaev N.U. The Incidence of exudative otitis media in HIV-infected children // International Journal BIOMEDICINE (IJBM) USA. - 2012. -No.1. -pp.211-213.
Jonas M. M., Block J. M., Haber B. A. et al. Treatment of children with chronic hepatitis B virus infection in the United States: patient selection and thiacerapeutic options. Hepatoloqy 2018; 52: 2192-2205.
Pawlowska M, Halota W, Swukalska E, Wozniakowska - Gesica. Kups. HBV DNA suppression during en tecavir treatment in previously treated children wich chronic hepatitis. Microbiol Infect. Dis. (2017) 31: 571-574.
The Turkish journal of pediatrics 2014.52: 360-366. Treatment results of chronic hepatitis B in children retrospective study.