Strategy for improving the quality of treatment for children with acute respiratory infections
Acute respiratory infections are the most common problem in the paediatric practice, especially in young children: 112,981.86 per 100,000 population at the age of 1-2 years and 106,996.16 per 100,000 population at the age of 3–6 years. Modern features of the etiology of respiratory infections in chi...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Remedium Group LLC
2020-11-01
|
| Series: | Медицинский совет |
| Subjects: | |
| Online Access: | https://www.med-sovet.pro/jour/article/view/5889 |
| _version_ | 1797842216542011392 |
|---|---|
| author | A. I. Safina |
| author_facet | A. I. Safina |
| author_sort | A. I. Safina |
| collection | DOAJ |
| description | Acute respiratory infections are the most common problem in the paediatric practice, especially in young children: 112,981.86 per 100,000 population at the age of 1-2 years and 106,996.16 per 100,000 population at the age of 3–6 years. Modern features of the etiology of respiratory infections in children are represented by associations of pathogens, among which are respiratory viruses, herpes viruses, bacterial pathogens, which makes additional problems in the treatment. On the one hand, the treatment of acute respiratory infections is not such a difficult problem, yet at the same time it is very often ineffective, and a pediatrician has to prescribe additional medications, which leads to polypharmacy and a potential risk of side effects. According to statistics, the number of drugs to be administered to treat ARVI reaches three or more INNs in 70% of cases, which involves the risk of drug-drug interactions and adverse events. For example, administration of two drugs leads to drug-drug interactions in 6% of patients, administration of five drugs increases the frequency of such effects up to 50%, and if a patient administers 10 drugs, this indicator reaches 100% of cases. A modern strategy for improving the quality of treatment of children with acute respiratory infections is to use homeopathic medicines, since they have a complex effect (antiviral, anti-inflammatory, immunomodulatory, etc.), mutually reinforce and complement each other if they are given in combination, and have the maximum therapeutic effect while minimizing the drug load. According to the results of the meta-analysis of 29 clinical studies in 5,062 patients with acute upper respiratory infections, the administration of complex homeopathic medicines has demonstrated a positive result in favour of homeopathy: 6 of 7 RCTs showed that the homeopathic treatment was at least equivalent to the conventional treatment, and 8 of 16 placebocontrolled studies showed advantage of homeopathy. |
| first_indexed | 2024-04-09T16:44:17Z |
| format | Article |
| id | doaj.art-1606ae810814400a9dd194eea4e5328b |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:44:17Z |
| publishDate | 2020-11-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-1606ae810814400a9dd194eea4e5328b2023-04-23T06:56:33ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902020-11-01018222810.21518/2079-701X-2020-18-22-285356Strategy for improving the quality of treatment for children with acute respiratory infectionsA. I. Safina0Kazan State Medical Academy – a branch of the Federal State Budgetary Educational Institution of Additional Professional Education “Russian Medical Academy of Continuing Professional Education” of the Ministry of Health of the Russian FederationAcute respiratory infections are the most common problem in the paediatric practice, especially in young children: 112,981.86 per 100,000 population at the age of 1-2 years and 106,996.16 per 100,000 population at the age of 3–6 years. Modern features of the etiology of respiratory infections in children are represented by associations of pathogens, among which are respiratory viruses, herpes viruses, bacterial pathogens, which makes additional problems in the treatment. On the one hand, the treatment of acute respiratory infections is not such a difficult problem, yet at the same time it is very often ineffective, and a pediatrician has to prescribe additional medications, which leads to polypharmacy and a potential risk of side effects. According to statistics, the number of drugs to be administered to treat ARVI reaches three or more INNs in 70% of cases, which involves the risk of drug-drug interactions and adverse events. For example, administration of two drugs leads to drug-drug interactions in 6% of patients, administration of five drugs increases the frequency of such effects up to 50%, and if a patient administers 10 drugs, this indicator reaches 100% of cases. A modern strategy for improving the quality of treatment of children with acute respiratory infections is to use homeopathic medicines, since they have a complex effect (antiviral, anti-inflammatory, immunomodulatory, etc.), mutually reinforce and complement each other if they are given in combination, and have the maximum therapeutic effect while minimizing the drug load. According to the results of the meta-analysis of 29 clinical studies in 5,062 patients with acute upper respiratory infections, the administration of complex homeopathic medicines has demonstrated a positive result in favour of homeopathy: 6 of 7 RCTs showed that the homeopathic treatment was at least equivalent to the conventional treatment, and 8 of 16 placebocontrolled studies showed advantage of homeopathy.https://www.med-sovet.pro/jour/article/view/5889acute respiratory infectionsviruseschildrenpolypharmacyhomeopathy |
| spellingShingle | A. I. Safina Strategy for improving the quality of treatment for children with acute respiratory infections Медицинский совет acute respiratory infections viruses children polypharmacy homeopathy |
| title | Strategy for improving the quality of treatment for children with acute respiratory infections |
| title_full | Strategy for improving the quality of treatment for children with acute respiratory infections |
| title_fullStr | Strategy for improving the quality of treatment for children with acute respiratory infections |
| title_full_unstemmed | Strategy for improving the quality of treatment for children with acute respiratory infections |
| title_short | Strategy for improving the quality of treatment for children with acute respiratory infections |
| title_sort | strategy for improving the quality of treatment for children with acute respiratory infections |
| topic | acute respiratory infections viruses children polypharmacy homeopathy |
| url | https://www.med-sovet.pro/jour/article/view/5889 |
| work_keys_str_mv | AT aisafina strategyforimprovingthequalityoftreatmentforchildrenwithacuterespiratoryinfections |