FEATURES OF THE CLINICAL COURSE OF RECURRENT ACUTE RESPIRATORY DISEASES ON THE BACKGROUND OF LYMPHADENOID HYPERTROPHIA IN PRESCHOOL CHILDREN
DOI:
https://doi.org/10.11603/24116-4944.2024.1.14758Keywords:
children, recurrent respiratory diseases, lymphadenoid hypertrophy, clinics, diagnosis, rhinosinusitis, cough, hyperthermiaAbstract
The aim of the study - to study the features of the clinical course of Recurent Respiratory Diseases (RRD) depending on the presence or absence of Concomitant Lymphadenoid Hypertrophy (CLH) in preschool children.
Materials and Methods. The subjects of the study were children aged 3–6 years with repeated episodes (6 or more within a year) of RRD in the anamnesis, who sought medical help for another episode of respiratory disease. The children were divided into 2 groups of 30 children each, depending on the presence of CLH. 20 physically healthy children who had less than 6 episodes of acute respiratory distress syndrome in the past year were included in the control group. The frequency and duration of episodes of acute respiratory disease during the last 12 months were studied retrospectively based on the analysis of medical records with the determination of the resistance index; the nosological spectrum of previous lesions of the respiratory tract, the development and characteristics of complications were analyzed. Regarding the current episode, the duration and severity of the main symptoms of acute respiratory disease, the volume of applied symptomatic and antibacterial therapy were evaluated in all children.
Results and Discussion. It was established that young children with RRD and background CLH had a greater average number and duration of respiratory episodes and a decrease in the resistance index. Among the nosological forms, post-viral rhinosinusitis and acute bronchitis prevailed in such children, and pneumonia was diagnosed probably more often than in children of the control group. At the same time, bacterial complications requiring antibiotic therapy were more often observed in children with CLH. The analysis of the main symptoms of acute respiratory syndrome showed that their duration and severity in children with CLH was probably greater compared to the control group, and such symptoms as the duration of cough and difficulty in nasal breathing bothered the children of this group significantly longer compared to children without concomitant lymphadenoid hypertrophy.
Conclusions. Lymphadenoid hypertrophy has an adverse effect on the health of preschool children, contributes to more frequent recurrence of respiratory pathology, increases the severity and duration of the main symptoms of the disease.
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