Diagnostics of pneumonia in preterm infants of the breast-feeding and the pre-preschool period of the life in the practice of family doctor

  • O. V. Lysunets National Pirogov Memorial Medical University, Vinnytsya
  • N. V. Didyk National Pirogov Memorial Medical University, Vinnytsya
Keywords: preterm infants; clinical determinants; pneumonia; а family doctor

Abstract

Diseases of the respiratory system are important causes of children’s morbidity. That is why we suggest that the spreading of the clinical experience is helpful for the pediatric community to improve the practical skills and theoretical knowledge of the physicians. The article describes clinical and anamnestic peculiarities of run of period of the breast-feeding age and pre-preschool age at a preterm newborn with a small body weight at birth with a period of gestation of  32–36 weeks  and  infants of 38–40 weeks of gestation. Taking into account the anatomical and functional features of premature infants, they need of a multidisciplinary approach in order to care and treat them. The important anamnestic determinants that can point possible the later complication  are the interrupted pregnancy and incompetent pregnancy, harmful habits (the active and pasive smoking) of gravids and their infectious diseases (kidney disorders) and no-infectious diseases like diabetes mellitus and arterial hypertension. Actually, a physician has to know many various combinations of symptoms and syndromes, which are characteristic for the preterm infants. The article includes clinical and anamnestic patterns of motion of pneumonia in infants with a period of gestation of 32–36 weeks in the breast-feeding and the pre-preschool period of the life. The important clinical determinants that can be used for diagnostic search of family doctor have been determined. The changes in organs and systems associating with development of pneumonias in the preterm infants have been displayed. The most important the clinical determinants of development of pneumonia are the artificial feeding, the violation of feeding and composition of food, disturbance of respiration, the smoking, hyperplasia of the thymus. The main idea of our article is that the most cases of morbidity premature infants depends on immature of internal organs, immune system and development of the infection complication. The main “take-away lessons” are that premature infants should  be observed a long time after disease. Conclusions: premature infants need a multidisciplinary approach in order to care and treat them.

 

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References

1. Bulat L. M., Lisunec' O. V. Postnatal'nij ontogenez lіmfocitarno-granulocitarnogo rostka krovі u dіtej z maloyu masoyu tіla pri narodzhennі //Aktual'nі pitannya laboratornoі dіagnostiki ta medicini s'ogodennya: Zb. materіalіv vseukr. nauk.-prakt. konf. – 2016. – S. 43–45.
2. Karakushikova A. S., Rahimova K. V., Abdulaeva G. M. Osobennosti immunnogo statusa nedonoshennyh detej s perinatal'noj patologiej v rannem neonatal'nom periode // Pediatriya. – 2012. – Vyp. 91, № 1. – S. 20.
3. Lisunec' O. V. Osoblivostі іmunnogo statusu u nedonoshenih novonarodzhenih visokogo perinatal'nogo riziku // Vіsn. Vіnnic. nac. un-tu. – 2012. – Vyp. 16, № 1. – S. 74–77.
4. Marushko Yu. V., Shef G. G. Pnevmonіya // Dityachij lіkar. – 2016. – Vip. 46, № 1. – S. 5–25.
5. Majdannik V. G. Suchasnі klіnіchnі nastanovi dіagnostiki і lіkuvannya pnevmonіj u dіtej. – K., 2013. – S. 33.
6. Nakaz MOZ Ukraїni № 18 vіd 13.01.2005 r. «Pro zatverdzhennya Protokolіv nadannya medichnoї dopomogi dіtyam za specіal'nіstyu «dityacha pul'monologіya»»
7. Pedіatrіya: Pіdruchnik / Za red. V. V. Berezhnogo. – K., 2013. – C. 207–232.
8. Smіyan O. І., Binda T. P., Dmіtrova Е. V., Suharеva V. A. Suchasnі etіopatogenetichnі ta klіnіko-dіagnostichnі osoblivostі perebіgu gostrih respіratornih vіrusnih іnfekcіj u dіtej // J. of Clin. ta and Experiment. Med. Research. – 2013. – T. 1, № 3. – S. 9–15.
9. Cimbalіsta O. L., Semkovich Ya. V., Semkovich M. Ya. Klіnіko-patogenetichnij diferencіal'nij pіdhіd do dіagnostiki pnevmonії u dіtej rann'ogo vіku, uskladnenoї gnіjno-legenevim ta toksichnim sindromami // Galic. lіkar. vіsn. – 2012. – Vip. 19, № 1. – S. 85.
10. Shcherba Yu. V. Goncharova I. V. Vnebol'nichnaya pnevmoniya v aspekte global'nogo processa poyavleniya novyh i vozvrashchayushchihsya infekcij: novye etiologicheskie, epidemiologicheskie i klinicheskie harakteristiki, priobretenie kategorii sistemnogo infekcionnogo zabolevaniya // Poliklinika. – 2011. – № 1. – S. 215.
11. British Thoracic Society guidelines for the management of community acquired pneumonia in children: update 2011 // Thorax jnl. – 2011. – Vol. 20, N 5. – Р. 598.
12. Harari M., Shann F., Spooner V. et al. Clinical signs of pneumonia in children // Lancet. – 1991. – Vol. 338. – P. 928–930.
13. Mahabee-Gittens E. M., Grupp-Phelan J., Brody A. S. et al. Identifying children with pneumonia in the emergency department // Clin. Pediatr. – 2005. – Vol. 44. – P. 427–435.
14. March M., Sant'Anna C. C. Signs and symptoms indicative of community-acquired pneumonia in infants under six months // Braz. J. Infect. Dis. – 2005. – Vol. 9. – P. 150–155.
15. Revised WHO classification and treatment of childhood pneumonia at health facilities, evidence summaries. – Geneva: World Health Organization. – 2012. – http://www.who.int/maternal_child_adolescent/documents/management_childhood_conditions/en.

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Published
2019-03-26
How to Cite
Lysunets, O. V., & Didyk, N. V. (2019). Diagnostics of pneumonia in preterm infants of the breast-feeding and the pre-preschool period of the life in the practice of family doctor. Likars’ka Sprava, (1-2), 110-116. https://doi.org/10.31640/JVD.1-2.2019(16)
Section
Guide lines for the practitioner