Preview

Medical Immunology (Russia)

Advanced search

RATIONALE FOR A SPECIFIC THERAPY OF CYTOMEGALOVIRUS INFECTION IN CHILDREN WITH BRONCHIAL ASTHMA

https://doi.org/10.15789/1563-0625-2013-3-269-276

Abstract

Abstract. We propose a protocol of treatment in cases of bronchial asthma with cytomegalovirus (CMV) persistence. This basic therapy is administered depending on the disease severity, according to the National Programme 2009. The treatment includes administration of human immunoglobulin, with dosage according on CMV antibodies titers. The study has revealed that such regimen of antibody administration based on the content of anti-CMV antibodies in bronchial asthma treatment stops active CMV replication in bronchial mucous membrane, alleviates clinical course of the disease, diminishes changes of immune system typical to children suffering from bronchial asthma and CMV reactivation, thus allowing to reduce the volume of basic therapy, along with maintaining control of asthma control.

About the Authors

E. N. Suprun
Far Eastern State Medical University, Khabarovsk Branch, Far Eastern Center of Respiratory Physiology and Pathology, Russian Academy of Medical Sciences, Siberian Branch, Research Institute of Mother and Child Care, Khabarovsk
Russian Federation

Assistant Professor, Department of Pediatrics, Faculty of Pediatrics; Allergologist

680021, Khabarovsk, Serysheva str., 74-49. Phone: 7 (4212) 25-76-85



V. K. Kozlov
Far Eastern State Medical University, Khabarovsk Branch, Far Eastern Center of Respiratory Physiology and Pathology, Russian Academy of Medical Sciences, Siberian Branch, Research Institute of Mother and Child Care, Khabarovsk
Russian Federation

PhD, MD (Medicine), Professor, Corresponding Member of the Russian Academy of Medical Sciences, Honored Worker of Science of the Russian Federation, Chief, Department of Pediatrics, Faculty of Pediatrics; Director of Research Institute of Mother and Child Care



References

1. Доклад о состоянии здоровья детей в Российской Федерации // Материалы всероссийской диспансеризации 2002 года. – М., 2003. – 96 с. Doklad o sostoyanii zdorov`ya detey v Rossiyskoy Federatsii [Report on the state of health of children in the Russian Federation]. Materialy vserossiyskoy dispanserizatsii 2002 goda [Proceedings of all-Russian medical examination]. Moscow, 2003. 96 p.

2. Захрауи С. Некоторые внутриклеточные патогены и бронхиальная астма у детей: Автореф. дис. ... канд. мед. наук. – М., 2000. – 24 с. Zakhraui S. Nekotorye vnutrikletochnye patogeny i bronkhial`naya astma u detey. Avtoref. diss. kand. med. nauk [Some intracellular pathogens and bronchial asthma in children. Autoref. Cand. med. sci. diss.]. Moscow, 2000. 24 p.

3. Коровина Н.А. Руководство по использованию иммуноглобулинов для внутривенного введения в педиатрической практике. – М., 2000. – 55 с. Korovina N.A. Rukovodstvo po ispol`zovaniyu immunoglobulinov dlya vnutrivennogo vvedeniya v pediatricheskoy praktike [Manual on the use of immunoglobulin for intravenous injection in pediatric practice]. Moscow, 2000. 55 p.

4. Кузьменко Л. Г. Значение внутриклеточных патогенов в формировании хронических бронхолегочных заболеваний // Детские инфекции. – 2003. – № 1. – C. 71-76. Kuz`menko L.G. Znachenie vnutrikletochnykh patogenov v formirovanii khronicheskikh bronkholegochnykh zabolevaniy [The value of intracellular pathogens in the formation of chronic bronchopulmonary disease]. Detskie infektsii – Child infections, 2003, no. 1, pp. 71-76.

5. Ласица О.И. Охотникова Е.Н. Роль атипичной микрофлоры в патогенезе бронхиальной астмы у детей // Украинский пульмонологический журнал. – 2004. – №1. – С. 84-96. Lasitsa O.I. Okhotnikova E.N. Rol` atipichnoy mikroflory v patogeneze bronkhial`noy astmy u detey [The Role of atypical microflora in the pathogenesis of bronchial asthma in children]. Ukrainskiy pul`monologicheskiy zhurnal – Ukrainian Pulmonology Journal, 2004, no. 1, pp. 84-96.

6. Научно-практическая программа «Бронхиальная астма у детей: диагностика лечение профилактика». – М., 2008. Nauchno-prakticheskaya programma “Bronkhial`naya astma u detey: diagnostika lechenie profilaktika” [The scientific-practical program “Bronchial asthma in children: diagnosis treatment prevention”]. Moscow, 2008.

7. Супрун Е.Н., Козлов В.К., Морозова О.И., Ефеменко М.В. Вляиние персистенции цитомегаловируса на иммунный статус и течение бронхиальной астмы // Медицинская иммунология. – 2011. – Т. 13, № 4-5. – C. 356-357. Suprun E.N., Kozlov V.K., Morozova O.I., Efemenko M.V. Vlyainie persistentsii tsitomegalovirusa na immunnyy status i techenie bronkhial`noy astmy[The value persistence cytomegalovirus on the immune status and course of bronchial asthma]. Meditsinskaya immunologiya – Medical Immunology, 2011, vol. 13, no. 4-5, pp. 356-357.

8. Щуркова Г.В., Почивалов А.В. Инфицированность детей с бронхиальной астмой цитомегаловирусом и возбудителем микоплазмоза // Материалы 12-го национального конгресса по болезням органов дыхания. – М., 2002. – C. 254. Shchurkova G.V., Pochivalov A.V. Infitsirovannost` detey s bronkhial`noy astmoy tsitomegalovirusom i vozbuditelem mikoplazmoza [Infitsirovannost of children with bronchial asthma a cytomegalovirus and the causative agent of mycoplasmosis]. Materialy 12-go natsional`nogo kongressa po boleznyam organov dykhaniya [Materials of the 12th national congress by diseases of respiratory organs]. Moscow, 2002, p. 254.

9. Овчаренко Л.С., Редько И.И., Григорьева Н.П., Волкова Т.Д. Эффективность лечения врожденной цитомегаловирусной инфекции и врожденного таксоплазмоза с применением отечественных специфических иммуноглобулинов // Современная педиатрия. – 2005. – Т. 2, № 7. – С. 178-183. Ovcharenko L.S., Red`ko I.I., Grigor`eva N.P., Volkova T.D. Effektivnost` lecheniya vrozhdennoy tsitomegalovirusnoy infektsii i vrozhdennogo taksoplazmoza s primeneniem otechestvennykh spetsificheskikh immunoglobulinov [Efficiency of treatment of a congenital tsitomegalovirusny infection and congenital toxoplasmosis with application of domestic specific immunoglobulins]. Sovremennaya pediatriya – Modern pediatrics, 2005, vol. 2, no. 7, pp. 178-183.


Review

For citations:


Suprun E.N., Kozlov V.K. RATIONALE FOR A SPECIFIC THERAPY OF CYTOMEGALOVIRUS INFECTION IN CHILDREN WITH BRONCHIAL ASTHMA. Medical Immunology (Russia). 2013;15(3):269-276. (In Russ.) https://doi.org/10.15789/1563-0625-2013-3-269-276

Views: 2022


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1563-0625 (Print)
ISSN 2313-741X (Online)