More than 7.5 million children worldwide die each year before they reach the age of five. Most of them come from poor communities and live in the poorest countries. These children are more likely than others to suffer from malnutrition and from infectious diseases such as neonatal sepsis, measles, diarrhea, malaria and pneumonia.
Effective strategies for the prevention and treatment of sick children are available, but do not reach them. One reason for this is that medical services are often too far away or too expensive. Medical institutions in these conditions are often insufficiently equipped and do not have well-trained medical personnel. In addition, sick children can have several diseases at the same time, and this can cause difficulties for health workers in the diagnosis and treatment. Continue reading
Epileptic status (ES) is characterized by prolonged or repeated seizures / episodes without a return to the normal state for this patient. ES is often found in pediatric practice, it affects 18–23 out of 100 thousand children per year, mortality reaches 2–7%. Treatment measures include the introduction of anticonvulsants, the identification and elimination of factors that trigger ES, as well as the prevention of possible complications.
Definition and classification of ES
Historically, ES has been defined as “a condition characterized by an epileptic seizure / seizure long enough or recurring at short enough intervals to cause an unchanged and stable epileptic state”.
This definition was supplemented by the International League for the Control of Epilepsy, which decided that an attack / seizure should last at least 30 minutes, or during this period of time there should be several seizures without restoration of functions between them for more than 30 minutes. Continue reading
At present, the problem of frequently ill children (FWA) remains relevant. With the onset of the autumn-winter period and the start of schooling, schoolchildren experience overloads, fatigue increases, the number of contacts in groups increases, and children begin to suffer from acute respiratory infections (ARI) more often.
Patients with repeated episodes of ARI more than 8 times a year are referred to the group of FWB. In the structure of morbidity, viral infections account for 65–90% (influenza viruses, parainfluenza viruses, adenoviruses, respiratory syncytial virus). Viral monoinfection is detected in 52%, the association of 2 viruses or more – in 36% of cases.
The highest incidence of respiratory infections was observed in children’s organized groups in children of preschool and primary school age, the peak incidence occurs in the first years of visiting kindergartens. Continue reading