Vol 17, No 3 (2015)


Clinical Recommendations for diagnosis, treatment and prevention of severe community-acquired pneumonia in adults

Chuchalin A.G., Sinopal'nikov A.I., Kozlov R.S., Avdeev S.N., Tyurin I.E., Rudnov V.A., Rachina S.A., Fesenko O.V.
Consilium Medicum. 2015;17(3):8-37
pages 8-37 views

Rezolyutsiya Sammita spetsialistov po antimikrobnoy terapii:«Men'she slov, bol'she dela!»

Kozlov R.S., Astaf'eva N.G., Gamova I.V., Lipatova T.E., Luchinina E.V., Makarova O.A., Mareev O.V., Mikhaylova E.V., Rebrov A.P., Reshetnikov A.A., Reshet'ko O.V., Spivakovskiy Y.M., Steshenko R.N., Fisun A.M., Shvidenko I.G., Shul'dyakov A.A.
Consilium Medicum. 2015;17(3):38-41
pages 38-41 views

Post-intubation treatment of sore throat

Kolesnikova O.M.


Postoperative sore throat occurs up to 90% of cases with complication of endotracheal narcosis. The endotracheal anesthesia can have a negative impact on patient satisfaction and quality of life. All patients with a sore throat after tracheal intubation are in need of treatment, so this symptom indicates the development of inflammation in the throat. The article analyzes the effectiveness of the drug in Strepsils® Intensiv treatment of postoperative pain in the throat. It is found that use of this drug with resorption shortens postoperative sore throat up to 3 days, compared with a comparison group, in which a sore throat did not disappear by day 5 after endotracheal anaesthesia. Strepsils® Intensive is usually well tolerated, and affects per phase alteration of the inflammatory process, reduces treatment time and reduces the inflammatory changes and thereby leads to the alleviation of post-intubation symptoms in the treatment of sore throat.
Consilium Medicum. 2015;17(3):42-45
pages 42-45 views

Benign paroxysmal positional vertigo: clinical features, diagnosis and treatment

Palchun V.T., Guseva A.L., Chistov S.D.


Benign paroxysmal positional vertigo (BPPV) is one of the most common peripheral vestibular disorders and one of the most common causes of vertigo. The confirmation of BPPV is based on a set of positioning tests, and the treatment includes different types of repositioning maneuvers. The authors focus one tiology, epidemiology, diagnosis and treatment of BPPV. The most widely used, simple and effective positioning tests and repositioning procedures are described.
Consilium Medicum. 2015;17(3):46-52
pages 46-52 views

Nasal irrigation therapy: use in pediatric ENT practice

Morozova S.V.


The rationale is being presented, at the same time listing the possible application of modern nasal irrigation therapy in ENT and pediatric practice. On the basis of clinical features of allergic rhinitis and infectious and inflammatory diseases of the upper respiratory tract, as well as complications of nasal obstruction in childhood expediency combined use of the drug for irrigation and a spiratora Otrivin Baby is justified.
Consilium Medicum. 2015;17(3):53-54
pages 53-54 views

Destructive processes in the lung: features and differential diagnosis

Koroleva I.M.


Among the large variety of destructive processes of lung diseases, most have different etiological roots. The relevance of this theme determines the radiological similarities of all diseases that occur with the destruction of lung tissue and the difficulty of differential diagnostic analysis that determines further choice of tactics - conservative or surgical tactics.
Consilium Medicum. 2015;17(3):55-62
pages 55-62 views

Modern possibilities of immunomodulatory therapies in the prevention and treatment of ARI

Varfolomeeva M.I., Setdikova N.H.


Acute respiratory infections (ARI) are the most common treatment case for outpatient medical care in the autumn and winter. There are more than 200 agents of respiratory infections. The possibility of using modern domestic immune modulator Polyoxidonium in adults and children for the purpose of prevention and treatment of ARI and acute respiratory viral infections. In total 13 scientific papers were analyzed, which were attended by 2,616 patients aged 6 months to 90 years. It is intended to recommend the use of immune modulators, and in particular Polyoxidonium for the prevention and treatment of acute respiratory diseases in order to increase the effectiveness of the therapy.
Consilium Medicum. 2015;17(3):63-69
pages 63-69 views

Vaccine prophylaxis in patients with chronic obstructive pulmonary disease: results of a two-year observation

Ignatova G.L., Antonov V.N., Rodionova O.V.


The paper presents the analysis of prospective effectiveness of vaccination 13-valent pneumococcal conjugate vaccine Prevenar 13 at 2 years in patientswith chronic obstructive pulmonary disease (COPD) and in patients with combined COPD and coronary heart disease (CHD). The study involved 373 patients.Key findings: for comorbid COPD and CHD is characterized by an increase in severity of the disease, worsening of respiratory symptoms and bronchial patency, worsening functional class of angina. Vaccination of pneumococcal conjugate vaccine Prevenar 13 reduces the subjective manifestations of dyspnea in patients with combined over both, and at isolated forms of COPD and CHD. Functional indicators of respiratory and cardiovascular system - forced expiratory volume in 1 second and ejection fraction - remain a significant increase in the two-year term after vaccination of patients. The vaccinated patients with comorbidity occurs a significant decrease in exacerbations of COPD 8 times and fewer admissions to 4 times.
Consilium Medicum. 2015;17(3):70-74
pages 70-74 views

The use of topical antiseptic and analgesic combination drugs for the treatment of pharyngitis

Karpischenko S.A., Baranskaya S.V.


Pharyngitis is a common pathology of the upper respiratory tract. Rational prescription drugs can significantly reduce the time of treatment and prevent complications. Systemic antibiotics in most cases, not required. Justified the use of topical antimicrobial agents. High efficiency showed a combination of drugs with antiseptic and analgesic action.
Consilium Medicum. 2015;17(3):75-78
pages 75-78 views

Antihistamines, anti-inflammatory and anti-allergic properties of desloratadine

Ilyina N.I., Pavlova K.S.


Histamine is one of the most important mediators that are released from mast cells and basophils in allergic diseases. The main means for the treatment of allergies are H1-antihistamines second generation, which are highly specific agonists H1 receptor for long periods. Recent studies have shown that some of H1-antihistamines in addition to the second-generation antihistamine activity have anti-inflammatory activity that is not related to the blockade of H1-receptors, and blocking due to the release of inflammatory mediators by basophils, mast cells, a decrease in the expression of adhesion molecules and inhibition of attraction in the area of inflammation cells allergic response. Thus, the second-generation antihistamines may inhibit the development of late phase and prevent chronization allergic inflammation. This article provides an overview of the currently available information on antihistamines, anti-inflammatory and antiallergic profile of desloratadine.
Consilium Medicum. 2015;17(3):79-83
pages 79-83 views

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