Острые респираторные вирусные инфекции (ОРВИ) занимают одно из ведущих мест в структуре инфекционной заболеваемости в осенне-зимний период среди детского и взрослого населения. Своевременные профилактические меры должны играть основополагающую роль в снижении заболеваемости респираторными инфекциями, особенно у часто болеющих пациентов, принимая во внимание рекуррентное течение респираторной патологии у таких больных. Для контроля над ОРВИ и гриппом педиатры рекомендуют комплекс мероприятий, включающих в себя специфическую и неспецифическую профилактику. В статье приводятся результаты исследований, оценивающих эффективность и безопасность препаратов, применяемых с целью лечения и профилактики ОРВИ – интерферонов, индукторов интерферонов, гомеопатических лекарственных препаратов.
Acute respiratory viral infections (ARVIs) occupy one of the leading places in the structure of infectious morbidity in the autumn-winter period among children and adults. Timely preventive measures must play a fundamental role in reducing the incidence of respiratory infections, especially recurrent infections. To reduce the incidence of ARVI and influenza, pediatricians recommend a set of measures, including specific and non-specific prophylaxis. The article presents the data of studies which compare the effectiveness and safety of drugs used to prevent ARVI (interferons, interferon inducers, homeopathic medicines).
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3. Garashchenko TI, Garashchenko MV, Mezentseva MV. Kliniko-immunologicheskoye obosnovaniye gomeopaticheskikh preparatov v profilaktike i lechenii grippa i ORVI. Rus. med. zhurn. 2005; 13 (21): 1432–7 (in Russian)
4. Garashchenko MV, Il'yenko LI, Garashchenko TI, Mezentsenva MV. Kliniko-immunologicheskoye obosnovaniye primeneniya Aflubina v profilaktike i lechenii virusnykh zabolevaniy respiratornogo trakta u detey. Detskiye infektsii. 2005; 3: 49–3 (in Russian)
5. Ilyenko LI, Gureev AN, Gainova LV, Bogdanova SV. Evaluation of the clinical efficacy of complex homeopathic medicines from the standpoint of evidence-based medicine. In: Homeopathic Yearbook – 2019. Collection of materials of the XXIX Scientific and Practical Conference. 2019; p. 138–42 (in Russian)
6. PRIMA: Pediatric recommendations for immunomodulatory drugs in outpatient practice (consensus). 2nd ed., rev. and add. Moscow: RG-Press, 2017 (in Russian)
7. Ilienko LI, Garashchenko TI, Kholodova IN, et al. A frequently ill child. Clinical and experimental and economic substantiation of new technologies for preventive and restorative measures in outpatient settings. Moscow, 2008 (in Russian)
8. Ershov FI. Ratsional'naia farmakoterapiia grippa i ORVI. Farmatsevticheskii vestnik. 2003; 33: 39–43 (in Russian)
9. Eropkin MIu, Gudkova TM, Danilenko DM, et al. Pandemicheskii gripp 2009 g. v Rossii. RMZh. 2010; 18 (7): 410–5 (in Russian)
10. Sel'kova EP, Semenenko TA, Leneva IA, Burtseva MI. Gomeopaticheskii preparat Otsillokoktsinum v lechenii i profilaktike grippa i ORVI. Trudnyi patsient. 2006; 11 (in Russian)
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14. Ershov FI. Antiviral drugs: a reference book. 2nd ed. Moscow: GEOTAR-Media, 2006 (in Russian)
15. Maksakova VL, Vasil'eva IA, Erofeeva MK. Primenenie preparata Kagotsel dlia lecheniia i profilaktiki grippa i drugikh ostrykh respiratornykh virusnykh infektsii. Medlain-ekspress. 2009; 1: 42–5 (in Russian)
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20. Ershov FI, Narovlianskii AN. Teoreticheskie i prikladnye aspekty sistemy interferonov: k 60-letiiu otkrytiia interferonov. Voprosy virusologii. 2018; 63 (1): 10–8 (in Russian)
21. Romantsov MG, Shul'diakov AA, Ershov FI, et al. Induktory endogennogo interferona v infektologii (Nauchnyi obzor). Profilakticheskaia meditsina. 2013; 1–2: 77–83 (in Russian)
22. Forsbach A, Muller Ch, Montino C, et al. Negative regulation of the type I interferon signaling pathway by synthetic Toll-like receptor 7 ligands. J Interferon Cytokine Res 2012; 6: 254–68.
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1 ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия;
2 ФГБУ «Национальный медицинский исследовательский центр оториноларингологии» ФМБА России, Москва, Россия
*2891photina@mail.ru
________________________________________________
Svetlana V. Bogdanova*1, Tatiana I. Garashchenko1,2, Lidiia I. Il'enko1
1 Pirogov Russian National Research Medical University, Moscow, Russia;
2 National Medical Research Center of Otorhinolaryngology, Moscow, Russia
*2891photina@mail.ru