Педиатрическая фармакология (Mar 2022)
Modern Approaches to the Management of Children with Acute Obstructive Laryngitis and Epiglottitis
- Aleksander A. Baranov,
- Nikolay A. Daikhes,
- Roman S. Kozlov,
- Leyla S. Namazova-Baranova,
- Irina V. Andreeva,
- Irina V. Artemova,
- Maiya D. Bakradze,
- Elena A. Vishneva,
- Mariya S. Karaseva,
- Olga V. Kаrneeva,
- Irina A. Kim,
- Olga P. Kovtun,
- Tatiana V. Kulichenko,
- Yulia S. Lashkova,
- Irina V. Zelenkova,
- Gennady A. Novik,
- Anastasia S. Polyakova,
- Lilia R. Selimzyanova,
- Olga U. Stetsiouk,
- Vladimir K. Tatochenko,
- Marina V. Fedoseenko,
- Sergey B. Yakushin
Affiliations
- Aleksander A. Baranov
- Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Sechenov First Moscow State Medical University
- Nikolay A. Daikhes
- The National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia; Pirogov Russian National Research Medical University
- Roman S. Kozlov
- Smolensk State Medical University
- Leyla S. Namazova-Baranova
- Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University; Belgorod National Research University
- Irina V. Andreeva
- Smolensk State Medical University
- Irina V. Artemova
- National Medical Research Center of Children’s Health
- Maiya D. Bakradze
- National Medical Research Center of Children’s Health
- Elena A. Vishneva
- Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University
- Mariya S. Karaseva
- Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences
- Olga V. Kаrneeva
- The National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia; Pirogov Russian National Research Medical University
- Irina A. Kim
- The National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia; Pirogov Russian National Research Medical University
- Olga P. Kovtun
- Ural State Medical University
- Tatiana V. Kulichenko
- Pirogov Russian National Research Medical University
- Yulia S. Lashkova
- Pirogov Russian National Research Medical University; National Medical Research Center of Children’s Health
- Irina V. Zelenkova
- Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences
- Gennady A. Novik
- Saint-Petersburg State Pediatric Medical University
- Anastasia S. Polyakova
- National Medical Research Center of Children’s Health
- Lilia R. Selimzyanova
- Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Sechenov First Moscow State Medical University
- Olga U. Stetsiouk
- Smolensk State Medical University
- Vladimir K. Tatochenko
- National Medical Research Center of Children’s Health
- Marina V. Fedoseenko
- Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University
- Sergey B. Yakushin
- Smolensk State Medical University
- DOI
- https://doi.org/10.15690/pf.v19i1.2373
- Journal volume & issue
-
Vol. 19,
no. 1
pp. 45 – 55
Abstract
Experts of the Union of Pediatricians of Russia have developed modern guidelines on the management of children with acute obstructive laryngitis and epiglottitis. Croup is the most common cause of acute upper respiratory obstruction in children aged from 6 months to 6 years. Usually respiratory viruses are the pathogenic agents of the disease. The etiological factor of epiglottitis is Haemophilus influenzae type b in the vast majority of cases (> 90%). However, nowadays, epiglottitis caused by this pathogen agent is more common in adults in countries with mass immunization against hemophilic infection. This article considers in detail etiology, pathogenesis, and classification issues. Special attention is given to diagnosis, differential diagnosis, and therapy (via evidence-based approach) of acute obstructive laryngitis in children.
Keywords
