Episodes of asthma during pregnancy – link with a viral infection and treatment approaches.
DOI:
https://doi.org/10.26641/2307-0404.2014.2.27782Keywords:
asthma, pregnancy, basic therapy, exacerbationAbstract
Bronchial asthma (BA) is the most common respiratory disease in pregnancy. About 20% of pregnant women experience asthma exacerbations of varying severity, while 5.8 % of them require hospitalization. Objective: to study asthma course during pregnancy by determining clinical and functional characteristics of the disease, taking into account presence of exacerbations and adherence to basic therapy (BT). Materials and methods: The study included 35 pregnant females (Me ± SD) aged 31±5,28 years, gestational age – 34±6,69 weeks. Anamnestic and physical data, spirometry and assessment of asthma control using Control Asthma Test were conducted. Results: In the study group 71% of pregnant women suffered from aggravation of varying severity developing on the background of symptoms of respiratory tract infection. Here with commitment to BT before and during pregnancy significantly did not differ. Inconsistency of BT to severity of the disease in 25% of women with mild and in 36% with moderate asthma course was detected.References
Мостовий Ю.М. Фармакоепідеміологічні та фармакоекономічні дослідження у медицині: навч. посібник / Ю.М. Мостовий, Г.І. Томашкевич, Т.В. Константинович-Чічірельо. – Вінниця, 2003. – 79 с.
Негоспітальна пневмонія у дорослих осіб: етіологія, патогенез, класифікація, діагностика, антибактеріальна терапія (проект клінічних настанов) Частина 2 / Ю.І. Фещенко [та ін.] // Укр. пульмонол. журнал. – 2013. – № 1. – С. 5–21.
Порівняльні дані про розповсюдженість хвороб органів дихання і медичну допомогу хворим на хвороби пуль монологічного та алергологічного про¬філю в Україні за 2006–2012 рр. / під. ред. Ю.І. Фещенка. – К., 2013. – 46 с.
Про затвердження клінічних протоколів надання медичної допомоги за спеціальністю «Пульмонологія»: Наказ № 128 від 19.03.2007 р. – К.: Велес, 2007. – 146 с.
Фещенко Ю.И. Рациональная антибиотикотерапия больных с инфекциями нижних дыхательных путей / Ю.И. Фещенко, А.Я. Дзюблик // Укр. пульмонол. журнал. – 2009. – № 4. – С. 5–8.
Чучалин А.Г. Внебольничная пневмония у взрос¬лых: диагностика, лечение, профилактика / А.Г. Чучалин, А.И. Синопальников, Р.С. Козлов // Клинич. микробиология. Антимикробная. химиотерапия. – 2010. – Т. 12, № 3. – С. 186 –225.
British Thoracic Society guidelines for the management of community acquired pneumonia in adults : update 2009 / W. S. Lim [et al.] // Thorax. – 2009. – Vol. 64, Suppl. III. – P. iii1–iii55.
ERS Guidelines for the management of adult Lower respiratory tract infections / M. Woodhead, F. Blasi, S. Ewig, G. Huchon [et al.] // Eur. Resp. J.– 2005. – Vol. 26. – P. 1138–1180.
File T.M. Community-acquired pneumonia / T.M. File / Lancet. – 2003. – Vol. 362. – P. 1991–2001.
Mostoviy YuM, Tomashkevich GI, Konstaninovich-Chicherelyo TV. [Pharmacoepidemiology and pharmacoeconomics medical studies]. Vinnitsa. 2003;79. Ukrainian.
Feshchenko YuI. [Community-acquired pneumo¬nia in adults: etiology, pathogenesis, classification, diag¬nosis, antibacterial therapy (draft clinical guidelines) part 2]. Ukrainian pulmonology Journal. 2013;1: 5–21. Ukrainian.
Feshchenko YuI. [Comparative data on prevalence of pulmonary diseases and health care provision to pulmonology and allergology patients in Ukraine for 2006–2012 years]. Kiev. 2012;46. Ukrainian.
[Ministry of health of Ukraine. Approval of cli¬nical protocols for medical care on specialty “pulmonology” Order N 128, dated 19 Mar 2007]. Kyiv, Veles. 2007;146. Ukrainian.
Feshchenko YuI. [Rational antibiotic therapy of patients with low respiratory tract infections]. Ukrainian pulmonology Journal. 2009;4:5–8. Russian.
Chuchalin AG, Sinopalnikov AI, Kozlov RS. [Community-acquired pneumonia in adults: diagnosis, treatment and prevention]. Clinical Microbiology and antimicrobial chemotherapy. 2010;12(3):186–225. Russian.
Lim WS. British Thoracic Society guidelines for the management of community acquired pneumonia in adults: update 2009. Thorax. 2009;64:1–55.
Woodhead M, Blasi F, Ewig S, Huchon G, Ieven M, Ortqviste A, Schaberg T, Torres A, van der Heijden G, Verheij TJM. ERS Guidelines for the mana¬gement of adult Lower respiratory tract infections. Eur. Respir. J. 2005;26:1138–80.
File TM. Community-acquired pneumonia. Lancet. 2003;362:1991–2001.
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