Bacterial purulent meningitis is a life-threatening disease characterized by high mortality and severe consequences in survivors. Despite the modern possibilities of medicine, the disease continues to be a heavy burden on health care, the economy and society everywhere.Aim. To draw the attention of doctors to the problems associated with modern features of epidemiology, the consequences and possibilities of preventing bacterial purulent meningitis, especially in children, who constitute the main risk group for the development of this pathology.Literature review of Russian and foreign publications on the problem under consideration presented.Vaccination is recognized as one of the main tools for reducing morbidity and mortality from meningitis. Prophylactic vaccinations against N. meningitidis, Str.pneumoniae, H. influenzae, along with strict adherence to anti-epidemic measures in hospitals providing care to newborns, can help reduce the incidence of purulent meningitis in children and improve outcomes if they develop.
В аскулиты-гетерогенная группа заболеваний различной этиологии, характеризующихся воспалительными изменениями сосудистой стенки и периваскулярного пространства. Демиелинизирующие заболевания ЦНС традиционно не относятся к группе васкулитов, но, согласно существующим диагностическим стандартам, нередко требуют проведения дифференциального диагноза с ними [1, 2]. Тем не менее существующие представления о патогенезе рассеянного склероза и структурные изменения при этом Инфекционные васкулиты в патогенезе демиелинизирующих заболеваний ЦНС у детей
Cerebral insufficiency accompanies all conditions associated with the development of critical states arising from acute diseases, including infectious ones. The causes of cerebral disorders in critical states, regardless of their genesis, are multifactorial and are characterized by progression of cerebral blood flow insufficiency, cerebral ischemia, which results in the formation of critical state encephalopathies with neurological deficit, as well as a decrease in cognitive functions in the outcome of the disease. The article defines the concept of encephalopathy of a critical state, deals with the main causes and mechanisms leading to its development, and clinical manifestations. The data of our own study of 30 children with critical state encephalopathies in various infectious diseases are presented. Neurofunctional changes in patients with critical state encephalopathies are described. Recommendations on the tactics of maintaining reconvalescents with encephalopathies of critical condition are given.
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