Purpose: to develop an effective and affordable method for a practical doctor to predict the development of bacterial pneumonia in patients with influenza and other acute respiratory viral infections. Materials and methods: to develop a method for predicting bacterial pneumonia in patients with influenza and other acute respiratory viral infections, a continuous group of 247 patients was formed: 63 of them were diagnosed with bacterial pneumonia for 5-7 days of illness, and the remaining 184 had verified infectious diseases in uncomplicated form. Evaluation of the effectiveness of the proposed forecast method was performed on 150 patients with influenza and other acute respiratory viral infections. The technical basis of this study was the Extech 110 pH meter, with which the observed acidity of the skin of the lower third of the palmar surface of the forearm was studied on the 1-2, 3-4, 7-10 days of the disease. Results: the developed method for predicting bacterial pneumonia in patients with influenza and other acute respiratory viral infections is characterized by prostate use, as well as high rates of sensitivity, specificity and accuracy.Conclusions: the pH level of the skin of the palmar surface of the lower third of the forearm in patients with influenza and other acute respiratory viral infections of less than 4.80 is a statistically significant prognostic criterion for the development of this category of patients in the next 2-3 days of bacterial pneumonia.
Purpose: to develop an effective and safe method for the etiopathogenetic treatment of influenza patients, aimed at increasing the effectiveness of the existing standard treatment using the antiviral drug oseltamivir.Materials and methods: 150 patients with a verified diagnosis of influenza were taken under observation. All of the participants were divided by randomization into two groups (n1 = 77, n2 = 73) which had the same initial clinical and laboratory characteristics. I group’s patients received standard antiviral therapy using oseltamivir. Patients of the II group at the same time as oseltamivir additionally received an aqueous solution of rehydron for 5 days. All patients underwent determination of the acidity of the mucous membrane of the oropharynx immediately before the start of antiviral therapy and immediately after its completion.Results: patients additionally receiving rehydron had a more rapid leveling of the main symptoms of influenza and a decrease in the frequency of its complications compared with people who received only standard treatment.Conclusions: the developed method of etiopathogenetic treatment of patients with influenza is characterized by a proven level of effectiveness, which is associated with the corrective effect of rehydron on the acid-base balance of the mucous membranes of the respiratory tract. The data obtained in the course of the study indicate not only the absolute scientific novelty of the developed method, but also its applied significance for practical public health.
Vilém Dušan Lambl, better known in Russia as Dushan Fedorovich Lambl (1824-1895) — Czech and Russian anatomist, histologist, therapist and parasitologist, doctor of medicine, professor, head of the department of normal anatomy and pathological anatomy of the Imperial Kharkov University (from 1860 to 1871), head of the Faculty therapeutic Department of the Imperial University of Warsaw (from 1871 to 1895), Privy Councilor.Professor Lambl D.F. the main works on parasitology (he was the first to describe in 1859 the simplest microorganism that parasitizes humans and now bears his name), pathological anatomy (his famous lithographs written on stone), normal anatomy, internal medicine, as well as natural science, ethnography, culture and linguistics of Slavs and others. He was a man with the broadest horizons, sharpness of thought, excellent erudition and incredible knowledge in the field of both fundamental and practical medicine.
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