МЕДИКО-СОЦИАЛЬНЫЕ АСПЕКТЫ ИНВАЛИДНОСТИ ПОСЛЕ НЕЙРОИНФЕКЦИИ У ДЕТЕЙ И ИХ РЕАБИЛИТАЦИЯ

Авторы

  • РИЗАЕВ Жасур Алимджанович
  • ЭРГАШЕВА Муниса Якубовна

Ключевые слова:

детская инвалидность, медико-социальная помощь, нейроинфекция, энцефалит, реабилитация

Аннотация

В статье подробно написано, что нейроинфекции являются одними из ведущих детских инфекционных заболеваний, а после нейроинфекций у половины детей возникают неприятные последствия - инвалидность с органическими симптомами. Аналогичным образом было объяснено, что часть структур ЦНС более подвержена влиянию патогенных факторов, что они имеют важное значение в функционировании нервной системы и что от них зависит развитие мозга в зависимости от возраст ребенка.

В статье показаны основные причины инвалидности, развивающейся после нейроинфекций, факторы риска, а также меры профилактики детской инвалидности, которые являются основными проблемами системы детского здравоохранения. В качестве одной из наиболее эффективных мер раннего выявления и профилактики инвалидизирующих нейроинфекций детализированный регистр редких нейроинфекций, а также реабилитация нейроинфекций.

Библиографические ссылки

Albitsky V.Yu., Ustinova N.V., Zelinskaya D.I. Fundamentals of social pediatrics: monograph / edited by. ed. V.Yu. Albitsky. M.; Pediatrician, 2021. 416 p. ISBN 978-5-6042576-1-6. (in Russ).

Andreeva L.P., Kuleshov N.P., Mutovin G.R. and others. Hereditary and congenital diseases: contribution to childhood morbidity and disability, approaches to prevention. Pediatrics. 2007; 86(3): 8–14. (in Russ).

Baranov A.A., Albitsky V.Yu., Zelinskaya D.I., Terletskaya R.N. Disability of the Russian child population. M.: Center for the Development of Intersectoral Programs, 2008. 240 p. ISBN 978-5-91567-001-2. (in Russ).

Baranov A.A., Albitsky V.Yu., Namazova-Baranova L.S. and others. The state of health of children in modern Russia. Series “Social Pediatrics”, issue 21. M.: Pediatrician, 2020. 116 p. (in Russ).

Baranov A.A., Namazova-Baranova L.S., Gundobina O.S. etc. Management of children with Gaucher disease. Modern clinical recommendations. Pediatric pharmacology. 2016; 13(3): 244–250. (in Russ).

Baranov A.A., Namazova-Baranova L.S., Terletskaya R.N. and others. Some risk factors for disability in children. Medical and social examination and rehabilitation. 2017; 20(2): 60–64. (in Russ).

Barashnev Yu.I. Perinatal neurology. M.: Triada-X, 2011. 676 p. ISBN 978-5-8249-0042-6. (in Russ).

Batysheva T.T., Bykova O.V., Platonova A.N. and others. Perinatal risk factors for childhood neurological disability and methods for their correction. Pharmateka. 2014; 1:81–86. (in Russ).

Karas A. Yu., Kolokolov O. V., Lobacheva A. V. Rehabilitation of children who have suffered acute neuroinfections: possibilities and prospects. In the collection: Bulletin of medical Internet conferences. 2012; 2 (9): 687–717. (in Russ).

Beltikova A. A., Kashuba E. A., Lyubimseva O. A., Petrushina A. D. Infections in children: myths and reality. Science and education: modern trends. 2015; (X): 6–11. (in Russ).

Skripchenko N.V., Egorova E.S. The use of sitoflavin in the complex therapy of neuroinfections in children. Journal of Neurology and Psychiatry. 2011; 111(9):28–31. (in Russ).

Shirokova A. S., Skripchenko N. V., Zakharycheva T. A., Protasenya I. I. Features of the period of convalescence in adolescents who have suffered enteroviral meningitis. Neurosurgery and pediatric neurology. 2015; 3 (45): 19–24. (in Russ).

Pronina E. V., Skripchenko N. V., Ivanova M. V., Gonchar N. V., Bekhtereva M. K., Babachenko I. V. et al. On the issue of organizing rehabilitation departments in infectious diseases hospitals for children convalescent from infectious diseases. Children's infections. 2014; (4): 50–55. (in Russ).

Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database of Systematic Reviews. 2015; (9): CD004405. DOI: 10.1002/14651858. CD004405.pub5.

Dorsett M, Liang S. Diagnosis and treatment of central nervous system infections in the emergency department. Emerg Med Clin North Am. 2016; 34 (4): 917–42.

Martin NG, Sadarangani M, Pollard AJ, Goldacre MJ. Hospital admission rates for meningitis and septicaemia caused by Haemophilus influenzae, Neisseria meningitidis, and Streptococcus pneumoniae in children in England over five decades: a populationbased observational study. Lancet Infect Dis. 2014; (14): 397–405.

Sadarangani M, Scheifele DW, Halperin SA. Outcomes of invasive meningococcal disease in adults and children in Canada between 2002 and 2011: a prospective cohort study. Clin Infect Dis. 2015; 60 (8): 27–35. DOI: 10.1093/cid/civ0287.

Wang C, Xu H, Deng J, Yu H, Chen Y, Wang S et al. Prognostic factors in pediatric pneumococcal meningitis patients in mainland China: a retrospective multicenter study. Infect Drug Resist. 2019; (12): 1501–12. DOI: 10.2147/IDR.S193671.

Zalmanovici Trestioreanu A, Fraser A, Gafter-Gvili A, Paul M, Leibovici L. Antibiotics for preventing meningococcal infections. Cochrane Database Syst Rev. 2013; (10): CD004785. DOI: 10.1002/14651858.CD004785.pub5.

Wall EC, Ajdukiewicz KM, Bergman H, Heyderman RS, Garner P. Osmotic therapies added to antibiotics for acute bacterial meningitis. Cochrane Database Syst Rev. 2018; (2): CD008806. DOI: 10.1002/14651858.CD008806. pub3.

Maconochie IK, Bhaumik S. Fluid therapy for acute bacterial meningitis. Cochrane Database Syst Rev. 2016; (11): CD004786.

Iro MA, Sadarangani M, Goldacre R. 30-year trends in admission rates for encephalitis in children in England and effect of improved diagnostics and measles-mumps-rubella vaccination: a population-based observational study. Lancet Infect Dis. 2017; 17 (4): 422–30. DOI: 10.1016/S1473-3099(17)30114-7.

Skripchenko N.V., Ivanova M.V., Vilnis A.A., Skripchenko E.Yu. Neuroinfections in children: trends and prospects. Russian Bulletin of Perinatology and Pediatrics. 2016; (4): 9–22. (in Russ).

Samoilova I. G. Cost-effectiveness of rehabilitation of children after neuroinfections. Vyatka Medical Bulletin. 2019; (1): 64–6. (in Russ).

Pillai SC, Mohammad SS, Hacohen Y, Tantsis E, Prelog K, Barnes EH et al. Postencephalitic epilepsy and drug-resistant epilepsy after infectious and antibody-associated encephalitis in childhood: Clinical and etiologic risk factors. Epilepsia. 2016; 57 (1): 7–11. DOI: 10.1111/epi.13253.

Ellul M, Solomon T. Acute encephalitis — diagnosis and management. Clinical Med London. 2018; 18 (2): 155–9. DOI: 10.7861/clinmedicine.18-2-155.

Fowler A, Forsman L, Eriksson M, Wickstöm R. Tick-borne encephalitis carries a high risk of incomplete recovery in children. J Pediatr. 2013; 163 (2): 555–60. DOI: 10.1016/j. jpeds.2013.01.037.

Karlov V. A., Morozova E. A., Ratner F. L., Morozov D. V., Petrova A. V., Bagirova S. F., et al. Features of the course of epilepsy and cognitive disorders in children with perinatal brain pathology . Mental health. 2017; 15 (1): 29–37. (in Russ).

Michaeli O, Kassis I, Shachor-Meyouhas Y. Long-term motor and cognitive outcome of acute encephalitis. Pediatrics. 2014; 133 (3): e546–52. DOI: 10.1542/peds.2013-3010.

Huang L, Yu D, Luo R, Li M, Zhou H, Cai XT et al. Risk factors and prognosis of secondary epilepsy in children with viral encephalitis. Sichuan Da Xue Xue Bao Yi Xue Ban. 2017; 48 (2): 257–62.

Pandey S, Rathore C, Michael BD. Antiepileptic drugs for the primary and secondary prevention of seizures in viral encephalitis. Cochrane Database Syst Rev. 2016; 22 (5). DOI: 0.1002/14651858. CD010247.pub2.

Roed C, Sørensen HT, Rothman KJ. Employment and disability pension after central nervous system infections in adults. Am J Epidemiol. 2015; 181 (10): 789–98. DOI: 10.1093/aje/kwu359. 33. Christie S, Chan V, Mollayeva T, Colantonio A. Rehabilitation interventions in children and adults with infectious encephalitis: a systematic review protocol. BMJ Open. 2016; 6 (3): e010754. DOI: 10.1136/bmjopen-2015-010754.

Christie S, Chan V, Mollayeva T, Colantonio A. Systematic review of rehabilitation intervention outcomes of adult and pediatric patients with infectious encephalitis. BMJ. 2018; 8 (5): e015928. DOI: 10.1136/bmjopen-2017-015928.

Ramanuj PP, Granerød J, Davies NWS. Quality of life and associated socio-clinical factors after encephalitis in children and adults in England: a population-based, prospective cohort study. PLoS One. 2014; 9 (7): e103496. DOI: 10.1371/journal. pone.0103496.

Morozova E. A., Ertakhova M. L. Outcomes of neuroinfections and their predictors. Russian Journal of Child Neurology. 2020; 15 (3–4): 55–64. (in Russ).

Статья поступила в редакцию 12.01.2024; одобрена после рецензирования 16.02.2024; принята к публикации 20.02.2024.

The article was submitted 12.01.2024; approved after reviewing 16.02.2024; accepted for publication 20.02.2024.

Информация об авторах:

Ризаев Жасур Алимджанович-д.м.н., профессор, ректор. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. E-mail: sammi@sammi.uz, https://orcid.org/0000-0001-5468-9403

Эргашева Муниса Якубовна-PhD, и.о доцент кафедры «Инфекционные болезни» Самаркандского Государственного медицинского университета, Самарканд, Узбекистан. Е-mail: ergasheva.munisa1981@gmail.com, https://orcid.org/0000-0002-1189-6557

Источники финансирования: Работа не имела специального финансирования.

Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.

Вклад авторов:

Ризаев Ж.А. — идеологическая концепция работы, написание текста; редактирование статьи;

Эргашева М.Я. — сбор и анализ источников литературы, написание текста.

Information about the authors:

Jasur A. Rizaev — DSc, professor, rector Samarkand state medical university. Samarkand, Uzbekistan; E-mail: sammi@sammi.uz, https://orcid.org/0000-0001-5468-9403

Munisa Ya. Ergasheva — PhD, Associate Professor of the Department of Infectious Diseases, Samarkand State Medical University. Samarkand, Uzbekistan; E-mail: ergasheva.munisa1981@gmail.com, https://orcid.org/0000-0002-1189-6557

Sources of funding: The work did not receive any specific funding.

Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.

Contribution of the authors:

Rizaev JA — ideological concept of the work, writing the text; editing the article;

Ergasheva M Ya — collection and analysis of literature sources, writing the text.

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Опубликован

2024-04-14