Hospital pediatrics. Treatment of secondary immunodeficiency conditions (most important)

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Hospital pediatrics. Treatment of secondary immunodeficiency conditions (most important)

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4. Treatment of secondary immunodeficiency conditions

Treatment. Replacement therapy with various immune drugs (immunoglobulins; antitoxic, anti-influenza and anti-staphylococcal serums).

Correction of transient forms of secondary immunodeficiency states.

1. Achievement of the period of remission:

1) antigenic loads are excluded (dissociation of the patient from the team);

2) sanitation of foci of infections in the family;

3) reducing the influence of other social factors;

4) it is necessary to exclude contact with allergens by vaccines;

5) therapeutic measures are organized on an outpatient basis;

6) detoxification and enteral sorption are carried out;

7) complexes of vitamins, microelements and various antioxidants are used;

8) individual anti-inflammatory measures (if necessary - antibacterial drugs);

9) restoration of the functions of the gastrointestinal tract.

2. When the activity of pathological processes subsides:

1) immunotropic drugs containing thymus and bone marrow factors (taktavin, thymalin, thymogen, myelopid) are prescribed;

2) the choice of a specific drug is based on tests for determining the sensitivity of lymphocytes to drugs;

3) other drugs of this plan are prescribed only after the previous stage of rehabilitation of patients;

4) with an individual choice of a drug, the achievement of a positive result of therapy becomes natural;

5) it becomes possible to prevent acute and exacerbations of chronic diseases.

3. Treatment of the underlying pathology:

1) in case of neurological pathology - drugs that improve microcirculation and metabolic processes in the central nervous system, antihypertensive and diuretic drugs;

2) with primary vegetovascular dystonia - psychotherapy of family members; decrease in the predominant activity of the departments of the ANS;

3) in case of metabolic and constitutional disorders - membrane stabilizing agents, diet;

4) in chronic infectious processes - antibacterial, antiviral, antifungal and antiparasitic drugs; inducers of nonspecific defense of the body;

5) for all patients - drugs that improve metabolic processes.

Author: Pavlova N.V.

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