clinical-nursing-pediatrics-2018-posters-abstracts

10 / 22

Page 54
allied
academies
Current Pediatric Research| Volume: 22
November 28-29, 2018 | Dubai, UAE
15th World Congress on
Pediatrics, Clinical Pediatrics and Nutrition
28th International Conference on
Nursing Practice
Joint Event
&
Acute Pneumonia: A new look at the old problem
Igor Klepikov
Tel Aviv University, USA
Treatment of acutepneumonia(АР) in recent decades focused
solely on antibiotic therapy, does not include pathogenetic,
specific methods of assistance and repeats the principles of
treatment of other inflammatory diseases. Moreover, according
to existing therapeutic and preventive recommendations, it is
possible toassume that theАP is a specific formof inflammation.
Existing approaches to the treatment of АP are in stark contrast
with the following well known facts.
1. АP is not contagious specific disease.
2. Approval, the priority role of specific pathogens in the
etiology of AP have no absolute evidence, for the vast majority
of these patients were cured and cure without clarifying the
etiology of the disease. Cause a significant increase in septic
complications AP, contrary to expectations, on the background
of total pneumococcal vaccination remains without a reasoned
explanation.
3. The etiology of АP is represented by many non-specific
bacteria.These microorganisms are found as a rule among
the symbionts of healthy people.
Reducing the effectiveness of antimicrobial drugs, the
emergence and the increasing number of antibiotic-resistant
pathogens and a gradual increase in the frequency of purulent
complications attach importance and urgency to the solution
of this problem. The first step in this decision is a revision of
ideas about the nature and mechanisms of АP. This work has
been done and tested in a clinical setting in the years 1976-
1984 in Novokuznetsk State Institute for postgraduate doctors
(USSR,Russia). The basis of the new doctrine АP was based
on the following scientific medical axioms, already having
previous scientific justification.
1. The body’s response to any stimulus, including the
initiation of inflammation, is highly individual and unique.
2. The basis for the inflammatory transformation of the body
tissue is a vascular reaction with a specific stage sequence.
3. Small and large circles of blood circulation have not only a
direct anatomical connection, but also an inverse functional
interdependence.
4.Among the nonspecific forms of inflammation, AP is the
only process occurring in the system of lesser circulation.
5.The same medical procedure can have different effects on
inflammation in the small or big circles of blood circulation.
Following private studies were additionally performed:
1.Experimental model of AP (4 series of experiments, 44
animals) obtaining a model of pleural complications (certificate
for invention No 1631574, A1,1 November 1990,USSR).
2.X-ray examination 56 lung anatomical preparations with
different forms of the AP, taken from the dead patients.
3. Record comparative rheopulmonography before and after
performing medical procedures (36 patients).
4.Analysis of the observation and treatment of 994 children
with AP and its various destructive and pleural complications.
The revised treatment guidelineswere applied in 203 patients in
the initial period of aggressive forms of АP. The received results
allow to speak about possibility of the guaranteed prevention
of suppurative and destructive complications of the disease.
e:
Pediatrics and Clinical Pediatrics 2018
& Nursing Practice 2018, Volume 22
DOI: 10.4066/0971-9032-C2-006