Department of Pediatrics postgraduate education
The significant attention in scientific work is paid to the problem of children, who are often ill. For the first time using sufficient clinical material they studied the peculiarities for formation of group of children, who are often ill (RRI children), at the background of chronic tonsillitis, pharyngitis, adenoid using clinical, modern methods of bacteriological, immunological, micromorphological and instrumental research. The study on influence of unfavorable medical biological, social economic factors on children’s population that causes to increase in amount of children, who are often ill with respiratory infections, was further developed. For the first time it was determined that the state of colonization resistance worsened in RRI children depending on degree of inflammatory changes in tonsils.
The level of lactic-acid bacteria that are the basis for colonization resistance of tonsils was determined for the first time in health children and RRI children with chronic tonsillitis.
RRI children with chronic tonsillitis had the recrudescence of cellular immunity at the same time with recrudescence of colonization resistance of tonsils, the qualitative express-reaction of coagglutination with peptidoglycane of Staphylococcus aureus, which is highly informative and available in performance for diagnostics of staphylococcal etiology of diseases, was developed.
The new approach to study of problems on treatment and rehabilitation of patients with recurrent respiratory diseases of upper respiratory tracts that allows distinguishing the clinical, etiological and pathogenetic variants for recurrent respiratory infections in children, including with chronic tonsillitis taking into consideration the clinic, state of colonization resistance of tonsils, factors of immunity and assists to individual treatment of such patients, was developed.
For the first time they developed the method on correction of tonsil dysbiosis that assists to normalization in state of colonization resistance for upper respiratory tracts, prevents from exacerbation of chronic tonsillitis.
The scheme for differentiated approach to treatment rehabilitation measures in children, who are often ill, with chronic tonsillitis taking into consideration the clinic, activity and etiology of center of infection, state of colonization resistance of tonsils, factors of immunity was implemented into practice of health care. It is prescribed additionally to use the bacterial concentrate of lactic bacteria in schemes for treatment rehabilitation measures in RRI children in order to influence on broken state of colonization resistance of tonsils, to avoid recurrences of chronic tonsillitis. The use of such bacteria improves the state of colonization resistance of tonsils, assists to stable remission of chronic tonsillitis during 6 and more months.
They developed the way to treat tonsilgenic myocardiodystrophy using grains of quercetine in combination with correction of disorders in immunity and state of colonization resistance of tonsils and implemented it into practice of health care.
Scientific direction of department at present moment: health status of children from different environmentally neglected zones in Ukraine, complex assessment of macro- and microelementary status and influence of its disorders on health status of children under conditions of different ecological situation, actual issues in science of children’s nutrition, problems in therapy of atypical pneumonia in children, use of singlet oxygen therapy in children with diseases of GIT organs and respiration organs, using vitamin B complex in children in order to improve their adaptive capabilities, problems of recurrent respiratory infection children.