21 research outputs found
Respiratory outcomes of bronchopulmonary dysplasia in children, adolescents and adults
Prematurity and bronchopulmonary dysplasia (BPD), which is a complication of the neonatal respiratory distress-syndrome and respiratory thera-py in neonates, are currently considered as possible risk factors of chronic obstructive pulmonary disease (COPD) in adults. Persisting reduction in the lung size in prematurely born children and pathological lesion typical for BPD can lead to ventilation disorders and clinical signs of chronic respiratory failure and / or bronchial obstruction in the children, adolescents and adults. Clinical, functional and morphological consequences of prematurity and BPD in preschool and school-aged children, adolescents and adults are discussed in this review considering the authors' experience and the published data. The lung function abnormalities persist for lifetime. The lung tissue structural lesions, such as emphysema, fibrosis, the bronchial wall thickening, could be found on computed tomography. Therefore, patients with the history of BPD should be treated as risk group for early development of COPD
Respiratory outcomes of bronchopulmonary dysplasia in children, adolescents and adults
Prematurity and bronchopulmonary dysplasia (BPD), which is a complication of the neonatal respiratory distress-syndrome and respiratory thera-py in neonates, are currently considered as possible risk factors of chronic obstructive pulmonary disease (COPD) in adults. Persisting reduction in the lung size in prematurely born children and pathological lesion typical for BPD can lead to ventilation disorders and clinical signs of chronic respiratory failure and / or bronchial obstruction in the children, adolescents and adults. Clinical, functional and morphological consequences of prematurity and BPD in preschool and school-aged children, adolescents and adults are discussed in this review considering the authors' experience and the published data. The lung function abnormalities persist for lifetime. The lung tissue structural lesions, such as emphysema, fibrosis, the bronchial wall thickening, could be found on computed tomography. Therefore, patients with the history of BPD should be treated as risk group for early development of COPD
Protracted bacterial bronchitis in children - the Β«newΒ» Β«oldΒ» disease
Protracted bacterial bronchitis (PBB) is characterized by productive cough, usually after 2-week course of antibiotic therapy, while there are no other reasons that could explain the cough. PBB is a main cause of chronic wet cough in children. The literature review provides information about the disease, first described in 2006. The article lists causes of acute and chronic (wet and dry) cough in children. It presents description history, definition and diagnostic criteria for PBB; consistently characterizes epidemiology, etiology, risk factors, pathogenesis and clinical picture, laboratory instrumental diagnostics and treatment of PBB. Separately it discusses difficulties of PBB diagnostic, including PBB differential diagnosis with bronchial asthma, effects of the disease and its connection with bronchΠΎectasis, therapy discussion questions. It proves the necessity of inclusion of PBB to the national classification of bronchopulmonary diseases in children. Β© 2017, Pediatria Ltd. All rights reserved
Protracted bacterial bronchitis in children - the Β«newΒ» Β«oldΒ» disease
Protracted bacterial bronchitis (PBB) is characterized by productive cough, usually after 2-week course of antibiotic therapy, while there are no other reasons that could explain the cough. PBB is a main cause of chronic wet cough in children. The literature review provides information about the disease, first described in 2006. The article lists causes of acute and chronic (wet and dry) cough in children. It presents description history, definition and diagnostic criteria for PBB; consistently characterizes epidemiology, etiology, risk factors, pathogenesis and clinical picture, laboratory instrumental diagnostics and treatment of PBB. Separately it discusses difficulties of PBB diagnostic, including PBB differential diagnosis with bronchial asthma, effects of the disease and its connection with bronchΠΎectasis, therapy discussion questions. It proves the necessity of inclusion of PBB to the national classification of bronchopulmonary diseases in children. Β© 2017, Pediatria Ltd. All rights reserved
ΠΠ΅Π΄Π΅Π½ΠΈΠ΅ Π΄Π΅ΡΠ΅ΠΉ Ρ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π²Π»Π°ΠΆΠ½ΡΠΌ ΠΊΠ°ΡΠ»Π΅ΠΌ ΠΈ Π·Π°ΡΡΠΆΠ½ΡΠΌ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΠΌ Π±ΡΠΎΠ½Ρ ΠΈΡΠΎΠΌ ΠΏΠΎ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π°ΠΌ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΉ ΡΠΊΡΠΏΠ΅ΡΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ CHEST 2017 Π³ΠΎΠ΄Π°
The article presents updated recommendations of the American College of Chest Physicians (CHEST) on the management of children with chronic wet cough and protracted bacterial bronchitis. The review presents the results of systematic reviews of key issues in children with chronic (longer than 4 weeks) wet cough, not related to bronchiectasis: how effective are antibiotics in cough treatment and what antibiotic should be used and for how long, and when children should be sent for further examination. It describes modern definitions of prolonged bacterial bronchitis and specific symptoms of cough, which allow to exclude this diagnosis. The prospects for studying the problem are indicated.Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΠΎΠ±Π½ΠΎΠ²Π»Π΅Π½Π½ΡΠ΅ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΈ ΠΠΌΠ΅ΡΠΈΠΊΠ°Π½ΡΠΊΠΎΠΉ ΠΊΠΎΠ»Π»Π΅Π³ΠΈΠΈ Π²ΡΠ°ΡΠ΅ΠΉ-ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡΠΎΠ² ΠΏΠΎ Π³ΡΡΠ΄Π½ΠΎΠΉ ΠΊΠ»Π΅ΡΠΊΠ΅ (CHEST) ΠΏΠΎ Π²Π΅Π΄Π΅Π½ΠΈΡ Π΄Π΅ΡΠ΅ΠΉ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π²Π»Π°ΠΆΠ½ΡΠΌ ΠΊΠ°ΡΠ»Π΅ΠΌ ΠΈ Π·Π°ΡΡΠΆΠ½ΡΠΌ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΠΌ Π±ΡΠΎΠ½Ρ
ΠΈΡΠΎΠΌ. Π ΠΎΠ±Π·ΠΎΡΠ΅ ΠΏΡΠΈΠ²Π΅Π΄Π΅Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΈΡΡΠ΅ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠ±Π·ΠΎΡΠΎΠ² ΠΏΠΎ ΠΊΠ»ΡΡΠ΅Π²ΡΠΌ Π²ΠΎΠΏΡΠΎΡΠ°ΠΌ Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ (ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡΡ Π±ΠΎΠ»Π΅Π΅ 4 Π½Π΅Π΄Π΅Π»Ρ) Π²Π»Π°ΠΆΠ½ΡΠΌ ΠΊΠ°ΡΠ»Π΅ΠΌ, Π½Π΅ ΡΠ²ΡΠ·Π°Π½Π½ΡΠΌ Ρ Π±ΡΠΎΠ½Ρ
ΠΎΡΠΊΡΠ°Π·Π°ΠΌΠΈ: Π½Π°ΡΠΊΠΎΠ»ΡΠΊΠΎ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½Ρ Π°Π½ΡΠΈΠ±ΠΈΠΎΡΠΈΠΊΠΈ Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΊΠ°ΡΠ»Ρ ΠΈ ΠΊΠ°ΠΊΠΎΠΉ Π°Π½ΡΠΈΠ±ΠΈΠΎΡΠΈΠΊ Π΄ΠΎΠ»ΠΆΠ΅Π½ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°ΡΡΡΡ ΠΈ ΠΊΠ°ΠΊ Π΄ΠΎΠ»Π³ΠΎ, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΊΠΎΠ³Π΄Π° Π΄Π΅ΡΠΈ Π΄ΠΎΠ»ΠΆΠ½Ρ Π±ΡΡΡ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½Ρ Π½Π° Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅Π΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅. ΠΠΏΠΈΡΠ°Π½Ρ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠΈΠ½ΠΈΡΠΈΠΈ Π·Π°ΡΡΠΆΠ½ΠΎΠ³ΠΎ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π±ΡΠΎΠ½Ρ
ΠΈΡΠ° ΠΈ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΈΠΌΠΏΡΠΎΠΌΡ ΠΊΠ°ΡΠ»Ρ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠΈΠ΅ ΠΈΡΠΊΠ»ΡΡΠΈΡΡ Π΄Π°Π½Π½ΡΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΠ·. Π£ΠΊΠ°Π·Π°Π½Ρ ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Ρ ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ
ΠΠ΅Π΄Π΅Π½ΠΈΠ΅ Π΄Π΅ΡΠ΅ΠΉ Ρ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π²Π»Π°ΠΆΠ½ΡΠΌ ΠΊΠ°ΡΠ»Π΅ΠΌ ΠΈ Π·Π°ΡΡΠΆΠ½ΡΠΌ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΠΌ Π±ΡΠΎΠ½Ρ ΠΈΡΠΎΠΌ ΠΏΠΎ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π°ΠΌ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΉ ΡΠΊΡΠΏΠ΅ΡΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ CHEST 2017 Π³ΠΎΠ΄Π°
The article presents updated recommendations of the American College of Chest Physicians (CHEST) on the management of children with chronic wet cough and protracted bacterial bronchitis. The review presents the results of systematic reviews of key issues in children with chronic (longer than 4 weeks) wet cough, not related to bronchiectasis: how effective are antibiotics in cough treatment and what antibiotic should be used and for how long, and when children should be sent for further examination. It describes modern definitions of prolonged bacterial bronchitis and specific symptoms of cough, which allow to exclude this diagnosis. The prospects for studying the problem are indicated.Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΠΎΠ±Π½ΠΎΠ²Π»Π΅Π½Π½ΡΠ΅ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΈ ΠΠΌΠ΅ΡΠΈΠΊΠ°Π½ΡΠΊΠΎΠΉ ΠΊΠΎΠ»Π»Π΅Π³ΠΈΠΈ Π²ΡΠ°ΡΠ΅ΠΉ-ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡΠΎΠ² ΠΏΠΎ Π³ΡΡΠ΄Π½ΠΎΠΉ ΠΊΠ»Π΅ΡΠΊΠ΅ (CHEST) ΠΏΠΎ Π²Π΅Π΄Π΅Π½ΠΈΡ Π΄Π΅ΡΠ΅ΠΉ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π²Π»Π°ΠΆΠ½ΡΠΌ ΠΊΠ°ΡΠ»Π΅ΠΌ ΠΈ Π·Π°ΡΡΠΆΠ½ΡΠΌ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΠΌ Π±ΡΠΎΠ½Ρ
ΠΈΡΠΎΠΌ. Π ΠΎΠ±Π·ΠΎΡΠ΅ ΠΏΡΠΈΠ²Π΅Π΄Π΅Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΈΡΡΠ΅ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠ±Π·ΠΎΡΠΎΠ² ΠΏΠΎ ΠΊΠ»ΡΡΠ΅Π²ΡΠΌ Π²ΠΎΠΏΡΠΎΡΠ°ΠΌ Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ (ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡΡ Π±ΠΎΠ»Π΅Π΅ 4 Π½Π΅Π΄Π΅Π»Ρ) Π²Π»Π°ΠΆΠ½ΡΠΌ ΠΊΠ°ΡΠ»Π΅ΠΌ, Π½Π΅ ΡΠ²ΡΠ·Π°Π½Π½ΡΠΌ Ρ Π±ΡΠΎΠ½Ρ
ΠΎΡΠΊΡΠ°Π·Π°ΠΌΠΈ: Π½Π°ΡΠΊΠΎΠ»ΡΠΊΠΎ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½Ρ Π°Π½ΡΠΈΠ±ΠΈΠΎΡΠΈΠΊΠΈ Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΊΠ°ΡΠ»Ρ ΠΈ ΠΊΠ°ΠΊΠΎΠΉ Π°Π½ΡΠΈΠ±ΠΈΠΎΡΠΈΠΊ Π΄ΠΎΠ»ΠΆΠ΅Π½ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°ΡΡΡΡ ΠΈ ΠΊΠ°ΠΊ Π΄ΠΎΠ»Π³ΠΎ, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΊΠΎΠ³Π΄Π° Π΄Π΅ΡΠΈ Π΄ΠΎΠ»ΠΆΠ½Ρ Π±ΡΡΡ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½Ρ Π½Π° Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅Π΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅. ΠΠΏΠΈΡΠ°Π½Ρ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π΄Π΅ΡΠΈΠ½ΠΈΡΠΈΠΈ Π·Π°ΡΡΠΆΠ½ΠΎΠ³ΠΎ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π±ΡΠΎΠ½Ρ
ΠΈΡΠ° ΠΈ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΈΠΌΠΏΡΠΎΠΌΡ ΠΊΠ°ΡΠ»Ρ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠΈΠ΅ ΠΈΡΠΊΠ»ΡΡΠΈΡΡ Π΄Π°Π½Π½ΡΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΠ·. Π£ΠΊΠ°Π·Π°Π½Ρ ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Ρ ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ
ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ Π² ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅ Π΄Π΅ΡΡΠΊΠΎΠ³ΠΎ ΠΏΡΠ»ΡΠΌΠΎΠ½ΠΎΠ»ΠΎΠ³Π°
HIV infection is an urgent problem of children's health throughout the world. Respiratory pathology is the most frequent manifestation of HIV/AIDS in children, which is associated with more than 50% of lethal cases. Pulmonary problems in HIV-infected children can be both infectious and non-infectious. Usually it is a pneumonia of different etiology, that cause bronchiectasis development. The most frequent non-infectious lung lesion in HIV-infected children is lymphoid interstitial pneumonia. The article presents data on 3 cases of late HIV infection diagnosis in older children with respiratory diseases.ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ ΡΠ²Π»ΡΠ΅ΡΡΡ Π°ΠΊΡΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠΎΠΉ Π·Π΄ΠΎΡΠΎΠ²ΡΡ Π΄Π΅ΡΠ΅ΠΉ Π²ΠΎ Π²ΡΠ΅ΠΌ ΠΌΠΈΡΠ΅. Π Π΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½Π°Ρ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡ - Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠ°Ρ ΠΌΠ°Π½ΠΈΡΠ΅ΡΡΠ°ΡΠΈΡ ΠΠΠ§/Π‘ΠΠΠ Ρ Π΄Π΅ΡΠ΅ΠΉ, Ρ ΠΊΠΎΡΠΎΡΠΎΠΉ ΡΠ²ΡΠ·Π°Π½ΠΎ Π±ΠΎΠ»Π΅Π΅ 50% Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ Ρ Π½ΠΈΡ
. ΠΡΠ»ΡΠΌΠΎΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ Ρ ΠΠΠ§-ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π΄Π΅ΡΠ΅ΠΉ ΠΌΠΎΠ³ΡΡ ΠΈΠΌΠ΅ΡΡ ΠΊΠ°ΠΊ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΡ, ΡΠ°ΠΊ ΠΈ Π½Π΅ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΡ ΠΏΡΠΈΡΠΎΠ΄Ρ. ΠΠ±ΡΡΠ½ΠΎ ΡΡΠΎ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ ΡΠ°Π·Π»ΠΈΡΠ½ΠΎΠΉ ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ, Π²ΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅ ΠΊΠΎΡΠΎΡΡΡ
ΡΠ°Π·Π²ΠΈΠ²Π°ΡΡΡΡ Π±ΡΠΎΠ½Ρ
ΠΎΡΠΊΡΠ°Π·Ρ. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌ Π½Π΅ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΠΌ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ Π»Π΅Π³ΠΊΠΈΡ
ΠΏΡΠΈ ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Ρ Π΄Π΅ΡΠ΅ΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ Π»ΠΈΠΌΡΠΎΠΈΠ΄Π½Π°Ρ ΠΈΠ½ΡΠ΅ΡΡΡΠΈΡΠΈΠ°Π»ΡΠ½Π°Ρ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΡ. Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ Π΄Π°Π½Π½ΡΠ΅ ΠΎ 3 ΡΠ»ΡΡΠ°ΡΡ
ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Ρ Π΄Π΅ΡΠ΅ΠΉ ΡΡΠ°ΡΡΠ΅Π³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° Ρ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ
ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ Π² ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅ Π΄Π΅ΡΡΠΊΠΎΠ³ΠΎ ΠΏΡΠ»ΡΠΌΠΎΠ½ΠΎΠ»ΠΎΠ³Π°
HIV infection is an urgent problem of children's health throughout the world. Respiratory pathology is the most frequent manifestation of HIV/AIDS in children, which is associated with more than 50% of lethal cases. Pulmonary problems in HIV-infected children can be both infectious and non-infectious. Usually it is a pneumonia of different etiology, that cause bronchiectasis development. The most frequent non-infectious lung lesion in HIV-infected children is lymphoid interstitial pneumonia. The article presents data on 3 cases of late HIV infection diagnosis in older children with respiratory diseases.ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ ΡΠ²Π»ΡΠ΅ΡΡΡ Π°ΠΊΡΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠΎΠΉ Π·Π΄ΠΎΡΠΎΠ²ΡΡ Π΄Π΅ΡΠ΅ΠΉ Π²ΠΎ Π²ΡΠ΅ΠΌ ΠΌΠΈΡΠ΅. Π Π΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½Π°Ρ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡ - Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠ°Ρ ΠΌΠ°Π½ΠΈΡΠ΅ΡΡΠ°ΡΠΈΡ ΠΠΠ§/Π‘ΠΠΠ Ρ Π΄Π΅ΡΠ΅ΠΉ, Ρ ΠΊΠΎΡΠΎΡΠΎΠΉ ΡΠ²ΡΠ·Π°Π½ΠΎ Π±ΠΎΠ»Π΅Π΅ 50% Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ Ρ Π½ΠΈΡ
. ΠΡΠ»ΡΠΌΠΎΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ Ρ ΠΠΠ§-ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π΄Π΅ΡΠ΅ΠΉ ΠΌΠΎΠ³ΡΡ ΠΈΠΌΠ΅ΡΡ ΠΊΠ°ΠΊ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΡ, ΡΠ°ΠΊ ΠΈ Π½Π΅ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΡ ΠΏΡΠΈΡΠΎΠ΄Ρ. ΠΠ±ΡΡΠ½ΠΎ ΡΡΠΎ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ ΡΠ°Π·Π»ΠΈΡΠ½ΠΎΠΉ ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ, Π²ΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅ ΠΊΠΎΡΠΎΡΡΡ
ΡΠ°Π·Π²ΠΈΠ²Π°ΡΡΡΡ Π±ΡΠΎΠ½Ρ
ΠΎΡΠΊΡΠ°Π·Ρ. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌ Π½Π΅ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΠΌ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ Π»Π΅Π³ΠΊΠΈΡ
ΠΏΡΠΈ ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Ρ Π΄Π΅ΡΠ΅ΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ Π»ΠΈΠΌΡΠΎΠΈΠ΄Π½Π°Ρ ΠΈΠ½ΡΠ΅ΡΡΡΠΈΡΠΈΠ°Π»ΡΠ½Π°Ρ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΡ. Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ Π΄Π°Π½Π½ΡΠ΅ ΠΎ 3 ΡΠ»ΡΡΠ°ΡΡ
ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Ρ Π΄Π΅ΡΠ΅ΠΉ ΡΡΠ°ΡΡΠ΅Π³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° Ρ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ