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Abstract
TIME COURSE OF SYMPTOMATIC MANIFESTATIONS IN CHILDREN WITH BRONCHIAL ASTHNA RESIDING IN KHARKIV REGION ACCORDING TO THE ISAAC STUDY
Klymenko V.A.,.Karpushenko Y.V., Kozhyna O.S.
For the first time in Ukraine phase IV of the International ISAAC program was realized in Kharkiv Region in 2015-2017. 6330 of questionnaires were distributed. 6146 (97%) of schoolchildren took part in the program. 12.8% of them had respiratory complaints, 13.2% of children at the age from 6 to 7 years, 12.4% of children aged from 13 to 14 years old. A low level of asthma diagnosis in the region was observed. Only 0.5% of children in population were diagnosed with asthma. These results were compared with the data from phase I of ISAAC (V.A. Ognev, 1998) to determine the time course of respiratory symptoms incidence: over the last 19 years the prevalence of respiratory symptoms has decreased by 1.6 times in children of junior school age and by 2 times in adolescents. Significant fluctuations in wheezing prevalence in different districts of Kharkiv Region were revealed: from 5.5% (Barvinkivs’kyi District) to 14% (Derhachivs’kyi District). The study is aimed to improve early diagnosis of asthma in children.
Keywords: children, bronchial asthma, prevalence, Kharkiv region, ISAAC
Динаміка симптоматичних проявів бронхіальної астми у дітей Харківської області за даними дослідження ISAAC
Клименко В. А., Карпушенко Ю.В., Кожина О.С.
Вперше в Україні в Харківському регіоні в 2015-2017 роках виконано IV фаза Міжнародної програми ISAAC. Роздано 6330 анкет; взяли участь в програмі - 6146 (97%) школярів. Респіраторні скарги виявлені у 12,8%: серед дітей 6-7 років - 13,2%, 13-14 років - 12,4%. Відзначено низький рівень діагностики астми в регіоні - діагноз встановлений у 0,5% дітей у популяції. Для виявлення динаміки поширеності респіраторних симптомів проведено порівняння з даними І фази ISAAC (В.А. Огнєв, 1998) - за останні 19 років розповсюдженість респіраторних симптомів знизилася у 1,6 разів серед дітей молодшого шкільного віку, у 2 рази - в підлітковому віці. Виявлено значні коливання в розповсюдженості wheezing в різних районах Харківської області - від 5,5% (Барвінківський район) до 14% (Дергачівський район). Дослідження спрямовано на поліпшення ранньої діагностики астми у дітей.
Ключові слова: діти, бронхіальна астма, поширеність, Харківська область, ISAAC
Динамика симптоматических проявлений бронхиальной астмы у детей Харьковской области по данным исследования ISAAC
Клименко В. А., Карпушенко Ю.В., Кожина О.С.
Впервые в Украине в Харьковском регионе в 2015-2017 годах выполнена IV фаза Международной программы ISAAC. Роздано 6330 анкет; приняли участие в программе – 6146 (97 %) школьников. Респираторные жалобы выявлены у 12,8 %: среди детей 6-7 лет - 13,2 %, 13-14 лет – 12,4%. Отмечен низкий уровень диагностики астмы в регионе – диагноз установлен у 0,5 % детей в популяции. Для выявления динамики распространения респираторных симптомов проведено сравнение с данными І фазы ISAAC (В.А. Огнев, 1998) - за последние 19 лет распространенность wheezing снизилась в 1,6 раз среди детей младшего школьного возраста, в 2 раза – у подростков. Выявлены значительные колебания в распространенности wheezing в разных районах Харьковской области - от 5,5 % (Барвенковский район) до 14 % (Дергачевский район). Исследование направлено на улучшение ранней диагностики астмы у детей.
Ключевые слова: дети, бронхиальная астма, распространенность, Харьковская область, ISAAC.
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