Place of Immunostimulating Drugs in the Treatment of Respiratory Infections

O. Duda, I.V. Manzheleeva, Valentyna Boyko, Alla Golub, Yu.O. Sukhov
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Abstract

Every year, influenza and other acute respiratory viral infections (ARVI) cause significant morbidity and mortality worldwide. Most people infected with respiratory viruses have an asymptomatic and uncomplicated course of the disease. ARVI is the most common infectious disease affecting all age groups. Among the causes of temporary loss of working capacity, they occupy the first place – even in the inter-epidemic period, 1/6 of the planet’s population is sick because of them. The objective: to analyse the efficacy of immunostimulating agent in treatment of ARVI on outpatient level. Materials and methods. 322 patients from 18 to 65 years old with symptoms of acute respiratory disease participated in the study. Patients were divided into two groups: 250 people who received symptomatic treatment were included in the control group, 72 patients who received symptomatic treatment and immunostimulating drug – in the experimental group. Results. The study showed that in the experimental group the average time for temperature normalization was 5.0 days, while in the control group it was 7.47 days (p<0.05); disappearance of headache occurs in 5.57 and 7.4 days respectively (p<0.05), disappearance of muscle pain – in 5.0 and 7.4 days (p<0.05). Conclusions. Non-specific drugs with wide spectrum of action are increasingly used in treatment of acute viral respiratory diseases, in particular, – remedies for stimulation of the immune response in the early stages of the disease, which can significantly shorten the period of fever and improve the general patients wellbeing. Timely treatment with immunostimulants can alleviate the severity and duration of clinical symptoms, help to avoid hospitalization and development of complications, reduce the burden on the outpatient department and use of antibiotics.
免疫刺激药物在呼吸道感染治疗中的地位
每年,流感和其他急性呼吸道病毒感染(ARVI)在全世界造成重大发病率和死亡率。大多数感染呼吸道病毒的人的病程无症状且不复杂。ARVI是影响所有年龄组的最常见传染病。在造成暂时丧失工作能力的原因中,它们占据首位——即使在流行病间期,地球上也有六分之一的人口因此而生病。目的:分析免疫刺激剂在门诊治疗ARVI的疗效。材料和方法。322名18 - 65岁的急性呼吸道疾病患者参与了这项研究。将患者分为两组:对照组250例接受对症治疗,试验组72例接受对症治疗和免疫刺激药物治疗。研究表明,实验组体温正常化平均时间为5.0 d,对照组为7.47 d (p<0.05);头痛消失时间分别为5.57天和7.4天(p<0.05),肌肉疼痛消失时间分别为5.0天和7.4天(p<0.05)。具有广谱作用的非特异性药物越来越多地用于治疗急性病毒性呼吸道疾病,特别是在疾病早期阶段刺激免疫反应的补救措施,可以显着缩短发烧期并改善患者的一般健康状况。及时使用免疫刺激剂治疗可减轻临床症状的严重程度和持续时间,有助于避免住院和并发症的发生,减少门诊负担和抗生素的使用。
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