Suchasna pediatriia Ukrayina最新文献

{"title":"Heterotopia of the gastric mucosa in the rectum: a clinical case report","authors":"N. S. Kosmynina, M. Luchak","doi":"10.15574/sp.2023.130.117","DOIUrl":"https://doi.org/10.15574/sp.2023.130.117","url":null,"abstract":"Heterotopic gastric mucosa is rare in the paediatric population, but it can pose a diagnostic challenge. This pathology can occur in any part of the digestive tract, from the oropharynx to the anorectal area. Most cases are observed in the esophagus, duodenum and hepatobiliary system, but the presence of this tissue in the rectum is extremely rare. Purpose - conduct a clinical description of a rare pathology in children in order to pay the doctors` attention to the need for comprehensive diagnosis of patients with hematochezia. Clinical case. We present a clinical case of a child with heterotopia of the gastric mucosa into the rectum. Symptoms included hematochezia and anal pain during the act of defecation, general weakness, and decreased appetite. These manifestations were observed for two years with periods of exacerbations and remissions on the background of conservative treatment. The final diagnosis was made on the basis of a biopsy of nodular formations of the rectum, detected by colonoscopy. Conclusions. Given the negative impact of the disease manifestations on the patient's quality of life and the potential risk of malignant transformation, the possibility of heterotopic gastric mucosa in the rectum with indeterminate bleeding from the lower gastrointestinal tract should be considered and a complete examination, including biopsy, should be performed. Once the diagnosis is confirmed, radical surgical removal is recommended. Initial conservative treatment with proton pump inhibitors provides only short-term relief and is accompanied by periods of exacerbation and remission. The final treatment is always surgical or endoscopic excision of the heterotopic mucosa. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47042828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measles: age characteristics of the course","authors":"O. Usachova, T. Pakholchuk, E. Silina, N. Vorobiova, I.O. Kulesh, O. V. Kolesnik","doi":"10.15574/sp.2023.130.89","DOIUrl":"https://doi.org/10.15574/sp.2023.130.89","url":null,"abstract":"Purpose - to analyze the clinical and epidemiological features of measles infection in children during the 2017-2018 outbreak in Zaporizhzhia region to increase the alertness of primary care physicians to measles. Materials and methods. A retrospective analysis of the clinical and epidemiological features of measles infection in 58 children undergoing inpatient treatment in the CNE «Zaporizhzhia Regional Clinical Hospital of Infectious Diseases» of the Zaporizhzhia Regional Council in 2017-2018. Results. 78.5% of children were hospitalised later than the 3rd day of illness. In the catarrhal period, all children had hyperthermia and the presence of Belsky-Filatov-Koplik spots. The rash lasted 5.3±0.5 days. In all patients, the rash was patchy-papular and spread from top to bottom with the appearance of pigmentation from the 5th day of the disease. All children had a typical form of the disease, in 91.4% of cases - moderate, in 8.6% - severe. 91.4% of children had complications. Among the complications, obstructive bronchitis was more common in infants and young children (р˂0.05), while reactive hepatitis was more common in older children (р˂0.05). Conclusions. During the outbreak of measles in Ukraine (in 2017-2018), the course of the disease was typical. Obstructive bronchitis was the most frequent complication in children of early age, reactive hepatitis - in older children. The research was carried out in accordance with the principles of the Declaration of Helsinki. Informed consent of the children’s parents was obtained for the study. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44538982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection and treatment of skin infection with Staphylococcus aureus in children with atopic dermatitis","authors":"O. Mozyrska","doi":"10.15574/sp.2023.130.74","DOIUrl":"https://doi.org/10.15574/sp.2023.130.74","url":null,"abstract":"Introduction. Atopic dermatitis is a common chronic relapsing inflammatory multifactorial skin disease. Staphylococcus aureus skin colonization increases during disease outbreaks and correlates with the severity of skin symptoms. Purpose - to evaluate the effectiveness of thyrothricin gel as an adjuvant therapy in the treatment of atopic dermatitis and the influence of polymorphisms of pattern recognition receptors on the achieving a therapeutic effect. Materials and methods. This study included patients with atopic dermatitis (n=37) aged 2-18 years from the Allergy Department of the Kyiv City Children’s Clinical Hospital No. 2. Patients were devided into two groups: a group that received thyrothricin gel on the affected skin areas 2 times a day for 7 days (the Group A) and a control group (the Group B) that received only basic symptomatic therapy. SCORAD (SCORing AD) and CDLQI (Children’s Quality of Life Index in Dermatology) scores were recorded before and after treatment, side effects were recorded during the study. Skin swabs were taken in the Group A before and after treatment. Genotyping of polymorphisms rs4696480 in the TLR2 gene, rs7309123 in the Dectin-1 gene were performed using polymerase chain reaction. Results. In both groups of children, improvement was observed in 7 days after treatment (p<0.001). In the Group A, the improvement in ΔSCORAD was 16.6±5.9 points, in the Group B - 8.1±4.5 points. The difference in ΔSCORAD scores between the Groups A and B was statistically significant (W=225.0, p<0.001). The decrease in CDLQI score after treatment was 3.8±1.8 points in the Group A and 2.3±1.25 points in the Group B. A significant decrease in CDLQI score was demonstrated in the intervention group than in the control group after treatment (W=275.5, p=0.004). After treatment, a bacteriological examination of the skin demonstrated the eradication of Staphylococcus aureus: in the Group A, 94.4% of patients were Staphylococcus aureus-negative. Polymorphisms rs4696480 in the TLR2 gene and rs7309123 in the Dectin-1 gene did not affect the speed of achieving the therapeutic effect. Conclusions. The addition of thyrothricin to standard therapy for atopic dermatitis in children with Staphylococcus aureus infection of affected skin may provide significant clinical benefit in SCORAD and CDLQI scores. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patients was obtained for conducting the studies. No conflict of interests was declared by the author.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46914121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A multifactorial model for predicting severe course and organ and systems damage in Lyme borreliosis in children","authors":"S. Nykytyuk, A. Sverstiuk, D.S. Pyvovarchuk, S. Klymnyuk","doi":"10.15574/sp.2023.130.6","DOIUrl":"https://doi.org/10.15574/sp.2023.130.6","url":null,"abstract":"Lyme disease (tick-borne borreliosis, Lyme borreliosis - LB) is a multisystem zoonotic disease transmitted by the bite of infected ticks. Purpose - to develop a mathematical model for predicting the risk of severity of the course (PRSC) of LB by the risk factor for the development of disseminated LB in children who have had a tick attack. Materials and methods. To build a model for PRSC of LB using multivariate regression analysis, 121 children with LB aged 13±3 years (from 1 to 18 years) were examined, including 51 boys and 70 girls. Groups of patients: 78 children with erythema migrans, 16 - with Lyme arthritis, 27 - with nervous system lesions. The quality of the prognostic model was checked by the Neigelkerk criterion (R2), and the acceptability of the model was assessed using ANOVA analysis of variance. Serological examination of patients bitten by ticks was performed by enzyme-linked immunosorbent assay. To detect immunoglobulins of classes M (IgM) and G (IgG) to B. burgdorferi s.l. complex, test systems from Euroimmun AG (Germany) were used. IgM antibodies were determined by the test system Anti-Borrelia burgdorferi ELISA, IgG - by Anti-Borrelia plus VIsE ELIS. Blood samples with intermediate and positive results of the first stage of work were examined by immune blotting: IgM antibodies were detected using the system Anti-Borrelia EUROLINE Borrelia RN-AT (IgM), and IgG antibodies - Anti-Borrelia EUROLINE RN-AT. Results. The method of multivariate regression analysis for predicting the severe course and damage to organs and systems in children with LB, taking into account the factors and variants of the disease itself, allows to develop a mathematical model of PRSC of LB and to improve the effectiveness of treatment. Thus, all prerequisites have been created for high-quality preventive measures and reducing the risk of severe pulmonary disease. The initial data for predicting the severity of pulmonary disease were 28 factors. According to the results of the regression analysis, 24 factors were included in the model for predicting the severity of the course of pulmonary disease. Conclusions. For the first time, a multivariate regression model for PRSC of LB for pulmonary fibrosis in children was built. The weighting coefficients of each of the factors of the onset and progression of LB were taken into account: 0-10 points indicate the development of a localized stage (primary effect stage), while 11 or more points indicate a disseminated (generalized) stage. The results of the study make it possible to further develop standardized scales of the severity of LB and possible organ and system damage. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45032180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical features of the course of neonatal sepsis depending on the expressiveness of the body's inflammatory response","authors":"O. Koloskova, L. Kolyubakina, O. Vlasova, S. Tarnavska, V.S. Kchilchevska","doi":"10.15574/sp.2023.130.67","DOIUrl":"https://doi.org/10.15574/sp.2023.130.67","url":null,"abstract":"The study of the clinical features of the course of neonatal sepsis depending on the level of C-reactive protein and presepsin in the dynamics makes it possible to distinguish a cohort of children with a «severe» course of sepsis, who require complex monitoring of life-supporting functions. Purpose - to study the clinical features of the course of neonatal sepsis and to distinguish the signs of «severe» sepsis for the purpose of an individualized approach to the choice of treatment tactics. Materials and methods. 56 medical records of newborns with neonatal sepsis were analyzed. Depending on the level of the inflammatory response, two observation groups were formed. The clinical Group I included 25 patients with neonatal sepsis with a level of C-reactive protein (CRP) <20 mg/l (boys - 52.0%, city residents - 80.0%). The Group II was formed by 31 newborns with sepsis, in whom the content of CRP in the blood was >20 mg/l (boys - 62.8% (p>0,05), city residents - 57.1% (p>0,05)). The content of presepsin in the blood serum of newborns of both comparison groups exceeded 300 pg/ml. According to the main clinical characteristics, these groups were comparable. According to the time of manifestation of clinical signs of sepsis, the distribution by groups was gomogenous. Results. A comprehensive clinical examination of newborns with neonatal sepsis on the 1st and the 3rd day of treatment gave reason to believe that signs of organ dysfunction are not associated with the severity of acute-phase indicators of the immunological response. However, on the 7th day of treatment, in patients with higher indicators of the inflammatory response, the preservation of signs of organ dysfunction, namely certain neurological, respiratory, hemodynamic disorders, changes in nutritional status, were noted. Conclusions. A comprehensive clinical examination of newborns with neonatal sepsis in the dynamics revealed that the preservation of more pronounced signs of organ dysfunction is inherent in patients with higher inflammatory response rates on the 7th day of inpatient treatment. Based on the obtained data, it is shown that the cohort of children with neonatal sepsis was heterogeneous with certain characteristic features depending on immunological reactivity. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent of the parents was obtained for the research. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41815071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical aspects of teaching of neonatology to students of the medical and psychological faculty","authors":"A. Pysariev, Y. Marushko","doi":"10.15574/sp.2023.130.121","DOIUrl":"https://doi.org/10.15574/sp.2023.130.121","url":null,"abstract":"Purpose - to devote the main peculiarities of teaching neonatology to students of the medical and psychological faculty (MPF). The main principles of distance learning are emphasized as problem-solving, interactivity and orientation on personal development. The advantages of problem-solving learning are declared; it helps students in the development of clinical thinking, of the ability to predict the occurrence of psychological problems, and develops optimal tactics in communication with parents and medical personnel. In teaching the neonatology cycle to MPF students, special emphasis is placed on certain pathological conditions in newborns, which require psychological support for families. The need to provide comprehensive medical and psychological assistance to mothers, the effectiveness of which is based on key professional competencies and in-depth clinical knowledge, is emphasized. A point is placed on the fact that in the process of training in neonatology, students of the MPF must understand their special role in preventing medical stress and medical trauma for both the child and the parents, since the environment of intensive neonatology contains numerous stress factors due to excessive sensory stimulation, such as light, sound and pain, which conflict with the requirements of the brain development of a newborn baby, especially in case of preterm birth. That is why it is important to providing complete information to the parents regarding the role of each member of the team of specialists in the organization of treatment and care of the child and the need to use developmental care that meets the needs of the early development of a premature child is also highlighted. The role of the future medical psychologist in providing support to parents with perinatal loss is also determined. This problem affects many families, most of whom are dealing with their loss often alone without adequate support and help. The problem of perinatal losses and recovery of mothers and families after them is the competence of medical psychologists. The underlined requirements for the teacher are the individual preparation of high-quality learning content, which may require additional time, but the involvement of the students themselves in the preparation of the necessary materials will even more increase the interactivity of the educational process. The possibilities of using the modern educational technologies are analyzed: these are «case technologies» in small groups, «business (role) games», an inverted classroom approach. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46751976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric aspects of acute hematogenous osteomyelitis in a child of early age: a clinical case","authors":"","doi":"10.15574/sp.2023.129.87","DOIUrl":"https://doi.org/10.15574/sp.2023.129.87","url":null,"abstract":"Acute hematogenous osteomyelitis is one of the common bacterial infections in children of early age, which is accompanied by mild symptoms at the initial stage of diagnosis. The onset of the disease is usually acute with fever, intoxication syndrome, focal signs of bone inflammation and limitation of limb function. Purpose - to show the features of diagnosis and treatment of acute hematogenous osteomyelitis in an infant based on clinical observation. Clinical case. The clinical case of a child of early age with acute hematogenous osteomyelitis, who was hospitalized with complaints of an increase in body temperature up to 40°C, restlessness, swelling and hyperemia of the lower part of the right thigh and right knee joint, and movement disorders in the right leg, was presented. The general condition of the child upon admission is severe due to intoxication, hyperthermic syndromes and local changes in the right lower limb, which was in a forced position, pronation. There were no active movements in the right leg, passives ones were painful. Rotational movements in the right leg are possible, but painful. The soft tissues in the area of the right hip and knee joints, as well as the thighs, were not changed in color, their swelling was noted. Conclusions. Symptoms of acute hematogenous osteomyelitis in young children are often nonspecific. Intoxication syndrome symptoms and local changes as movement disorders in the limb in children of this age group dominate. Pain can be detected during the examination, which is clearly localized with sensitivity over the infected bone; edema may be present. Changes of complete blood count are mild, while the determination of C-reactive protein during the initial evaluation can serve as a baseline value for sequential monitoring. The sensitivity of X-ray examination at the beginning of the disease is low, radiological changes appear only 7-21 days after infection. Empiric antimicrobial therapy aimed at Staphylococcus aureus should be prescribed immediately after the detection of acute hematogenous osteomyelitis clinical signs even before receiving results of additional research methods. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41888150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Azithromycin in the clinic of infectious diseases","authors":"S. Kramarov, I. Seriakova","doi":"10.15574/sp.2023.129.106","DOIUrl":"https://doi.org/10.15574/sp.2023.129.106","url":null,"abstract":"Infectious diseases are extremely common among children, characterized by a severe course and are the leading cause of death among young children. Purpose - to increase the awareness of medical workers regarding the current trends in the therapy of infectious diseases and highlight the feasibility of using azithromycin, based on the latest international recommendations. This review presents the main characteristics of the most common infectious diseases, as well as modern approaches to their treatment. Antibiotic therapy is an integral part of the treatment of most infections. Azithromycin is an antibacterial drug from the group of macrolides, characterized by a wide range of applications in pediatric practice. We considered the mechanisms of its bacteriostatic, antimicrobial, immunomodulatory activity and presented the results of numerous studies on the effectiveness of azithromycin use in infectious diseases. Conclusions. Azithromycin is an effective and proven antibacterial agent for various pathological conditions, such as diseases of the lower respiratory tract (pneumonia, acute bronchitis, bronchiolitis), acute intestinal infections and Lyme borreliosis. Studies of this drug show good tolerability, low rate of adverse reactions and high safety profile, which allows it to be prescribed to young children, and bacteriostatic, antimicrobial, immunomodulatory and bactericidal activity contribute to a wide range of applications in pediatric practice. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49392929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of the pediatrician in the formation of the dentition and in the preservation of children's dental health","authors":"A. Malska, Rosie Dub, Z.R. Pryshko, H.M. Solonko","doi":"10.15574/sp.2023.129.59","DOIUrl":"https://doi.org/10.15574/sp.2023.129.59","url":null,"abstract":"Purpose - to analyze the role of the pediatrician in the formation of the dentition and the preservation of dental health in children, reviewing world research on this topic. The data of scientific literature on the awareness of pediatricians in the prevention of children's oral health diseases and timely referral to a pediatric dentist are analyzed. Untreated tooth decay is known to negatively affect a child's overall health and well-being, causing pain, impairing the ability to bite and chew, and thus affecting weight gain and growth, self-esteem, and communication skills. Chronic pain and discomfort caused by dental caries also negatively affects cognitive development and is associated with school absenteeism and lack of concentration. Since the youngest children visit pediatricians much more often than dentists, it is very important that pediatricians have the appropriate knowledge of the development and progression of caries, the principles of its prevention, and ways to maintain and improve the child's oral health. The cooperation of a pediatric dentist, parents and pediatrician is a three-way process for the sake of a child's oral health. Most studies have shown that pediatricians have insufficient knowledge of caries and its transmission, and that pediatricians have limited knowledge and understanding of the initial clinical signs of caries, the recommended age for the first visit to the dentist, the etiology of caries, and recommendations for the use of fluoride toothpastes. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43604410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monkeypox (mpox) is a new problem on a global scale for humanity","authors":"L. Chernyshova, A. Chernyshov","doi":"10.15574/sp.2023.129.7","DOIUrl":"https://doi.org/10.15574/sp.2023.129.7","url":null,"abstract":"Purpose - to draw attention to an infection that was little known, but has now become a global problem for society; to familiarize readers with the peculiarities of the 2022 monkeypox outbreak and to increase the level of alertness of doctors to this disease. Monkeypox is a global problem because the disease is spreading rapidly, covering 111 countries. Three cases were diagnosed in Ukraine. It is predominantly a self-limited infection, but there are severe and deadly complications. The lethality of this disease ranges from 0% to 11%. The course of the disease is more severe in children and people with reduced immunity. Vertical transmission of the virus from mother to child is possible, resulting in congenital monkeypox. Monkeypox is a zoonotic disease and its natural reservoir is not exactly known, but rodents are most likely to act. In most cases, person-to-person transmission of the virus occurs through close skin to skin contact, often during sexual intercourse. At the beginning of the outbreak 98% of cases of disease were was diagnosed in homo- and bisexuals. Airborne transmission is also possible. Infection is possible through close contact with infectious skin lesions. Clinically, the initial period resembles influenza, but lymphadenopathy is characteristic, which is considered a pathognomonic symptom of mpox. The rash is similar to that of chickenpox, but with more prevalent location on palms and soles than in chickenpox. In the presence of a vesicular rash in a patient, it is necessary to exclude monkeypox. PCR diagnostics of the virus in samples of vesicles or crusts has the greatest diagnostic value. Hygienic skin care is important. Antiviral drugs (tecovirimat, brincidofovir) are recommended only in severe cases. To reduce the spread of infection, international rules apply as for other infections, such as COVID-19. The monkeypox virus vaccine is recommended primarily for groups at risk of infection, including medical personnel who may come into contact with the patient or samples for laboratory testing. Being aware for this infection, following international health regulations, it is possible to prevent the further spread of monkeypox. No conflict of interests was declared by the authors.","PeriodicalId":34724,"journal":{"name":"Suchasna pediatriia Ukrayina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45052317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}