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Abstract
Nasal decongestants are effective and most commonly used medications for the symptomatic treatment of acute rhinitis in children. Despite new approaches to therapy, modern clinical practice guideline for the treatment of acute rhinitis in children, a wide selection of topical vasoconstrictive medications and their availability create conditions for uncontrolled use of these medications and determine the relevance of the problem of side effects. The article gives a brief overview of the use of decongestants in acute rhinitis in pediatric practice, their side effects are examined, a clinical case of Naphthyzin poisoning of a three-year-old child is described. A peculiarity of this case is the development of a life-threatening state in a patient. The authors draw attention to the importance of the correct prescribing of the described medications, a thorough explanation of the parents' side effects of vasoconstrictive medications, including the emergence of life-threatening conditions for the child.
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Uchaykin V.F., NisevichN.I., Shamsheva O.V. Infectious diseases in children: textbook. M.: GEOTAR-Media, 2013. 688 p. Russian (Учайкин В.Ф., Нисевич Н.И., Шамшева О.В. Инфекционные болезни у детей: учебник. М.: ГЭОТАР-Медиа, 2013. 688 с.)
Federal clinical guidelines for the provision of medical care for children with acute respiratory viral infection (acute nasopharyngitis). M.: Тhe Union of Pediatricians of Russia, 2015. 12 p. Available: http://www.pediatr-russia.ru/sites/default/files/file/kr_onaz.pdf. Russian (Федеральные клинические рекомендации по оказанию медицинской помощи детям с острой респираторной вирусной инфекцией (острый назофарингит) М.: Союз педиатров России; 2015. 12 с. Доступно: http://www.pediatr-russia.ru/sites/default/files/file/kr_onaz.pdf
Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F et al. European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012; 50(1): 1-12
Beule A. Epidemiology of chronic rhinosinusitis, selected risk factors, comorbidities and economic burden. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2015; 14: Doc 11. doi: 10.3205/cto000126
Radtsig EU, Ermilova NV, Sapaeva NV, Bogomil'sky MR. Alternative to topical decongestants for symptomatic treatment of children's acute rhinitis. Current Pediatrics. 2007; 6(5): 92-95. Russian (Радциг Е.Ю., Ермилова Н.В., Сапаева Н.В., Богомильский М.Р. Альтернатива топическим деконгестантам при симптоматическом лечении острого ринита у детей //Вопросы современной педиатрии. 2007. Т. 6, № 5. С. 92-95)
Afanas'ev YuI, Yurina NA, Kotovskiy ES. Histology, embryology, cytology: textbook. M.: GEOTAR-Media, 2013. 688 p. Russian (Афанасьев Ю.И., Юрина Н.А., Котовский Е.С.Гистология, эмбриология, цитология: учебник. М.: ГЭОТАР-Медиа; 2012. 800 с.)
Radtsig EU, Shklyar DV. Pathophysiology and pathomorphology of rhinitis. Pediatrics. Appendix to the journal Consilium Medicum. 2010; (1): 46-51. Russian (Радциг Е.Ю., Шкляр Д.В. Патофизиология и патоморфология ринита //Педиатрия. Приложение к журналу Consilium Medicum. 2010. № 1. С. 46-51)
Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJ, Hicks LA et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis. 2012; 54(8): 72-112. DOI: https://doi.org/10.1093/cid/cis370
Desrosiers M, Evans GA, Keith PK, Wright ED, Kaplan A, Bouchard J et al. Canadian clinical practice guidelines for acute and chronic rhinosinusitis. Allergy Asthma Clin Immunol. 2011; 7(1): 2. DOI: https://doi.org/10.1186/1710-1492-7-2
Svistushkin VM, Mustafaev DM. Acute respiratory viral infections: principles of rational therapy. RMJ. 2014; 26: 1897-1902. Russian (Свистушкин В.М., Мустафаев Д.М. Острые респираторные вирусные инфекции: принципы рациональной терапии //РМЖ. 2014. № 26. С. 1897-1902)
Radtsig EU, Zlobina NV. Nasalobstruction: causes and methods of treatment. RMJ. 2017; 5: 340-344. Russian (Радциг Е.Ю., Злобина Н.В. Назальная обструкция: причины и способы лечения //РМЖ. 2017. № 5. С. 340-344)
Malakhov AB, Shatalina SI, Dronov I.A., Malakhova-Kapanadze MA, Denisova AR. Topical decongestants in combination therapy of acute respiratory infections in children (a literature review). Medical Council. 2015; 14: 26-29. Russian (Малахов А.Б., Шаталина С.И., Дронов И.А., Малахова-Капанадзе М.А., Денисова А.Р. Топические деконгестанты в комплексе терапии острых респираторных инфекций у детей (обзор литературы) //Медицинский совет. 2015. № 14. С. 26-29)
Karpova EP, Tulupov DA. Nasal vasoconstrictors in pediatric practice. Effective Pharmacotherapy. 2012; 9: 18-22. Russian (Карпова Е.П., Тулупов Д.А. Назальные сосудосуживающие препараты в педиатрической практике //Эффективная фармакотерапия. 2012. № 9. С. 18-22)
Karpishchenko SA, Kolesnikova OM. Pros and cons of nasal decongestants. Pediatrics. Appendix to the journal Consilium Medicum. 2016; (3): 31-36. Russian (Карпищенко С.А., Колесникова О.М. Плюсы и минусы назальных деконгестантов //Педиатрия. Приложение к журналу Consilium Medicum. 2016. № 3. С. 31-36)