RR Aishauova¹, ST Abdrakhmanova²*, LN Skuchalina² and VV Meshcheryakov¹

¹Surgut State University, Russia
²Astana Medical University, Kazakhstan

*Corresponding Author: ST Abdrakhmanova, Astana Medical University, Kazakhstan.

Received: May 29, 2021; Published: June 23, 2021

Abstract

Purpose: To investigate the features of the clinical course and treatment tactics for community-acquired pneumonia (CAP) in children with cerebral palsy (CP).

Materials and Methods: The analysis of clinical, radiological, laboratory parameters and treatment tactics was carried out in two groups: 56 children with CAP on the background of cerebral palsy and 100 children with CAP without neurological pathology at the age from 0 to 14 years.

Results: Children with cerebral palsy were more likely to have recurrent pneumonia. In cerebral palsy, CAP was more often bilateral, proceeded with prolonged manifestations of bronchitis and bronchial obstruction, problems with sputum discharge, more pronounced respiratory failure, which more often required intensive therapy, including artificial ventilation of the lungs, repeated courses of antibiotic therapy, and longer hospitalization. A significant role of Streptococcus pneumoniae in CAP in children with cerebral palsy has been established.

Conclusion: The revealed features determine the need to actively use in the treatment of children with cerebral palsy with community-acquired pneumonia (CAP), medication and non-medication methods of sanitation of the bronchial tree and bronchodilators. The tendency to develop community-acquired pneumonia (CAP) and its more severe course confirms the relevance of compulsory pneumococcal vaccination of children with cerebral palsy.

Keywords: Community-acquired Pneumonia; Cerebral Palsy; Children

References

1. Barbaeva SN and Kulishova TV. “Cerebral palsy. Germany: LAP LAMBERT”. 190 (2015). [Barbaeva S.N., Kulishova T.V. Detskii tserebral'nyi paralich. Germaniya: LAP LAMBERT 190 (2015). (in Russian)].
2. Jeremy Hull., et al. “British Thoracic Society guideline for respiratory management of children with neuromuscular weakness”. Thorax 1 (2012): 1-40.
3. “Bronchopulmonary complications of diseases of the neuromuscular system: clinical guidelines of the Spanish Society of Pulmonologists and Thoracic Surgeons”. Pulmonology 6 (2013): 11-20. [Bronkholegochnye oslozhneniya zabolevanii nervno-myshechnoi sistemy: klinicheskie rekomendatsii Ispanskogo obshchestva pul'monologov i torakal'nykh khirurgov. Pul'monologiya. 6 (2013): 11-20. (in Russian)]
4. Millman AJ., et al. “Community-Acquired Pneumonia Hospitalization among Children with Neurologic Disorders”. Journal of Pediatrics 173 (2016): 188-195.
5. Aishauova RR., et al. “Characteristics of the morphofunctional state of the diaphragm in children with infantile cerebral palsy”. Diary of the Kazan Medical School 1 (2018): 35-39. [Aishauova R.R., Abdrakhmanova S.T., Meshcheryakov V.V. Kharakteristika morfofunktsional'nogo sostoyaniya diafragmy u detei pri detskom tserebral'nom paraliche. Dnevnik Kazanskoi meditsinskoi shkoly 1 (2018): 35-39. (in Russian)].
6. Jimenez Trujillo I., et al. “Decrease in the incidence and in hospital mortality of community-acquired pneumonia among children in Spain (2001-2014)”. Vaccine 30 (2017): 3733-3740.
7. “Modern classification of clinical forms of bronchopulmonary diseases in children”. Pediatrics 4 (2010): 7-15. [Sovremennaya klassifikatsiya klinicheskikh form bronkholegochnykh zabolevanii u detei. Pediatriya 4 (2010): 7-15. (in Russian)].
8. “Community-acquired pneumonia in children: clinical guidelines”. Original layout (2015): 64. [Vnebol'nichnaya pnevmoniya u detei: klinicheskie rekomendatsii. M .: Original-maket (2015): 64. (in Russian)].
9. Rebrova O Yu. “Statistical analysis of medical data. Application of the STATISTICA application package”. Media Sphere (2002): 312. [Rebrova O.Yu. Statisticheskii analiz meditsinskikh dannykh. Primenenie paketa prikladnykh programm STATISTICA. M .: Media Sfera (2002): 312 (in Russian)].

Citation

Citation: ST Abdrakhmanova., et al. “Features of Community-acquired Pneumonia in Children with Children's Cerebral Paralysis".Acta Scientific Nutritional Health 5.7 (2021): 57-63.

Copyright

Copyright: © 2021 ST Abdrakhmanova., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.