Organization problems of systematic and emergency treatment of bronchial asthmatic children

Abstract

The aim of this work was to analyze a dynamic of a ) a severity of children’s acute asthma at the Sankt-Petersburg in 1999-2000: mortality of asthma and a frequency of severe asthma tic attacks, severity of asthma attacks according to data provided by the emergency care facilities; b) basic therapy of asthma at the same period. We used city statistic information, archive materials of city hospitals and 2 medical emergency care stations, medical documentation of pediatric allergy and pulmonology facilities.
For the last decade a number of emergency care calls by the reason of bronchial asthma attack o r severe asthmatic attack has reduced in 1.95 and 2.6 times correspondingly, there were not acute severe asthma cases and mortality of asthma at the Sankt-Petersburg the last 3 years notwithstanding the growth of the total number of asthmatic children m ore than 2 times and an increase in severe asthma children number as well. The amount of patients receiving inhaled steroids was 1 5 -20 children in 1990, 11 0-1 15 children in 1995 and 1050-1100 ones in 2000. The number of patients given cromones has increased more than 10 times for these years.
An economic efficiency of short-term admission wards and nebulized therapy was demonstrated on the pattern of one of the medical emergency service stations.
The acute asthma dymanics found was obviously related to the general change of the approaches to the basic therapy of the disease and the patients’ management in acute asthma.