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PULMONOLOGIYA

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Nebulized therapy in pediatrics

https://doi.org/10.18093/0869-0189-2017-27-1-122-126

Abstract

Inhalation therapy is a modern and preferable method of drug delivery which is currently used for treatment of majority of acute and chronic respiratory diseases in children and adults. Recently, inhalation devices have evolved significantly. Scientific researches are focused on interaction between drug molecules and aerosol-producing device. The efficacy of inhalation therapy is generally depends on the drug, its dose and technical parameters of the device. Inhalation devices that are able effectively produce drug aerosol have been used for treatment of most pediatric diseases. Advantages of this therapy are quick onset of the action, the possibility to reduce a drug dose due to higher drug concentration in the airways and to decrease the risk of adverse events, and independence of the liver metabolism. Nebulized therapy has been currently used for therapy of the majority of pediatric respiratory diseases. Drug formulation diversity and ability to combine > 2 drugs could enhance the treatment efficacy.

About the Authors

A. B. Malakhov
I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia
Russian Federation
Doctor of Medicine, Professor at Department of Pediatric Diseases


N. G. Kolosova
I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia
Russian Federation
Candidate of Medicine, Associate Professor at Department of Pediatric Diseases


References

1. Bronchial asthma in children. Therapeutic Strategy and prevention. The National Programme. Moscow; 2017 (in Russian).

2. Avdeev S.N. Nebulized Therapy with Pulmicort suspension: a Role for Treatment of the Airway Diseases. A Methodological Handbook. Moscow; 2008 (in Russian).

3. Geppe N.A. and Mokina N.A. Current Inhalation Therapy. A Practical Handbook. Moscow: GEOTAR-Media; 2016 (in Russian).

4. Hess D.R., Myers T.R., Rau J.L. A guide to aerosol delivery devices. Irving TX: AARC; 2007.

5. Boe J., Dennis J.H., O’Drisscol B.R. et al. European Respiratory Society Guidelines on the use of Nebulizers. Eur. Respir. J. 2001; 18 (1): 228–242.


Review

For citations:


Malakhov A.B., Kolosova N.G. Nebulized therapy in pediatrics. PULMONOLOGIYA. 2017;27(1):122-126. (In Russ.) https://doi.org/10.18093/0869-0189-2017-27-1-122-126

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)