Adenoviral infection in children, symptoms and how to treat. What is the characteristic of adenoviral infection in a child? Adenovirus infection Komarovsky

It is important for patients to know that it is an adenovirus, how it enters the body, its symptoms, treatment methods, and how long the infection lasts. The pathology can be quite severe, sometimes requiring hospitalization. Also, the disease can become complicated and lead to some disorders. Therefore, it is necessary to know its clinical picture, methods of treatment and prevention.

The reason for the appearance of this disease is the entry into the body of viruses from the Adenoviridae family. There are a large number of representatives of this group of microorganisms. In humans, the pathogenic types are 1-5, 7, 14 and 21.

Infection occurs from a sick person or an asymptomatic carrier through airborne droplets, nutritional and contact routes. The clinical picture can vary, but despite this, it has common features, which enable the doctor to correctly determine the diagnosis and prescribe treatment.

Signs of adenovirus infection

This disease has certain clinical signs. Children most often suffer from adenovirus infection. As for adults, this pathology is more often recorded in middle-aged people.

Many of this group of patients have severe concomitant diseases, which significantly weaken the person and make him susceptible to many pathogenic microorganisms.

Incubation period

The duration of the incubation period for adenovirus infection may vary for each patient. The indicator depends on general condition body, the presence of concomitant pathologies.

On average, the disease develops 5-8 days after exposure to the virus. But it is important to remember that the duration can vary between 2-14 days.

Symptoms in children

The pathology begins suddenly, with the appearance of symptoms of intoxication. Patients experience an increase in temperature, complaints of weakness, apathy, headaches and dizziness, and lack of appetite.

Very young children begin to be capricious and sleep poorly.

A feature of the disease in young patients is that at high body temperatures they may experience convulsions.

Complaints of a runny nose appear. Discharge from the nasal cavity is mostly mucous, in rare situations it is purulent. When examining the throat, hyperemia of the mucous membranes is noted, sometimes the presence of white plaque on the tonsils.

Adenovirus infection is characterized by an unproductive and debilitating cough. Conjunctival hyperemia also occurs with lacrimation and pain in the eyes, which intensifies when exposed to irritants such as bright light.

Sometimes patients note the appearance loose stool, abdominal pain, feeling of nausea. In some situations, an increase in the size of the liver and spleen is diagnosed, which return to normal size some time after recovery. Often the inflammatory process spreads to surrounding lymph nodes, which increase in size and become somewhat painful on palpation.

Photos of children suffering from this disease indicate that such patients have a characteristic appearance– swelling and pallor of the skin on the face, conjunctival hyperemia, open mouth due to impaired nasal breathing.

Symptoms in adults

It is important to know that adenovirus infection in children and adults follows the same pattern. But, despite this, there are some differences, the most important of which is that pathology in young patients is diagnosed much more often.

Children are more susceptible to various complications of adenovirus, including laryngospasm and pneumonia.

Important to note that in adults there is practically no occurrence of rashes. A similar phenomenon is almost always recorded in children.

Complications

Complications of adenovirus infection are that the inflammatory process can spread into the ear cavity and frontal sinus, thereby causing and. In pediatric patients, due to the more developed lymphoid system in this area, blockage of the eustachian tube may occur.

Also, an adenovirus infection can cause swelling of the throat, which leads to spasm of the vocal cords. In particularly severe cases, the pathogen can cause inflammatory kidney damage. This is observed with a significant suppression of the body’s protective properties.

Treatment options

At the initial stages of the disease, it is necessary to determine how and with what to treat adenocarcinoma. viral infection. Tactics depend on the patient’s age, general condition, and the presence or absence of complications.

It is important to note that patients should consult a doctor, since self-therapy can only worsen the situation.

You should also know that treatment of adenoviral infection is symptomatic, since there are no specific drugs.

Therapy is aimed at eliminating the clinical manifestations of the disease, stimulating defense mechanisms that contribute to the elimination of the pathogen from the body.

In adults

Treatment for adults is symptomatic, using various groups of drugs, which are discussed in more detail below. In these patients, the pathology is less likely to be complicated; the use of drugs that reduce body temperature, antitussive medications and general measures to strengthen the body is often sufficient.

In children

Symptoms and treatment of adenovirus infection in children are also related. Children need to stay in bed longer. The important point is the following - children are strictly prohibited from drinking medications containing acetylsalicylic acid.

Failure to comply with this rule can lead to serious complications, including death.

Medicines

A large number of medications are used to eliminate the symptoms of adenovirus infection. They look like this:

In addition to these methods, it is important to drink plenty of warm drinks, bed rest during high temperature, regular cleaning of the premises, gentle treatment.

Food should be taken in small portions, preferably pureed. Irritating foods are excluded from the diet during treatment.

Antibiotics

Antibiotics for adenovirus infection used quite rarely and only when there are certain indications. This group of drugs does not affect viral particles in any way; they are necessary in the presence of secondary bacterial complications (for example, pneumonia).

Antibiotics are used when there is a high risk of concomitant pathologies. This occurs in the presence of immunodeficiency states and foci of chronic bacterial infections in the body.

Dr. Komarovsky adheres to the following point of view - he believes that using medicines for the treatment of respiratory viral infections it is necessary only in case of urgent need.

This means the patient’s serious condition and the appearance of complications.

In other cases, you need plenty of warm drinks, regular ventilation of the room in which the patient is located, and wearing suitable clothing.

According to Dr. Komarovsky, such conditions contribute to the death of viral particles, the body begins to independently cope with the signs of the disease, and recovery in such situations occurs much faster.

Conclusion

It is important for patients to know the signs of adenovirus infection. This will help to quickly determine the cause of the appearance of certain pathological signs and consult a doctor in time.

The specialist will conduct diagnostic measures, establish a diagnosis and prescribe effective treatment. It is important for patients to know that adenoviral infection can take a long time and cause complications, so self-treatment is not recommended.

Today, adenoviral infection in children occurs quite often for medicine to develop effective methods treatment of diseases associated with it and effective prevention. Typically, signs of such a pathology are early age quite pronounced, but have few analogues. In this regard, it is possible to begin timely treatment, preventing most dangerous consequences for the child's health.

Pathogenesis

Since adenovirus infection is acute respiratory disease, which provokes intoxication of the child’s body, as well as fever, then children under 6 years of age are significantly susceptible to it. Typically, at this age, most babies have suffered from at least one similar disease. Adenovirus infection can affect the mucous membrane of the eyes (conjunctiva), lymphoid tissue in the nasopharynx, and the respiratory tract.

Studying the pathogenesis of the development of such a disease, doctors note that during outbreaks of influenza epidemics in children (about 30% of cases), the respiratory tract is affected by the adenovirus. The source of adenoviruses can be either a patient or healthy person. Depending on the form of the disease observed in the carrier, the risk of infection is determined.

Children's pediatrician Evgeny Komarovsky notes that the development of diseases can begin immediately after short contact with a sick person. In the first 2 weeks they pose a serious danger to a small child. In addition to airborne spread, adenoviral infection can enter gastrointestinal tract along with food. Therefore, this infection can also be considered intestinal.

When an adenovirus enters the upper layer of the epithelium respiratory tract or the mucous membrane of the conjunctiva, then it begins to penetrate tissue cells, penetrating into the nucleus. There it begins its reproduction in the body. Affected cells stop dividing after 20 hours. The peak frequency of recorded diseases occurs in the winter, since the pathogens are resistant to low temperatures.

Symptoms

Adenovirus infection in children does not show symptoms immediately. Once bacteria enter the mucous membrane, it may take some time before the first signs appear. The incubation period averages about a day.
Then the affected lymphatic or epithelial cells enter the blood, beginning the active stage of reproduction.

Together with the blood, they can penetrate into the tissues of various organs. If an adenovirus enters the blood, then with a certain degree of probability it can provoke the development pathological processes, which will affect the functioning of the liver, kidneys, heart, spleen. Complications of a severe form of infection of the body can lead to toxic-infectious shock of the patient or even death.

First of all, the child may have a sharp rise in low-grade fever. Temperature is a sign inflammatory processes in the body. Usually it can rise to 38-39 degrees. Against the background of elevated body temperature, the child begins to have a runny nose (green discharge), a stuffy nose, which leads to breathing problems.

Pain symptoms that appear in the throat and nasopharynx are also possible. Subsequently, appetite may worsen, disturbed sleep, fatigue and weakness may occur. Adenovirus infection is characterized by pain in the joints and muscles.
Inflammation affects the mucous membrane of the tonsils, nasopharynx and conjunctiva.

The patient finds it difficult to look at bright light, which causes his eyes to water. The child begins to turn away from the light source and rub his eyelids. Fibrous secretions are a thin film that sticks the eyelashes together. Some time after damage to the child’s mucous tissues, the lymph nodes may become enlarged. The skin may develop a rash or redness. If the adenovirus enters the lungs, symptoms of bronchitis or pneumonia may occur.

Dr. Komarovsky strongly recommends that if you notice such symptoms, you should immediately contact your doctor. This is necessary to establish accurate diagnosis to begin treatment, preventing the serious consequences of the disease in a timely manner.

Video “Adenoids: Doctor Komarovsky”

How to diagnose

Based on the symptoms observed in the child, the doctor should prescribe a diagnosis. Modern methods examinations of the patient allow us to give enough accurate results to make a diagnosis. The integrated use of several methods increases accuracy to 98%.

For diagnosis, immune electron microscopy (IEM), immunofluorescence reaction (IRF), and enzyme-linked immunosorbent assay (ELISA) are used. An analysis can also be carried out to determine the patient's body's response to the associated component (BCC). Another effective one laboratory method studies - determining the hemagglutination inhibition reaction, studying a smear from the mucous membrane (tissue microflora), as well as bacteriological culture of scrapings.

Differential diagnosis of a sick child with various forms diseases should be carried out with infectious mononucleosis when influenza or other respiratory viral infections are detected. The course of treatment is prescribed immediately after receiving test results. Additional consultation with an ophthalmologist or otolaryngologist may also be required.

Treatment

When prescribing a course of treatment by the attending physician, Evgeniy Komarovsky recommends strictly adhering to the therapy schedule, as well as using the prescribed medications.
In order to quickly treat a sick child, he needs strict bed rest, which must be observed in case of elevated body temperature and fever. After the fever has been brought down, the patient can get out of bed.
During treatment, the patient needs to drink a lot of fluids to remove some of the toxins from the body.

For inflammation of the mucous membrane of the eyes and nasopharynx, special ointments with antibiotics are used to help eliminate pain and swelling. Also, doctors often prescribe inhalations with herbal infusions and saline solutions (after the temperature has normalized) to treat adenovirus infection. Interferon is often used for nasal instillation.

If the conjunctiva is affected, use Acyclovir, which is placed behind the eyelid, and sodium sulfacyl as eye drops. If the disease resolves without complications, treatment takes about 2 weeks.

Prevention

Dr. Evgeniy Komarovsky notes that treatment of adenoviral infection is much more difficult than preliminary compliance preventive measures. As a preventive measure, the child will need to follow a fortified diet. The diet should contain a sufficient amount of proteins. You also need to drink a lot of liquid - teas, juices, compotes, regular drinking water. You need to refrain from contact with sick people.

Video “When you need medical intervention”

If you are worried about your child and do not know how to properly treat adenoids, watch the following video. You will learn about the reasons why you should see a doctor.

Are you looking for what it is adenoviral infection in children, symptoms and treatment methods this disease? Then this article will be useful for you.

Adenovirus infection is a group of infectious diseases caused by adenoviruses. This disease is characterized by damage to the mucous membranes of the upper respiratory tract, lymphoid tissue, conjunctiva and sclera. With moderate symptoms of infection, fever is possible.

Sources of infection are sick carriers of any form of adenovirus infection or healthy virus carriers. The greatest risk of infection comes from patients who are on initial stage disease, that is, during the first two weeks. The virus can also be transmitted after recovery, within 4 weeks.

Adenovirus infection is transmitted mainly by airborne droplets, but also by the fecal-oral route. The virus is released when an infected person coughs, sneezes, breathes deeply, and even simply talks. The most susceptible to infection are children aged six months to 5 years. This is why many parents are so concerned about the question of what adenoviral infection is in children, its symptoms, and treatment.

Epidemic outbreaks occur most often in the winter, however, they are also recorded throughout the year. The cause of infection is often close contact between children. Entire groups of children often fall ill. The incubation period lasts from 1 day to 2 weeks. The disease begins with a fairly sharp rise in temperature.
The development of the disease, acute or gradual, depends on the person’s immunity. TO initial symptoms infections include:

• chills,
• headache
• aching pain in bones, muscles and joints.

A little later, the temperature rises, and a clear serous fluid is released from the stuffy nose, which is then mixed with mucus and pus.

Adenoviral infection in children: symptoms, treatment, Komarovsky

Komarovsky Evgeniy Olegovich – pediatrician of the highest category and a TV presenter who hosts the popular TV show “Doctor Komarovsky’s School.” All mothers and fathers listen to his advice; he has helped many cope with problems related not only to health, but also to education. Many parents often ask the doctor what adenovirus infection in children is, its symptoms and treatment. Komarovsky argues that adenoviruses are quite insidious, the difficulty of fighting them lies in the fact that a favorable environment for their reproduction is not only the mucous membrane of the respiratory tract, but also the mucous membrane of the eyes, they can also exist in the lymph nodes and in the intestines.

Adenoviral infection in children (symptoms and treatment) - Komarovsky has covered this issue more than once. According to him, when the mucous membrane of the nasopharynx is affected by adenoviruses, the onset of the disease is characterized by a temperature in the range of 37.3-37.8, as well as difficulty breathing.

Adenovirus infection is difficult to recognize by signs and symptoms, so you should consult a specialist. Signs of infection may be similar to those that will lead to proper treatment child.

• appetite decreases or disappears completely;
• headache, vomiting occurs, the baby is lethargic and drowsy;
• immediately or on days 2-4 of illness, a severe runny nose develops: the nose is stuffy, a large amount of clear or yellowish mucus is released from the nasal passages;
• during the same period, the eyelids turn red and swell, dilated vessels of the conjunctiva (mucous membrane of the eye) become visible, grayish films appear near the edge of the eyelid;

• there is a feeling of cutting, burning or “sand in the eyes”;
• the cervical and submandibular lymph nodes enlarge (they can be seen or felt under the skin - round elastic formations);
• pain appears when swallowing, tonsils increase in size, upon examination the throat is red;
• the frequency of stool increases to 3-6 times a day, the stool is liquid, plentiful, contains pieces of undigested food;
• Abdominal pain occurs without clear localization.

How to treat adenovirus infection in children

For mild cases of the disease, eye drops are prescribed. For purulent and membranous conjunctivitis, 1% prednisolone or hydrocortisone ointment is applied behind the eyelid. Symptomatic remedies are recommended, antihistamines and multivitamins.

In severe cases of the disease in children, as well as in the case of serious complications, hospitalization in a hospital is required. Exactly the same treatment for adenovirus infection in adults, in elderly people who suffer from chronic respiratory diseases, as well as in those patients who have manifestations of immunosuppression.

If there is no improvement within 2-3 days, you should contact your pediatrician for further examination and treatment.

The patient is prescribed bed rest and a vitamin diet with limited meat dishes. Expectorants and multivitamins are also prescribed, as well as physical therapy, which is of great importance in the fight against adenoviral infection. The prognosis of such treatment is predominantly favorable. Many health problems can be avoided with timely diagnosis and proper treatment.

Classmates

If they talk about the presence of an adenovirus, then treatment must be started as soon as possible and in strict accordance with the age and other characteristics of the baby. About what treatment methods he uses modern medicine and the people’s proposal, we’ll tell you in the article.

There are no medications specifically designed to treat adenovirus infection in children. Therefore, the following are used as therapy: drugs to treat infection:

• antiviral medicines;
• immunostimulants and immunomodulators;
• medications to reduce symptoms;
• antibiotics(if complications arise and a bacterial infection occurs).

Among antiviral drugs, intended for children, doctors recommend tablets:

• Arbidol (allowed for children over 3 years old),
• Anaferon (can be taken from birth).

Cream is also often prescribed:

• Acyclovir,
• Zovirax (its full analogue) active substance, which is also available in the form of eye ointment and tablets).

They have no contraindications other than individual intolerance.

With the intention of “killing” the virus itself, they are prescribed immunomodulators With:

• natural human interferon:
  • Viferon candles,
  • Kipferon,
• synthetic interferon:
  • Genferon candles,
  • tablets Amiksin and Polyoxidonium.

Natural interferon in medicines can be used for treatment from birth.

There are also local immunomodulators for the throat and nose:

• Derinat and Grippferon (they can be used from birth),
• IRS-19 (from 3 months of age).

Immunostimulant drugs, designed to “push” the sick body to produce its own resources to fight the virus, are found in the lists drug treatment. All of them have a limitation: they cannot be used to treat children under 3 years of age.

These are drugs such as:

• Kagocel,
• Imunorix,
• Imudon,
• Isoprinosine.

However, with this disease, doctors are more likely to prescribe antiviral drugs, because they do not have a pronounced effect on adenovirus infection, and prescribe medications that alleviate the child’s condition and reduce the symptoms of the disease.

Fever

For children suffering from adenoviral infection, standard antipyretics based on:

• ibuprofen (Ibuprofen, Nurofen, Ibufen),
• paracetamol (Panadol, Paracetamol).

For children preschool age Medicines are prescribed in the form of syrup and suppositories, for older children - in the form of tablets. The dosage must be strictly observed, according to age. It is better to only reduce a high temperature above 38 degrees (as it helps fight the virus) rather than taking medication on an ongoing basis.

Cough

With adenovirus infection, the cough is dry and wet. Based on this, the appropriate drug is selected. For dry cough prescribe:

• "Sinekod" (drops for children over 2 months, syrup - from 3 years, dragees - from 6 years),
• "Codelac Neo" (drops are allowed from 2 months of age, syrup - from 3 years of age).

For wet cough To improve sputum discharge, doctors recommend syrups based on ambroxol:

• Ambrobene,
• Lazolvan.

It is also effective to do inhalation using a nebulizer a solution of sodium chloride (9%) and drops for inhalation Ambrobene and Lazolvan. This way the active substance goes directly to the lungs, acting faster and more efficiently. These drugs are approved from birth.

From 2 years of age at wet cough possible reception:

• ACC (in the form of syrup, tablets, dragees, the active ingredient of which is acetylcysteine,
• "Gedelixa"
• "Doctor Theiss" (herbal based).

Stuffy nose, runny nose

To ease breathing during adenoviral infection, children need rinse your nose with saline solution or sprays based on sea ​​water (“Aquamiris”, “Aqualor”, “Quix”, “Otrivin”). They have no contraindications.

To relieve severe congestion, you can use drops with a vasoconstrictor effect:

• "Tizin"
• "Otrivin"
• "Nazivin."

Redness of the eyes

This virus sometimes causes inflammation of the eyes (conjunctivitis). To treat red eyes can be used:

• weak solution of potassium permanganate,
• furatsilina,
• chamomile decoction,
• weakly brewed black tea.

Oxolinic ointment, Ophthalmoferon and Sulfacyl sodium drops are often used. One condition: Both eyes need to be treated, even if there is inflammation on only one.

Bacterial complications, the presence of other diseases that weaken the body

When bacterial infection based on an existing virus by doctors antibiotic therapy is prescribed.

For topical use used:

• “Isofra” (nasal drops, allowed from birth),
• "Bioparox" (in the form of a spray for the nose and throat, allowed from 2.5 years of age),
• "Grammidin" (in the form of tablets, allowed from 4 years).

Among systemic antibiotics prescribed:

• "Amoxiclav" (can be used from birth),
• "Sumamed"
• "Cefotaxime"
• "Suprax".

To support the body and restore its vitality, doctors prescribe various vitamin and mineral complexes:

• "Alphabet",
• "Pikovit"
• tinctures of herbs that increase immunity (echinacea, eleutherococcus).

Folk recipes

Traditional therapy is aimed at alleviating the condition of a sick child. To reduce temperature water rubdowns are often used. Warm milk with soda or a spoon of honey will reduce painful sensations with a dry cough.

• chamomile,
• series,
• St. John's wort,
• oak bark

For rinsing the nose folk medicine use saline solution. For an anti-inflammatory effect, you can instill aloe and Kalanchoe juice into your nose.

To restore the body, you can drink decoctions from:

• rosehip,
• sea ​​buckthorn,
• strawberry leaves,
• raspberries,
• linden flowers.

Indications for hospitalization

Most often with a diagnosed adenoviral infection treatment takes place at home. But the course of treatment should be prescribed by a pediatrician; sometimes, if certain symptoms are present, you need to visit an otolaryngologist, ophthalmologist, and possibly an infectious disease specialist.

Hospital recommended for bacterial complications and severe forms of the disease with clear manifestations of intoxication symptoms. If an infant falls ill with an adenovirus infection, then you should not wait for complications and agree to hospitalization in a hospital.

Infants most often experience complications in the form of bronchitis or. Treatment should be carried out in a hospital for those children who have chronic diseases, because it is impossible to predict how a weakened body will cope with infection.

How to treat: what E. Komarovsky says

E. Komarovsky’s opinion regarding this virus is that adenoviral infection can be treated without medication. The main thing is to create favorable conditions for the body to begin an independent fight against the virus.

The patient's room should have not less than 50% humidity and fairly cool, not higher than 20℃. To do this, it is advisable to have a humidifier, but you can hang wet towels in the room. The patient should be dressed warmly and not allowed to become overcooled. Bed rest and a minimum of physical activity are required.

The doctor places special emphasis on drinking regimen. The sick person must drink in sufficient quantities.. All liquid to drink should be warm. Regular one fits better clean water, fruit drinks and compotes homemade, weak tea.

Note! Feeding is not necessary unless he asks. Food should be light and soft so as not to further injure the throat.

Dr. Komarovsky advises to bring down the temperature only if it is above 38.5℃. Fever the body promotes the production of its own interferons that kill the virus. The exception would be children prone to seizures.

The doctor advises paying special attention to infants, because they are more likely to experience complications. To make breathing easier, E. Komarovsky advises using saline solutions, on extreme case– drops and sprays with a vasoconstrictor effect.

Useful video

Doctor medical sciences, Professor Astvatsatryan Armen Vilenovich about adenovirus infection:

Conclusion

1. Treatment of adenovirus, like other upper respiratory tract infections, is complex. It is aimed at reducing the severity of symptoms and creating favorable conditions for recovery.
2. The main method of preventing adenovirus is following the rules of personal hygiene, in particular, frequent hand washing.
3. If the baby belongs to a risk group (infancy, chronic diseases, immunodeficiency), then the best solution when diagnosing an adenovirus infection is hospitalization.

Adenoviral infection is one of the types of severe forms of ARVI, which affects lymphatic system with all the accompanying signs. Even some people cannot determine the disease by eye medical workers Therefore, a general diagnosis is often made - acute respiratory disease.

Symptoms and treatment of adenovirus infection in children according to Komarovsky involve the use of drugs to relieve signs of the disease, as well as the normalization of the baby’s daily routine, and careful monitoring of his condition.

Causes of the disease

This disease is a consequence of the entry into the body of an adenovirus that is highly resistant to the effects of environment. Sowing the pathogen into a room requires its presence in the air for the next 4 weeks, the first two of which are the most dangerous.

The pathology is most severe in children under three years of age, but it can affect any age group of children.

There are predisposing factors that increase the baby’s risk of getting sick. Among them are:

• general, local hypothermia;
• decreased immunity;
• passive smoking;
• imbalance of vitamins and minerals in food;
• artificial feeding;
• other infectious diseases in acute and chronic form.

Of course, a child is most likely to catch an adenovirus in a group of peers, among whom there is an already sick child. At the same time, the chance that an immature body can independently cope with an infiltrated infection is only 10-15%.

Transmitted like any other respiratory infection, via airborne droplets. Fecal-oral and contact-household transmission of adenoviral disease is less common.

Clinic of the disease

The symptoms of the disease directly depend on the stage at which it occurs. There are mild, moderate and severe forms of adenovirus infection. On average, the incubation period ranges from 1 to 7 days. At this stage, it is not yet possible to observe any signs of the disease, but the child can already infect the people around him.

Symptoms of adenovirus entering the body:

• a significant and sharp increase in body temperature up to 39-40 degrees;
• sore throat when talking or swallowing;
• cough;
• headache;
• breathing through the mouth, runny nose;
• tearfulness, drowsiness, lethargy - as signs of general intoxication;
• indigestion, but diarrhea should not be accompanied by pus or blood;
• In infants, high fever can provoke seizures.

At home, it is almost impossible to determine an adenovirus infection in a child, since these symptoms may indicate other pathologies in the body. To find out the root cause of their child’s poor health, parents must contact specialists.

Diagnostics

To make a correct diagnosis in a child with similar symptoms, it is necessary to consult a pediatrician. He will conduct a survey and a thorough examination, and prescribe additional diagnostic methods.

This is necessary in order to differentiate viral infection from other pathologies.

What examinations are carried out:

• Survey

At this stage, parents should provide the doctor full information about the medical history of their child. You should talk about where the child could have caught the virus, when it happened, how the disease manifests itself and how many days the symptoms last.

• Inspection

During the examination, the doctor notes lethargy and apathy in the baby, drowsiness. The skin is pale and there may be clammy sweat from fever. The disease is accompanied heavy discharge from the nose, which are clear or whitish in color. The pharynx is hyperemic and edematous. A gray coating is observed on the tonsils. A phonendoscope helps to listen to dry wheezing in the early stages of the disease and wet wheezing during the recovery period.

• Laboratory diagnostics

Analyzes of biological fluids should be studied in order to exclude complications of the disease. You will need to donate blood and urine for laboratory testing. The results will be standard for any type of ARVI. The presence of viruses in the body can be diagnosed by an increase in the number of lymphocytes and monocytes; leukocytes may be slightly reduced from normal. The nasopharynx area is also washed to detect secondary infections.

Treatment

Dr. Komarovsky’s main advice regarding the treatment of adenoviral infection is to provide suitable conditions for the sick baby. To make you feel better, you can use symptomatic medicines, but only after examination by a specialist.

Parents should pay attention to the fact that most drugs are approved for use at 2-3 years of age. Therefore, you must carefully read the instructions before using medications.

Treatment of adenovirus infection:

• Eliminating a runny nose

At this stage, you can use rinsing or instillation, depending on what the child tolerates better. From infancy it is allowed to use drops containing sea ​​salt. For example, Aquamaris, Aqualor. Some of them have a vasoconstrictor effect and stop a runny nose in a short time, for example, Snoop (used no earlier than two years of age). This group medications should be used for no more than a few days, as local dysbiosis and addiction develop.

• Elimination of relevant symptoms

The temperature should be brought down if it rises above 38.5 degrees for 3 days. If there is no improvement within this period and the child continues to have a fever, it is necessary to consult a doctor again. Paracetamol or Nurofen are most often used for children. These substances, in addition to antipyretic, have an analgesic effect. These drugs can be found on pharmacy counters in the form of sweet emulsions, so taking the medicine will not be difficult.

• Additional measures

The children's room must be ventilated at least 3 times a day, and wet cleaning must also be carried out. Besides this, You should provide the child with plenty of warm drinks and try to maintain bed rest.. If the baby is sick, the mother must ensure uninterrupted access to breast milk.

Prevention

Regarding the prevention of adenovirus infection, Komarovsky also gives quite clear recommendations. To avoid the virus entering the body, it is necessary to avoid visiting establishments where there are large crowds of people. Especially in the off-season. Other measures are secondary.

Parents should strengthen the child’s immunity in every possible way and balance his diet. A mother who provides for him makes a huge contribution to the baby’s health. breastfeeding at least in the first year of life.

If all the rules are followed, the infection can also enter the body without leaving any serious consequences for health.

Doctor Komarovsky about the treatment of herpetic sore throat in children

According to Dr. Evgeniy Olegovich Komarovsky, herpetic sore throat is infectious process in the acute stage, which affects respiratory organs children at any age.

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If effective treatment is not carried out in a timely manner, severe complications can occur due to high fever and the occurrence of mouth ulcers.

What does Komarovsky say about the symptoms and treatment of sore throat in children? Features of the course of the disease, causes of the disorder and methods of prevention. How to avoid serious complications?

Clinical picture of herpetic sore throat

Dr. Komarovsky states that it is a late visit to a specialist to find out the reasons for the child’s poor health that leads to a complication of the symptoms of the disorder.

You should contact a specialized doctor immediately if your baby:

• high temperature, which is briefly reduced by antipyretic drugs, lasts about 2-3 days;
• chills, fever;
• sore throat, the child cannot eat food or even liquids;
• cervical lymph nodes and tonsils increase in size;
• a rash appears on the tongue;
• the throat swells;
• general weakness of the body.

Additional signs of such a disorder include upset stool, diarrhea, nausea, abdominal pain, and vomiting.

How to treat herpetic sore throat?

About the treatment of herpetic sore throat in children, Dr. Komarovsky says the following: “if you have been diagnosed with herpetic sore throat and prescribed medication for herpes, urgently look for a new doctor, there is nothing in common between these concepts!”

During the progression of the disease, it is important to prevent dehydration; the child should drink anything, in any quantity, the liquid should be at room temperature, plus antipyretics.

With this disease, improvement is observed 7-9 days after infection. Additional medications should be prescribed only by the attending physician, according to the severity of the patient’s clinical picture.

What needs to be done?

1. Take antiviral and antipyretic medications.
2. Boost your immunity with a vitamin complex.
3. Rinse tonsils with antiseptic solutions.
4. Maintain plenty of fluids (light meals).
5. Carry out additional physical procedures.

Important: to achieve maximum effect, you must maintain bed rest, regularly ventilate the room, and do wet cleaning.

Dr. Komarovsky argues that antibiotics must be taken in a strict dosage, which will be prescribed by the attending physician; the use of medications cannot be stopped after the patient’s condition has improved.

To moisturize the throat, it is necessary to take absorbable lozenges, which can eliminate nasal congestion, ease breathing and temporarily improve well-being; for this purpose, you need to gargle as an auxiliary element in the treatment of herpetic sore throat.

Attention: this disease occurs very often in children, and therefore it is important to consult a specialist in a timely manner, to begin to stop the disease at the initial stage, this is the only way to avoid all sorts of disorders and quickly improve the health of the baby’s body.

Features of treatment according to Komarovsky

A well-known pediatrician warns that in case of herpetic sore throat, steam inhalation and heating are prohibited. chest, hot baths and so on, so as not to spread the infection throughout the body.

Children who cannot rinse their mouths on their own need to wipe the mucous membranes with a cotton swab, after moistening it in medicinal solution. It is recommended to drink plenty of fluids, consume vegetable broths, puree soups, fortified formulations with low calorie content, herbal infusions and fruit compotes.

Disease prevention

To avoid relapse, it is necessary to strengthen the immune system using various methods, healthy image life, eat right, exercise, take pharmaceutical and folk remedies to improve the body's protective properties.

And most importantly, do not self-medicate - this is fraught with serious consequences!