About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣2 2011 (18) arrow Special medical assistance to the surgical inpatients with concomitant allergies
Special medical assistance to the surgical inpatients with concomitant allergies Print
Wednesday, 01 June 2011

Obolenskaya T.Yi., M.Morozov Yu., Turchina M.S., Volobuyev O.A.

 

The resume. Background: Medical maintenance of surgical inpatients with concomitant allergies at the hospital is quite a problem since there is a danger of aggravation of allergic disease and development of complications of the main pathology.

The aim of the study: to investigate into the causes and special patterning of allergy manifestations in surgical inpatients.

Materials and methods: All in all 1,169 patients of the surgical department of the Regional clinic hospital had been recruited to select 130 patients with a concomitant allergic pathology. Examination and treatment of patients were carried out according to the routine techniques and along the certified standards.

The analysis performed showed that allergic reactions were often induced through the treatment of the major pathology. Three patients (or not readily confirmed four patients) with allergic response had prominent manifestation. Allergic and surgical pathologies tended to mutually aggravate the situation creating the reasons for extended mean period of stay in intensive therapy PO units (1.4-foldly) and mean treatment period (1.2-foldly), as well as enlarged number of complications (3-foldly) and mortality cases (1.6-foldly).

Analysis of this evidence showed that these negative deviations were associated with absence/deficiency of certain measures: of baseline therapy of chronic allergic diseases, of counter-allergic preparation prior to operation, of intra-surgery counter-allergic care, of counter-allergic PO follow-up. Examination and management of the patients with concomitant bronchial asthma in the majority of cases was carried out with violation of standards of treatment of this pathology.

Failure to follow the principles of routine medical assistance caused increased recurrence, delay in surgical assistance (in 3.9% cases), switch to emergency counter-allergic therapy (in 5.4% cases).

Thus, combination of surgical pathology and an allergy in the same patient caused mutual deteriorative effect. In case surgery was needed, the patients of this category should have been rendered anti-allergic maintenance within the whole period of surgical treatment and postoperatively. Such measures as advanced training in treating allergies, decent medical registry, preferably referral-basis in rendering successive allergic assistance to the admitted surgical patients, sufficient technical and medication supply will make it possible to improve medical maintenance of surgical inpatients with the concomitant allergy.

Key words: allergy, surgical pathology, bronchial asthma, medical maintenance, organization.

References

  1. 1. Vertkin AL. Effektivnost neotlozhnoy terapii ostroy lekarstvennoy allergii na dogospitalnom etape i v statsionare [Efficiency of emergency therapy for acute drug allergy at pre-hospitalization steps and on inpatient basis]. Lechashchiy vrach 2008;(4):51-56.
  2. Goryachkina LA, Kashkin KP, editors. Klinicheskaya allergologiya i immunologiya: rukovodstvo dlya praktikuyushchikh vrachey [Clinical allergic studies and immunology. Guidelines for practitioners]. Moscow: Miklosh; 2009. 432 p.
  3. Perepelyatnik A. Svoevremennaya diagnostika allergii - zalog uspeshnogo lecheniya [Opportune diagnosis of allergy as a prerequisite for its successful management]. Poliklinika 2008;(6):22.
  4. Pleshko RI, Ogorodova LM, Sukhodolo IV, Gereng EA. Tyazhelaya bronkhialnaya astma i gastroezofagealnyy reflyuks: morfofunktsionalnye aspekty sopryazhennosti [Severe bronchial asthma and gastric esophageal reflux: morphologic and functional conjugation]. Pulmonologiya 2006;(1):60-63.
  5. FedoskovaTG, Ilina NI. Allergicheskie zabolevaniya v klinicheskoy praktike [Allergic lesions in clinical experience]. Russkiy meditsinskiy zhurnal 2005;13(15):1022-1029.
  6. Khaitov RM, Ilina NI. Allergicheskie bolezni v Rossii na rubezhe vekov. Otsenka situatsii v XXI veke [Allergic diseases in Russia at millennium. Assessing the situation for 21st century]. Vestnik Sankt-Peterburgskoy gosudarstvennoy meditsinskoy akademii im. I.I. Mechnikova 2005;(1):170-176.

Views: 11296

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Wednesday, 15 June 2011 )
< Prev   Next >
home contact search contact search