SCIENTIFIC SUBSTANTIATION OF PREVENTIVE MEASURES FOR CHILDREN WITH BRONCHIAL ASTHMA

Abstract

Prevention of childhood bronchial asthma is one of the top priorities in the Global Health Strategy for the Health of children and adults (2016-2030 y) reflected in the aims and scope of the WHO Sustainable Development. The methodology of this study was based on the WHO STEPS staging tool in order to conduct epidemiological monitoring of risk factors for developing bronchial asthma in children living in Kyiv. Out study provides scientific support for the most probable risk factors for developing childhood asthma both endogenous and exogenous, witch have a complex complementary effect. The following prognostic coefficients have been found out as the most informative for predicting of allergic respiratory pathology in children: antenatal period complications - 54.45, hereditary predisposition to allergic respiratory diseases - 76.3, presence of allergic constitutional diathesis - 83, frequency rate of formula feeding up to a year - 89, 5, spontaneous manifestation of night suffocation - 91.89, atopy signs and symptoms - 63.9, frequency of acute respiratory viral infections - 93.9, impact of climate on morbidity rate - 56.42. This article presents predictive factors for the risk of developing allergic respiratory pathology in children that can contribute to identifying this pathology at the stage of prenosological diagnosis. In order to improve the method of environmental monitoring for non-infections diseases, to determine the sources of potential risk factors for developing childhood asthma, a special medical calculator was suggested. The analysis of current literature sources have demonstrated the high relevance and necessity in further detailed research of issues on negative changes of atmospheric air and other factors, which can probably contribute to the development of childhood bronchial asthma. Also there is a need in improving and implementing the state-of-the-art information systems in the primary paediatric healthcare services for nosologic diagnosis of bronchial asthma. In-depth epidemiological research on impact of various factors on developing bronchial asthma in children should be conducted in order to give grounds for elaborating approaches to healthcare provision to children with signs of allergic conditions in children. The further studies will focus on the epidemiological investigation of non-infectious diseases including international groundwork on this issue.