Acute infectious and inflammatory diseases of the respiratory tract in children. therapy options
Polyakova A.S., Bakradze M.D.
Acute infectious and inflammatory diseases of the respiratory system are among the most common in both adults and pediatrics. Among them, the leading positions are occupied by various types of bronchitis and community-acquired pneumonia. On the one hand, these conditions differ in etiology and clinical manifestations and require completely different treatment principles; on the other hand, in practice, the differential diagnosis of these conditions causes significant difficulties for clinicians. This is manifested both in a very high level of overdiagnosis of pneumonia, especially its typical forms, and in the extremely frequent unreasonable prescription of systemic antibacterial therapy even with an established diagnosis of acute bronchitis. The article will discuss the main issues of clinical and laboratory diagnosis of lower respiratory tract infections, in particular bronchitis and pneumonia, as well as the possibilities of treating these diseases from the perspective of evidence-based medicine.
For citations: Polyakova A.S., Bakradze M.D. Acute infectious and inflammatory diseases of the respiratory tract in children. Therapy options. Pharmateca. 2026;33(7):39-44. (In Russ.). DOI: https://dx.doi.org/10.18565/pharmateca.2026.7.39-44
Authors’ contribution: All authors made an equivalent contribution to the preparation of the publication.
Conflicts of interest: The authors confirm that they have no conflicts of interest to declare.
Funding: This publication was prepared with the support of JSC Pharmstandard.
Keywords
acute bronchitis
obstructive bronchitis
children
inflammatory markers
pneumonia
antibacterial therapy
symptomatic therapy
dispersible antibiotics
Amoxicillin + Clavulanic acid EXPRESS
bromhexine
guaifenesin
salbutamol
Bromgecomb
About the Authors
Anastasia S. Polyakova, Pediatrician, Cand. Sci. (Med.), Leading Researcher, Scientific and Methodological Department of Planning and Development, Associate Professor at the Department of Pediatrics and Public Health, National Medical Research Center for Children’s Health, Moscow, Russia; darmanyan@nczd.ru, ORCID: https://orcid.org/0000-0003-4655-3375Maya D. Bakradze, Pediatrician, Dr.Sci. (Med.), Chief Researcher, Scientific and Methodological Department of Planning and Development, Associate Professor at the Department of Pediatrics and Public Health, National Medical Research Center for Children’s Health, Moscow, Russia; ORCID: https://orcid.org/0000-0001-6474-6766
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