Irrigating elimination therapy and prevention of ARIs in children
E.P. Karpova, A.D. Baratashvili
Russian Medical Academy of Continuous Professional Education, Moscow
Currently, prevention and treatment of upper airway inflammatory diseases in children are still an important issue. Young children are characterized by higher risk of complications of acute respiratory infections (ARIs) due to some anatomic and physiological features. Therefore, studies on ARI etiology and pathogenesis as well as upgrade of diagnostic and preventive tools for ARIs are of crucial importance. Nasal inflammation in young and older children requires medications which improve nasal breathing. Irrigating elimination therapy is increasingly included in the complex treatment schedules for ENT diseases. Nasal irrigation eliminates bacteria, allergens, and substances affecting nasal mucosa and promotes its mechanical cleansing.
This paper discusses the use of irrigating solutions in children with inflammatory disorders of nasal cavity and paranasal sinuses both for their prevention and treatment. In recent years, saline solutions (e.g., Aqualor® Protect Spray) are widely applied in pediatrics for treatment and prevention.
Keywords: irrigating treatment, symptomatic treatment and prevention of ARIs in children.
For citation: Karpova E.P., Baratashvili A.D. Irrigating elimination therapy and prevention of ARIs in children. RMJ. Medical Review. 2019;8:14–16.
2. Лопатин А.С. Сосудосуживающие препараты: механизм действия, клиническое применение и побочные эффекты. Российская ринология. 2007;1:43–49. [Lopatin A.S. Vasoconstrictor drugs: mechanism of action, clinical use and side effects. Russian rhinology. 2007;1:43–49 (in Russ.)].
3. Карпова E.П., Тулупов Д.А. К вопросу безопасности применения назальных сосудосуживающих препаратов у детей. Вестник оториноларингологии. 2011;5:206–207. [Karpova E.P., Tulupov D.A. On the safety of the use of nasal vasoconstrictor drugs in children. Bulletin of otorhinolaryngology. 2011;5:206–207 (in Russ.)].
4. Brоzеk J.L., Bоusquеt J., Baena-Cagnani C.E. еt al. Allеrgiс Rhinitis and its Impaсt оn Asthma (ARIA) guidеlinеs: 2010 Rеvisiоn. J Allеrgy Сlin Immunоl. 2010;:126 (3):466–476.
5. Fokkens W., Lund V., Mullol J. et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012;50(1):1–12. DOI: 10.4193/Rhino50E2.
6. Hofmann T., Koidl B., Wolf G. et al. Influence of preservatives and topical steroids on ciliary beat frequency in vitro. Arch. Otolaryngol. Head Neck Surg. 2004;130(4):440–445.
7. Ramey J.T., Bailen E., Lockey R.F. Rhinitis medicamentosa. J Investig Allergol Clin Immunol. 2006;16(3):148–155.
8. Shaikh N., Wald E.R., Pi M. Decongestants, antihistamines and nasal irrigation for acute sinusitis in children. Cochrane Database Syst Rev. 2010;12: CD007909.
9. Кюлев А.И. Ирригационная терапия верхних дыхательных путей. М.: Медицина, 1987. [Kyulev A.I. Irrigation therapy of the upper respiratory tract. M.: Medicine, 1987 (in Russ.)].
10. Chusakul S., Warathanasin S., Suksangpanya N. et al. Comparison of buffered and nonbuffered nasal saline irrigations in treating allergic rhinitis. Laryngoscope. 2013 Jan;123 (1):53–6. DOI: 10.1002/lary.23617.
11. Garavello W., Di Berardino F., Romagnoli M. et al. Nasal rinsing with hypertonic solution: an adjunctive treatment for pediatric seasonal allergic rhinoconjunctivitis. Int Arch Allergy Immunol. 2005;137(4):310–314.
12. Marchisio P., Varricchio A., Baggi E. et al. Hypertonic saline is more effective than normal saline in seasonal allergic rhinitis in children. Int J Immunopathol Pharmacol. 2012;25(3):721–730.
13. Satdhabudha A., Poachanukoon O. Efficacy of buffered hypertonic saline nasal irrigation in children with symptomatic allergic rhinitis: a randomized double-blind study. Int J Pediatr Otorhinolaryngol. 2012;76(4):583–588. DOI: 10.1016/j.ijporl.2012.01.022.
14. Hermelingmeier K.E., Weber R.K., Hellmich M. et al. Nasal irrigation as an adjunctive treatment in allergic rhinitis: a systematic review and meta-analysis. Am J Rhinol Allergy. 2012;26(5): e119–125. DOI: 10.2500/ajra.2012.26.3787.15. Vernacchio L., Kelly J.P., Kaufman D.W., Mitchell A.A. Cough and Cold Medication Use by US Children, 1999-2006: Results From the Slone Survey. Pediatrics. 2008;122(2): e323-e329.

This work is licensed under a Creative Commons «Attribution» 4.0 License.
















