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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v14i2.1295</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-67</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБМЕН ОПЫТОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXCHANGE OF EXPERIENCE</subject></subj-group></article-categories><title-group><article-title>ДИСФУНКЦИИ ИММУНИТЕТА ПРИ РЕСПИРАТОРНЫХ ЗАБОЛЕВАНИЯХ: НУЖНЫ ЛИ ИММУНОМОДУЛЯТОРЫ У ЧАСТО БОЛЕЮЩИХ ДЕТЕЙ?</article-title><trans-title-group xml:lang="en"><trans-title>IMMUNITY DYSFUNCTION IN RESPIRATORY DISEASES: DO FREQUENTLY ILL CHILDREN NEED IMMUNOMODULATORS?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Караулов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Karaulov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, член-корреспондент РАН, заведующий кафедрой клинической иммунологии и аллергологии Первого МГМУ им. И.М. Сеченова Адрес: 119992, Москва, ул. Трубецкая, д. 8, стр. 2, тел.: +7 (495) 395-64-97</p></bio><bio xml:lang="en"><p> </p></bio><email xlink:type="simple">drkaraulov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская Федерация</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>17</day><month>04</month><year>2015</year></pub-date><volume>14</volume><issue>2</issue><issue-title>Вопросы современной педиатрии</issue-title><fpage>260</fpage><lpage>264</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Караулов А.В., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Караулов А.В.</copyright-holder><copyright-holder xml:lang="en">Karaulov A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/67">https://vsp.spr-journal.ru/jour/article/view/67</self-uri><abstract><p>Недостаточно эффективный контроль многих инфекционных болезней при помощи этиотропных химиопрепаратов определяет актуальность поиска альтернативных методов, в частности, основанных на модуляции иммунитета. В обзоре современной литературы проанализированы рациональные подходы при дисфункции иммунитета у часто болеющих детей. Обращается внимание на то, что применение иммуномодуляторов способствует снижению частоты и уменьшению степени тяжести респираторных заболеваний, предупреждает развитие осложнений. Рассмотрены преимущества применения инозина пранобекса, сочетающего свойства иммуномодулятора с прямой противовирусной активностью. Продемонстрирована возможность использования инозина пранобекса для профилактики и лечения респираторных инфекций у часто болеющих детей, представлены рациональные схемы его применения.</p><p> </p></abstract><trans-abstract xml:lang="en"><p>Insufficient control of many infectious diseases using etiotropic drugs determines the relevance of a search for alternative methods, in particular based on the modulation of the immune system. The review of recent literature analyzes rational approaches to the immunity dysfunction in frequently ill children. Attention is drawn to the fact that the use of immunomodulators reduces the frequency and severity of respiratory diseases and prevents complications. The article examines the advantages of the use of inosine pranobex that combines the properties of an immunomodulator and a direct antiviral activity. It is shown that inosine pranobex can be used for the prevention and treatment of respiratory infections in frequently ill children, and the rational schemes of its application are presented.</p><p> </p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>респираторные инфекции</kwd><kwd>иммунотерапия</kwd><kwd>эффективность</kwd><kwd>инозин пранобекс</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>respiratory infections</kwd><kwd>immunotherapy</kwd><kwd>efficiency</kwd><kwd>inosine pranobex</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Karaulov A.V., Kalyuzhin O.V. Immunotherapy of Infectious Diseases: Challenges and Prospects. Terapevticheskii arkhiv = Therapeutic archive. 2013;11:100–108.</mixed-citation><mixed-citation xml:lang="en">Karaulov A.V., Kalyuzhin O.V. Immunotherapy of Infectious Diseases: Challenges and Prospects. Terapevticheskii arkhiv = Therapeutic archive. 2013; 11: 100–108.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Treating infectious diseases in a microbial world: Report of two workshops on novel antimicrobial therapeutics. Washington: National Academies Press. 2006. P. 37–38.</mixed-citation><mixed-citation xml:lang="en">Treating infectious diseases in a microbial world: Report of two workshops on novel antimicrobial therapeutics. Washington: National Academies Press. 2006. P. 37–38.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Namazova-Baranova L.S., Kharit S.M., Tuzankina I.A., Kozhevnikova T.I., Taranushenko T.E., Alekseeva A.A. The results of a multicenter study of the drug pidotimod for the prevention of acute respiratory infections in RRI children. Voprosy sovremennoi pediatrii = Current pediatrics. 2010;2:40–44.</mixed-citation><mixed-citation xml:lang="en">Namazova-Baranova L.S., Kharit S.M., Tuzankina I.A., Kozhevnikova T.I., Taranushenko T.E., Alekseeva A.A. The results of a multicenter study of the drug pidotimod for the prevention of acute respiratory infections in RRI children. Voprosy sovremennoi pediatrii = Current pediatrics. 2010; 2: 40–44.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Karaulov A.V., Pinegin B.V., Il'ina N.I. et al. Polioksidonii v klinicheskoi praktike. Terapiya, khirurgiya, ginekologiya, urologiya, onkologiya. Pod red. A.V. Karaulova [Polyoxidonium in Clinical Practice. Medicine, Surgery, Gynecology, Urology, Oncology. Edited by A.V. Karaulov]. Moscow, GEOTAR-Media, 2008. 135 p.</mixed-citation><mixed-citation xml:lang="en">Karaulov A.V., Pinegin B.V., Il'ina N.I. et al. Polioksidonii v klinicheskoi praktike. Terapiya, khirurgiya, ginekologiya, urologiya, onkologiya. Pod red. A.V. Karaulova [Polyoxidonium in Clinical Practice. Medicine, Surgery, Gynecology, Urology, Oncology. Edited by A.V. Karaulov]. Moscow, GEOTAR-Media, 2008. 135 p.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Feleszko W., Marek Ruszczynski, Bartlomiej Mateusz Zalewski Non-specific immune stimulation in respiratory tract infections. Separating the wheat from the chaff. Paediatr. Respir. Rev. 2014; 15: 200–206.</mixed-citation><mixed-citation xml:lang="en">Feleszko W., Marek Ruszczynski, Bartlomiej Mateusz Zalewski Non-specific immune stimulation in respiratory tract infections. Separating the wheat from the chaff. Paediatr. Respir. Rev. 2014; 15: 200–206.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Labro M.-T. Immunomodulation and infection: back to the future. Exp. Rev. Anti-Infect. Ther. 2012; 10 (3): 245–247.</mixed-citation><mixed-citation xml:lang="en">Labro M.-T. Immunomodulation and infection: back to the future. Exp. Rev. Anti-Infect. Ther. 2012; 10 (3): 245–247.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Karaulov A.V., Sokurenko S.I., Barmotin V.G. Principles of immunotherapy and immunorehabilitation recurrent respiratory diseases. Lechashchii vrach = Practicing doctor. 2000;1:44–45.</mixed-citation><mixed-citation xml:lang="en">Karaulov A.V., Sokurenko S.I., Barmotin V.G. Principles of immunotherapy and immunorehabilitation recurrent respiratory diseases. Lechashchii vrach = Practicing doctor. 2000; 1: 44–45.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Markova T.P. Primenenie immunotropnykh preparatov v kompleksnom lechenii i vaktsinatsii detei s immunodefitsitnymi sostoyaniyami. Avtoref. dis. … dokt. med. nauk [Application of immune preparations in complex treatment and vaccination of children with immunodeficiency. Author’s abstract]. Moscow, 2011. 48 p.</mixed-citation><mixed-citation xml:lang="en">Markova T.P. Primenenie immunotropnykh preparatov v kompleksnom lechenii i vaktsinatsii detei s immunodefitsitnymi sostoyaniyami. Avtoref. dis. … dokt. med. nauk [Application of immune preparations in complex treatment and vaccination of children with immunodeficiency. Author’s abstract]. Moscow, 2011. 48 p.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Vishneva E.A., Namazova-Baranova L.S. Prevention of allergies in children. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2014;11(3):61–65. DOI: http://dx.doi.org/10.15690/pf.v11i3.1010</mixed-citation><mixed-citation xml:lang="en">Vishneva E.A., Namazova-Baranova L.S. Prevention of allergies in children. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2014; 11 (3): 61–65.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ershov F.I. Antivirusnye preparaty [Antiviral drugs]. Moscow, Meditsina. 1998. 192 p.</mixed-citation><mixed-citation xml:lang="en">Ershov F.I. Antivirusnye preparaty [Antiviral drugs]. Moscow, Meditsina. 1998. 192 p.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Golebiowska-Wawrzyniak M., Markiewicz K., Kozar A., Derentowicz P., Czerwi ska-Kartowicz I., Jastrzebska-Janas K., Wacawek J., Wawrzyniak Z. M., Siwiska-Goleblowska H. Immunological and clinical study on therapeutic efficacy of inosine pranobex. Pol. Merkur Lek. 2005; 19 (111): 379–382.</mixed-citation><mixed-citation xml:lang="en">Golebiowska-Wawrzyniak M., Markiewicz K., Kozar A., Derentowicz P., Czerwi ska-Kartowicz I., Jastrzebska-Janas K., Wacawek J., Wawrzyniak Z.M., Siwiska-Goleblowska H. Immunological and clinical study on therapeutic efficacy of inosine pranobex. Pol. Merkur Lek. 2005; 19 (111): 379–382.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Sergienko E.N., Shmeleva N.P., Germanenko I.G., Gribkova N.V. Flu in children: clinical and epidemiological features and new possibilities of therapy. Meditsinskie novosti = Medical news. 2009;14:1–4.</mixed-citation><mixed-citation xml:lang="en">Sergienko E.N., Shmeleva N.P., Germanenko I.G., Gribkova N.V. Flu in children: clinical and epidemiological features and new possibilities of therapy. Meditsinskie novosti = Medical news. 2009; 14: 1–4.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Ohnishi H., Kosuzume H., Inaba H., Okura M., Tajima H., Suzuki Y. Protective effects of inosiplex in viral infections. Comparison with other immunostimulants. Kansenshogaku Zasshi. 1981; 55 (8): 551–557.</mixed-citation><mixed-citation xml:lang="en">Ohnishi H., Kosuzume H., Inaba H., Okura M., Tajima H., Suzuki Y. Protective effects of inosiplex in viral infections. Comparison with other immunostimulants. Kansenshogaku Zasshi. 1981; 55 (8): 551–557.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Indeks ATC, 2009. Klassifikator sistemy ATS/DDD (The index of ATC, 2009. Qualifier PBX system / DDD). Available at: http://www.whocc.no/atcddd (accessed: 06.03.2015).</mixed-citation><mixed-citation xml:lang="en">Indeks ATC, 2009. Klassifikator sistemy ATS/DDD (The index of ATC, 2009. Qualifier PBX system / DDD). Available at: http://www.whocc.no/atcddd (accessed: 06.03.2015).</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Darlath W., Wybran J. Therapeutic experience with the immu no stimulator inosine pranobex. Fortschr. Med. 1984; 4; 102 (37): 932–934.</mixed-citation><mixed-citation xml:lang="en">Darlath W., Wybran J. Therapeutic experience with the immunostimulator inosine pranobex. Fortschr. Med. 1984; 4; 102 (37): 932–934.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Belyaeva L.M. Groprinosin in treatment of RRI children and adolescents. Meditsinskie novosti = Medical news. 2007;8:43–45.</mixed-citation><mixed-citation xml:lang="en">Belyaeva L.M. Groprinosin in treatment of RRI children and adolescents. Meditsinskie novosti = Medical news. 2007; 8: 43–45.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Isakov V.A., Isakov D.V. Prospects for treatment of respiratory infections in frequently ill patients. Pul'monologiya = Pulmonology. 2014;4:118–124.</mixed-citation><mixed-citation xml:lang="en">Isakov V.A., Isakov D.V. Prospects for treatment of respiratory infections in frequently ill patients. Pul'monologiya = Pulmonology. 2014; 4: 118–124.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Osidak L.V., Zarubaev V.V., Obraztsova E.V., Erman E.S., Drinevskii V.P. Izoprinozin in the treatment of ARI in RRI children. Detskie infektsii = Child infections. 2008;4:35–41.</mixed-citation><mixed-citation xml:lang="en">Osidak L.V., Zarubaev V.V., Obraztsova E.V., Erman E.S., Drinevskii V.P. Izoprinozin in the treatment of ARI in RRI children. Detskie infektsii = Child infections. 2008; 4: 35–41.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Eliseeva M.Yu., Tsarev V.N., Masikhi K.N., Osidak L.V., Barinskii I.F., Tsareva T.V., Mynbaev O.A. The effectiveness of the auxiliary immunotherapy in patients with immunodeficiency and sickly children: a systematic review and meta-analysis of the use of inosine pranobex with SARS. RMZh = Russian medical journal. 2010;18(5:369):313–320.</mixed-citation><mixed-citation xml:lang="en">Eliseeva M.Yu., Tsarev V.N., Masikhi K.N., Osidak L.V., Barinskii I.F., Tsareva T.V., Mynbaev O.A. The effectiveness of the auxiliary immunotherapy in patients with immunodeficiency and sickly children: a systematic review and meta-analysis of the use of inosine pranobex with SARS. RMZh = Russian medical journal. 2010; 18 (5:369): 313–320.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Bulgakova V.A., Balabolkin I.I., Katosova L.K., Sedova M.O., Zubkova I.V. Evaluating the effectiveness of the combined effect of immunomodulator inosine pranobex for the prevention of respiratory infections in children with allergies. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2010;7(5):30–37.</mixed-citation><mixed-citation xml:lang="en">Bulgakova V.A., Balabolkin I.I., Katosova L.K., Sedova M.O., Zubkova I.V. Evaluating the effectiveness of the combined effect of immunomodulator inosine pranobex for the prevention of respiratory infections in children with allergies. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2010; 7 (5): 30–37.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Litzman J., Lokaj J., Krejci M., Pesak S., Morgan G. Isoprinosine does not protect against frequent respiratory tract infections in childhood. Eur. J. Pediatr. 1999;158:35–37.</mixed-citation><mixed-citation xml:lang="en">Litzman J., Lokaj J., Krejci M., Pesak S., Morgan G. Isoprinosine does not protect against frequent respiratory tract infections in childhood. Eur. J. Pediatr. 1999; 158: 35–37.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Schneider D. S., Ayres J. S. Two ways to survive infection: what resistance and tolerance can teach us about treating infectious diseases. Nat. Rev. Immunol. 2008;8(11):889–895.</mixed-citation><mixed-citation xml:lang="en">Schneider D.S., Ayres J.S. Two ways to survive infection: what resistance and tolerance can teach us about treating infectious diseases. Nat. Rev. Immunol. 2008; 8 (11): 889–895.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Casadevall A., Pirofski L.-A. The damage-response framework of microbial pathogenesis. Nat. Rev. Microbiol. 2003;1:17–24.</mixed-citation><mixed-citation xml:lang="en">Casadevall A., Pirofski L.-A. The damage-response framework of microbial pathogenesis. Nat. Rev. Microbiol. 2003; 1: 17–24.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
