The Efficacy and Safety of Using a Combined Iron Supplement in Children with Community-acquired Pneumonia and Anemia

Authors

  • Yurii Marushko Bogomolets National Medical University
  • Tetiana Hyshchak Bogomolets National Medical University
  • Olha Khomych Bogomolets National Medical University

DOI:

https://doi.org/10.30841/2307-5112.5-6.2020.225188

Keywords:

community-acquired pneumonia, anemia, iron deficiency, treatment, Totema

Abstract

The article summarizes the own data and presents a scientific review of the medical literature devoted to the analysis of the problem of treatment of community-acquired pneumonia associated with anemia in children.

The objective: to optimize the treatment of community-acquired pneumonia associated with anemia in children.

Materials and methods. There were examined 100 children (53 girls and 47 boys) aged 9–17 years (the average age was 12.96 ± 0.07 years), who were treated for community-acquired pneumonia in the children’s clinical hospital No. 5 in Kiev. Children were divided into two groups: Group I – 70 patients with community-acquired pneumonia and normal levels of hemoglobin and erythrocytes; Group II – 30 children with pneumonia and anemia of the I – II stages.

Results. During the study of the localization of the pathological process in the lungs, it was found that in children of group II compared with group I, bilateral lung damage was more common (33.3 % compared to 12.9 %; p <0.05). The main indicators of peripheral blood in patients with community-acquired pneumonia and anemia were lower than in patients with community-acquired pneumonia. The clinical picture of community-acquired pneumonia with anemia and also there was analyzed the possibility of using a combined preparation of ferrous iron, manganese and copper for treatment.

Conclusion. It was found that in patients with community-acquired pneumonia and anemia, compared with patients with community-acquired pneumonia, there is a more widespread and severe inflammatory process in the lungs with prominent signs of intoxication. However, when using a medication of ferrous iron with trace elements, an improvement in indicators and the course of the disease is observed.

Author Biographies

Yurii Marushko, Bogomolets National Medical University

Yurii V. Marushko,

Head of Department of Pediatrics at the Institute of Postgraduate Education

Tetiana Hyshchak, Bogomolets National Medical University

Tetiana V. Hyshchak,

Department of Pediatrics at the Institute Postgraduate Education

Olha Khomych, Bogomolets National Medical University

Olha V. Khomych,

Department of Pediatrics at the Institute Postgraduate Education

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Published

2021-03-15

Issue

Section

For practicing physicians