Pediatria pre prax 1/2013

Immunotherapy in children with reccurent respiratory tract infections

Reccurent respiratory tract infections in children are associated with significant morbidity and are one of the most common reasons for physician visits and hospitalisation. Children with recurrent respiratory tract infections represent a great challenge for the paediatrician, from both therapeutic and preventive standpoints. He must first determine whether these recurrent infections are because of host-derived factors (inherited, acquired), or are the result of increased environmental exposure. Host-derived factors may be nonimmunological or related to host immunodeficiency. Treatment and prevention of these infections has its own rules and should consist of early, aimed antibiotic therapy acute attacks of infection (if indicated), long and appropriate reconvalescence, elimination of all possible focuses and origins of infection. There are several possibilities of immunomodulating therapy. The prescription and application of each immunomodulation agent should be performed in correct manner only in indicated cases with individual approach to each child taking into account all the rules of immunomodulation therapy.

Keywords: reccurent respiratory infection, immunomodulation.