Differential diagnosis of acute respiratory infections in mixed circulation

Acute respiratory infections are the most common group of infectious diseases characterized by pronounced tropism to the respiratory tract. Acute respiratory infections has occupied a leading place in the structure of infectious and parasitic diseases for decades. The high prevalence of diseases, th...

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Main Authors: Zh. B. Ponezheva, A. N. Turapova, A. R. Marzhokhova, S. B. Yatsyshina, Yu. N. Khlypovka, А. A. Ploskireva
Format: Article
Language:Russian
Published: Open Systems Publication 2023-06-01
Series:Лечащий Врач
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Online Access:https://journal.lvrach.ru/jour/article/view/1064
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author Zh. B. Ponezheva
A. N. Turapova
A. R. Marzhokhova
S. B. Yatsyshina
Yu. N. Khlypovka
А. A. Ploskireva
author_facet Zh. B. Ponezheva
A. N. Turapova
A. R. Marzhokhova
S. B. Yatsyshina
Yu. N. Khlypovka
А. A. Ploskireva
author_sort Zh. B. Ponezheva
collection DOAJ
description Acute respiratory infections are the most common group of infectious diseases characterized by pronounced tropism to the respiratory tract. Acute respiratory infections has occupied a leading place in the structure of infectious and parasitic diseases for decades. The high prevalence of diseases, the presence of adverse outcomes and complications, the difficulty of diagnosis and the choice of an individual treatment strategy making relevant the problems of an associated with acute respiratory tract infections. The review article describes in detail the features of manifestations of acute respiratory infections of viral etiology, occupying up to 80% of all cases in the epidemic season (influenza, parainfluenza, adenoviruses, rhinoviruses, respiratory syntial virus, coronaviruses, metapneumovirus, bokavirus). The characteristics and severity of the course of acute respiratory tract infections of bacterial etiology (Streptococcus pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, Chlamydophyla pneumoniae, Streptococcus pyogenes) are also presented. The features of various clinical manifestations of circulating respiratory infections are analyzed. The features of nosological forms in acute respiratory infections are presented. Risk factors for the unfavorable course of acute infections pathways to the respiratory tract were noted. Modern methods of laboratory diagnostics of acute respiratory infections are described, illustrated in a convenient algorithm. The necessity of early etiological verification of acute respiratory infections for the timely appointment of adequate therapy, which reduces the risk of severe course and complications, is also emphasized. Thus, the similarity of clinical manifestations of acute viral infections of the respiratory tract, especially with the simultaneous circulation of various respiratory viruses during the ongoing COVID-19 pandemic, requires mandatory laboratory verification of the pathogen for timely etiotropic therapy and prevention of the spread of infection, as well as timely anti-epidemic measures.
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institution Kabale University
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spelling doaj-art-77078a4b7bb7492a8b63adee3eb09a2c2025-08-20T03:37:06ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812023-06-0104576310.51793/OS.2023.26.4.0081058Differential diagnosis of acute respiratory infections in mixed circulationZh. B. Ponezheva0A. N. Turapova1A. R. Marzhokhova2S. B. Yatsyshina3Yu. N. Khlypovka4А. A. Ploskireva5Federal Budgetary Institution of Science Central Research Institute of Epidemiology of RospotrebnadzorFederal Budgetary Institution of Science Central Research Institute of Epidemiology of RospotrebnadzorFederal Budgetary Institution of Science Central Research Institute of Epidemiology of RospotrebnadzorFederal Budgetary Institution of Science Central Research Institute of Epidemiology of RospotrebnadzorFederal Budgetary Institution of Science Central Research Institute of Epidemiology of RospotrebnadzorFederal Budgetary Institution of Science Central Research Institute of Epidemiology of RospotrebnadzorAcute respiratory infections are the most common group of infectious diseases characterized by pronounced tropism to the respiratory tract. Acute respiratory infections has occupied a leading place in the structure of infectious and parasitic diseases for decades. The high prevalence of diseases, the presence of adverse outcomes and complications, the difficulty of diagnosis and the choice of an individual treatment strategy making relevant the problems of an associated with acute respiratory tract infections. The review article describes in detail the features of manifestations of acute respiratory infections of viral etiology, occupying up to 80% of all cases in the epidemic season (influenza, parainfluenza, adenoviruses, rhinoviruses, respiratory syntial virus, coronaviruses, metapneumovirus, bokavirus). The characteristics and severity of the course of acute respiratory tract infections of bacterial etiology (Streptococcus pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, Chlamydophyla pneumoniae, Streptococcus pyogenes) are also presented. The features of various clinical manifestations of circulating respiratory infections are analyzed. The features of nosological forms in acute respiratory infections are presented. Risk factors for the unfavorable course of acute infections pathways to the respiratory tract were noted. Modern methods of laboratory diagnostics of acute respiratory infections are described, illustrated in a convenient algorithm. The necessity of early etiological verification of acute respiratory infections for the timely appointment of adequate therapy, which reduces the risk of severe course and complications, is also emphasized. Thus, the similarity of clinical manifestations of acute viral infections of the respiratory tract, especially with the simultaneous circulation of various respiratory viruses during the ongoing COVID-19 pandemic, requires mandatory laboratory verification of the pathogen for timely etiotropic therapy and prevention of the spread of infection, as well as timely anti-epidemic measures.https://journal.lvrach.ru/jour/article/view/1064acute respiratory infectionsdifferential diagnosislaboratory methods of diagnosisetiotropic influenza therapysarscovid-19
spellingShingle Zh. B. Ponezheva
A. N. Turapova
A. R. Marzhokhova
S. B. Yatsyshina
Yu. N. Khlypovka
А. A. Ploskireva
Differential diagnosis of acute respiratory infections in mixed circulation
Лечащий Врач
acute respiratory infections
differential diagnosis
laboratory methods of diagnosis
etiotropic influenza therapy
sars
covid-19
title Differential diagnosis of acute respiratory infections in mixed circulation
title_full Differential diagnosis of acute respiratory infections in mixed circulation
title_fullStr Differential diagnosis of acute respiratory infections in mixed circulation
title_full_unstemmed Differential diagnosis of acute respiratory infections in mixed circulation
title_short Differential diagnosis of acute respiratory infections in mixed circulation
title_sort differential diagnosis of acute respiratory infections in mixed circulation
topic acute respiratory infections
differential diagnosis
laboratory methods of diagnosis
etiotropic influenza therapy
sars
covid-19
url https://journal.lvrach.ru/jour/article/view/1064
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AT anturapova differentialdiagnosisofacuterespiratoryinfectionsinmixedcirculation
AT armarzhokhova differentialdiagnosisofacuterespiratoryinfectionsinmixedcirculation
AT sbyatsyshina differentialdiagnosisofacuterespiratoryinfectionsinmixedcirculation
AT yunkhlypovka differentialdiagnosisofacuterespiratoryinfectionsinmixedcirculation
AT aaploskireva differentialdiagnosisofacuterespiratoryinfectionsinmixedcirculation