COMPARATIVE ANALISIS OF FACTORS FOR ATOPIC DERMATITIS IN CHILDREN LIVING IN COUNTRYSIDE

Abstract

This article examines the risk factors for the formation and course of atopic dermatitis in children living in countryside.Material and methods: patients with atopic dermatitis aged 6 months to 12 years were under outpatient supervision in the state medical INSTITUTION of the Republic of Bashkortostan Karaidelskaya CRH.. The diagnosis was made in accordance with the Federal clinical guidelines for providing medical care to children with atopic dermatitis (Moscow, 2016). The severity of atopic dermatitis was determined by the SCORAD index (scoring of atopic dermatitis). All children had a General clinical examination, including collecting complaints and anamnesis of the disease during a personal conversation with the child and his parents, copying data from outpatient records, and laboratory and instrumental research: General blood analysis, General urine analysis, biochemical blood analysis, ultrasound examination of the abdominal organs, fibrogastroduodenoscopy (FGDs), feces on eggs worm, coprology.Results and conclusions: a patient with severe atopic dermatitis living in rural areas was characterized by the following: every 3rd child was born by cesarean section, mothers were 3 times more likely to have vaginal candidiasis, 4 times more likely to receive artificial feeding, 6 and 2 times more likely to have atopic dermatitis combined with bronchial asthma and allergic rhinitis, and also significantly more likely to have chronic nasopharyngeal pathology, gastritis and dyskenesia biliary tract. The risk of severe atopic dermatitis increased with early artificial feeding by 4 times; 31 times with vaginal candidiasis in mothers during pregnancy, 7 times with chronic gastritis, 5 times with the development of vegetative vascular dysfunction and 4.5 times in the presence of chronic tonsillitis.