Определить пневмококк на глаз не получится. Специалист может заподозрить инфекцию в том случае, если у ребенка зеленоватые выделения из носа, пробки в миндалинах и кашель с желто-зеленой мокротой. Однако подтвердить пневмококковую инфекцию может только анализ – бакпосев мокроты, но его даже в больницах делают редко, как правило, только в самых сложных случаях.
Между тем, многие люди являются носителями пневмококка, даже не подозревая об этом. Бактериальное носительство пневмококка особенно распространено в детских садах (до 60%) и начальных классах школы (до 35%).
Наиболее опасен пневмококк для маленьких детей из-за особенности строения этой бактерии. Она имеет прочную полисахаридную оболочку, справиться с которой могут только иммунные клетки взрослого человека, но не ребенка. Именно поэтому большинство жертв пневмококковой инфекции – дети. По данным Всемирной организации здравоохранения, ежегодно в мире заболевания, вызванные пневмококком, уносят 1,6 миллиона жизней, 800 тысяч из них - дети до двух лет и 200 тысяч – дети от 2 до 5 лет.
Достоверной статистики заболеваемости и смертности от пневмококковых инфекций по России нет. Анализы на выявление пневмококка – скорее исключение, чем практика. Существует только информация о количестве выявленных случаев заболеваний. В России ежегодно пневмококковыми менингитами заболевает 324 ребенка в возрасте от 0 до 2 лет (10 случаев на 100 000 детей), пневмококковой бактериемией (заражение крови) – 3 243 ребенка (100 случаев на 100 000 детей), пневмококковой пневмонией – 38 960 детей (1200 на 100 000), пневмококковыми отитами – 713 460 детей (22000 на 100 000)[1].
Заместитель директора Научного центра здоровья детей РАМН по научной работе, директор НИИ профилактической педиатрии и восстановительного лечения, профессор, д.м.н. Лейла Сеймуровна Намазова-Баранова: «Самое страшное – смотреть на детей, которые погибают от вируса или присоединившейся к нему бактериальной инфекции. При таком высоком уровне развития медицины кажется непостижимым, что мы не можем спасти эти маленькие жизни. Но пневмококк быстро эволюционирует и теряет чувствительность к антибиотикам. Из-за роста резистентности штаммов пневмококка лечить заболевание с каждым годом все сложнее. Значительно проще его предотвратить».
Пневмококковые инфекции лечатся антибиотиками. Однако с каждым годом все серьезнее встает перед нами вопрос устойчивости пневмококка к антибиотикам. Бесконтрольное употребление антибиотиков привело к очень высокому росту привыкания к ним. Например, пенициллином, который изначально был изобретен для лечения пневмонии, воспаление легких уже вылечить невозможно. Если не произойдет кардинального прорыва в медицине в этом аспекте, через несколько десятков лет нам просто нечем будет лечить инфекции. Поэтому особую актуальность приобретает вакцинопрофилактика. Это не только безопасный и экономичный способ предотвратить болезнь, но и высокая степень защиты детей от инвалидности и смертности, которыми часто заканчиваются пневмококковые инфекции из-за молниеносного темпа развития болезни.
Опыт применения вакцины на базе Научного центра здоровья детей РАМН показал, что она безопасна, снижает носительство пневмококка в носоглотке и дает коллективный иммунитет, что очень важно для детей, посещающих детский сад. Вакцина хорошо переносится и хорошо сочетается с любыми прививками Национального календаря.
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2-х кратная вакцинация с интервалом не менее 1 месяца между введениями. Третья доза (т.е. ревакцинация) рекомендуется между введениями не менее 2-х месяцев.
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Узнать более подробно о пневмококковых инфекциях можно, посетив сайт образовательной программы «Стоп, пневмококк!» www.pneumococc.ru или позвонив по телефону бесплатной горячей линии 8-800-200-90-90. Здесь же можно задать вопросы о социальных мероприятиях, которые будут проводиться в рамках действия программы.
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