V.M. DELYAGIN¹, N.S. AKSYONOVA², I.V. KLYUCHNIKOVA²

¹National Scientific-Research center for Children’s Hematology, Oncology and Immunology named after Dmitriy Rogachev, 1 Samora Mashel Str., Moscow, Russian Federation, 117997

²Children’s Polyclinic №150, 1 Bratislavskaya Str., Moscow, Russian Federation, 109451

Delyagin V.M. ― D. Med. Sc., Professor, Head of the Department of Clinical Physiology, tel. (495) 287-65-70, e-mail: delyagin-doktor@yandex.ru

The problem of continuous health improvement of children with bronchial asthma and prevention of its attacks is relevant. This work should be carried out not only in medical institutions and in families, but also at school. However, the interaction between an allergy doctor-immunologist, a district pediatrician, the family and the preventive (school-preschool) medicine department should be improved. Control over trigger factors at school is less strict than at home. The school plan for management of a child with asthma should be based on preventive measures. It should provide for the training of the non-medical staff of the school to recognize the symptoms of asthma exacerbation and to learn the address and emergency telephone number; organizing control over physical education lessons (adequacy of physical activity to the child’s condition, symptoms of «stress asthma», dustiness of the room, provocation of bronchial obstruction during physical exercises in the cold); control over the sanitary-hygienic maintenance of school premises; compliance of the school canteen menu with the peculiarities of feeding a child with asthma; training the child to specific safety requirements: not to exchange food or sweets with the peers, to avoid dusty premises. The programs of primary and secondary asthma prevention during the children and adolescents being in organized groups can be implemented within the framework of health schools programs. The interaction of the medical service with the education system and municipal structures is required.

Key words: сhildren, bronchial asthma, school, health programs.

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