COMPARATIVE CHARACTERISTICS OF CLINICOANAMNESTIC DATA IN NEWBORN INFANTS WITH ACUTE PATHOLOGY OF UPPER AND LOWER RESPIRATORY TRACT PARTS

Aim. To study the clinicoanamnestic and laboratory peculiarities of newborn infants with respiratory infection. Materials and methods. 111 case histories of newborn infants were studied retrospectively with the method of complete sampling; 50 of them underwent treatment for pneumonia, 61 - for acute respiratory infection. Results. It was revealed that fetoplacental insufficiency more often occurred among mothers of infants with pneumonia ( p <0,001). Clinical picture of newborn pneumonia is manifested immediately after the birth by body temperature increase, grey skin, changes in nervous system. Auscultative picture in the lungs is characterized by diminished breath sounds and hard breathing, sputum. In infants with respiratory infection of the upper airways, manifestations of disease are characterized by marked catarrhal signs, microcirculation disorders, puerile breath, absence of rales in pulmonary auscultation. Bulk blood test in infants with pneumonia shows leucopenia, lymphocytopenia, stab shift in leukogram. Lymphocytosis is more often met in the blood of newborn infants with acute infection of the upper airways. Conclusion. The conducted study helps to realize differentiated diagnosis of acute respiratory infection of the upper and lower airways among newborn infants that will promote a timely transfer of infants to specialized units and adequate therapy.