Features of the course of community-acquired pneumonia in children under the influence of high-frequency chest wall oscillation

Abstract

Diseases of the respiratory system remain a topical issue in modern pediatrics. Pneumonia is one of the most common nosologies of the respiratory tract and remains the main infectious cause of morbidity and mortality in children throughout the world, in particular in Ukraine. Complex effective protection of the respiratory system is provided by the natural mechanism – mucociliary clearance (MCC), which provides rehabilitation of the bronchopulmonary system and the necessary potential of the barrier, immune and cleansing function of the respiratory tract. In children with community-acquired pneumonia (CAP), the occurrence of most clinical symptoms, such as cough, shortness of breath, are associated with impaired functioning of the MCC. Basic drug therapy is not fully effective in the case of MCC disorders in children with CAP. High-frequency chest wall oscillation (HFCWO) is a modern method of restoring bronchial tree drainage based on the vibration-compression effect of the Vest Airway Clearance System. The Vest device has proven its effectiveness in the treatment of children with cystic fibrosis who had improvement of MCC of the bronchopulmonary system. The aim: to study the effect of high-frequency chest wall oscillation on the clinical course of community-acquired pneumonia in children.