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Clinical efficacy of mucoactive therapy with 7% hypertonic saline in patients with acute bronchitis

https://doi.org/10.21518/2079-701X-2022-16-23-136-141

Abstract

Introduction. Respiratory viruses are the overwhelming etiological agents of acute bronchitis in adults. However, the routine management of such patients often includes the prescription of antibiotics. The primary treatment for acute bronchitis is the administration of mucoactive agents to liquefy and improve sputum flow.

The aim is to investigate the efficacy and safety of 7% hypertonic solution in patients with acute bronchitis.

Materials and methods. A total of 50 patients were enrolled, of whom 25 participants received Ingasalin® forte (7% hypertonic solution) and 25 patients formed a second control group in which participants received other drugs as mucoactive therapy (routine clinical practice).

Results. Severity of productive cough in Group 1 patients equaled 2,24 ± 0,4 points, in Group 2 – 2,4 ± 0,5 points. On the 4th day there was a significant reduction in the severity of both daytime and nighttime cough in the vast majority of patients. At the same time, severity of daytime cough on the 4th day of treatment in Group 1 was equal to 1,36 ± 0,5, and in Group 2 – to 1,7 ± 0,5. During the same period, the number of AB patients with a significant reduction in cough severity in group 1 was 16 (64%), while in group 2–8 (32%).

Conclusion. Thus, the use of 7% hypertonic solution was accompanied by a good effect in the form of a pronounced cough regression in patients with AB.

About the Authors

A. A. Zaitsev
Main Military Clinical Hospital named after Academician N.N. Burdenko; Russian Biotechnological University
Russian Federation

Andrey A. Zaitsev - Dr. Sci. (Med.), Professor, Honored Doctor of the Russian Federation, Chief Pulmonologist, Main Military Clinical Hospital named after Academician N.N. Burdenko; Head of the Department of Pulmonology, Medical Institute of Continuing Education, Russian Biotechnological University.

3, Gospitalnaya Square, Moscow, 105094; 11, Volokolamskoe Shosse, Moscow, 125080



N. A. Kulikova
Main Military Clinical Hospital named after Academician N.N. Burdenko; Russian Biotechnological University
Russian Federation

Natalya A. Kulikova - Pulmonologist, Main Military Clinical Hospital named after Academician N.N. Burdenko; Pulmonologist, Medical Institute of Continuing Education, Russian Biotechnological University.

3, Gospitalnaya Square, Moscow, 105094; 11, Volokolamskoe Shosse, Moscow, 125080



E. A. Filon
Main Military Clinical Hospital named after Academician N.N. Burdenko
Russian Federation

Ekaterina A. Filon - Pulmonologist, Main Military Clinical Hospital named after Academician N.N. Burdenko.

3, Gospitalnaya Square, Moscow, 105094



I. E. Budoragin
Main Military Clinical Hospital named after Academician N.N. Burdenko
Russian Federation

Ivan E. Budoragin - Pulmonologist, Main Military Clinical Hospital named after Academician N.N. Burdenko.

3, Gospitalnaya Square, Moscow, 105094



V. E. Bednova
Main Military Clinical Hospital named after Academician N.N. Burdenko
Russian Federation

Violetta E. Bednova - Pulmonologist, Main Military Clinical Hospital named after Academician N.N. Burdenko.

3, Gospitalnaya Square, Moscow, 105094



R. E. Sardalova
Main Military Clinical Hospital named after Academician N.N. Burdenko; Russian Biotechnological University
Russian Federation

Rayana E. Sardalova - Pulmonologist, Main Military Clinical Hospital named after Academician N.N. Burdenko; Pulmonologist, Medical Institute of Continuing Education, Russian Biotechnological University.

3, Gospitalnaya Square, Moscow, 105094; 11, Volokolamskoe Shosse, Moscow, 125080



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For citations:


Zaitsev AA, Kulikova NA, Filon EA, Budoragin IE, Bednova VE, Sardalova RE. Clinical efficacy of mucoactive therapy with 7% hypertonic saline in patients with acute bronchitis. Meditsinskiy sovet = Medical Council. 2022;(23):136-141. (In Russ.) https://doi.org/10.21518/2079-701X-2022-16-23-136-141

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