As part of the clinical school at Viamedis Pavlodar LLP on February 3, 2025, under the guidance of an academic mentor, Ph.D. Acting Associate Professor Adilgozhina S.M. а discussion was held among doctors and nursing staff on the topic: “ARVI in children, features of the course in the practice of GPs»
Acute respiratory viral infection (ARVI) is an acute, most common and in most cases self-limiting infection of the respiratory tract, manifested by catarrhal inflammation of the upper respiratory tract and occurring with fever, rhinitis, sneezing, cough, sore throat, and disturbance of the general condition of varying severity. Clinical picture of a disease or condition (group of diseases or conditions)
The disease usually begins acutely and is often accompanied by an increase in body temperature to subfebrile levels (37.5°C-38.0°C). Febrile fever is more typical of influenza, adenovirus infection, and enterovirus infections. The elevated temperature in 82% of patients decreases on the 2-3rd day of illness; Febrility lasts longer (up to 5-7 days) with influenza and adenovirus infection. An increase in the level of fever during the course of the disease and symptoms of bacterial intoxication in a child should alert one to the possibility of a bacterial infection. A repeated rise in temperature after a short-term improvement often occurs with the development of acute otitis media against the background of a prolonged runny nose.

Outcomes and prognosis: ARVI, in the absence of bacterial complications, is fleeting, although it can leave symptoms such as discharge from the nasal passages and cough for 1-2 weeks. The opinion that repeated acute respiratory viral infections, especially frequent ones, are a manifestation or lead to the development of “secondary immunodeficiency” is unfounded.