The role of immunomodulatory therapy in the treatment of acute respiratory viral infections in patients with year-round allergic rhinitis

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Abstract

Objective. To assess the effectiveness and safety of the combined medicine interferon alpha-2b + loratadine (Grippferon® with loratadine, nasal ointment) for the prevention and treatment of acute respiratory viral infections (ARVI) in patients with year-round allergic rhinitis.

Materials and Methods. A total of 154 patients were included in the study and divided into four groups: group 1A patients (n=37) received the combined medicine interferon alpha-2b + loratadine (Grippferon® with loratadine) 5 times a day for 7 days for the ARVI treatment; in group 2A (n=41) standard therapy was carried out in accordance with the clinical guidelines for the ARVI treatment in adult patients (2021). Group 1B (n=38) patients used the combined medicine interferon alpha-2b + loratadine once a day for 7 days for the ARVI prevention; in group 2B patients (n=38) ARVI prevention was not conducted. There were 75 (48.7%) men and 79 (51.3%) women, aged 22-45 years.

Results. During treatment with the combined medicine interferon alpha-2b + loratadine in group 1A patients there was a significant decrease in respiratory manifestations (such as nasal congestion, rhinorrhoea, sneezing) by comparing with group 2A patients. Rhinocytogram analysis results showed that the use of the combined medicine interferon alpha-2b + loratadine contributed to the reduction in the intensity and severity of inflammatory (leukocyte count) and allergic (eosinophils) responses. In group 1B patients, who received the medicine interferon alpha-2b + loratadine for the ARVI prevention, we noted that during three observation months 3 times less patients got acute respiratory infections by comparing with group 2B patients.

Conclusion. The received study results demonstrate that the use of topical medicine interferon alpha-2b + loratadine in patients with concomitant acute respiratory viral infections and year-round allergic rhinitis shortens the ARVI treatment period. The preventive use of the given medicine allows us to reduce the number of ARVI in patients with year-round allergic rhinitis.

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About the authors

D. I. Trukhan

Omsk State Medical University

Author for correspondence.
Email: ppi100@mail.ru
ORCID iD: 0000-0002-1597-1876

Dr Med. Sci

Russian Federation, Omsk

N. V. Bagisheva

Omsk State Medical University

Email: ppi100@mail.ru
ORCID iD: 0000-0003-3668-1023

Cand. of Med. Sci.

Russian Federation, Omsk

K. I. Nesterova

Omsk State Medical University

Email: ppi100@mail.ru
ORCID iD: 0000-0002-9793-7179

Dr Med. Sci

Russian Federation, Omsk

A. V. Mordyk

Omsk State Medical University

Email: ppi100@mail.ru
ORCID iD: 0000-0001-6196-7256

Dr Med. Sci., Professor

Russian Federation, Omsk

V. A. Alekseenko

Omsk City Polyclinic No. 12

Email: ppi100@mail.ru
Russian Federation, Omsk

M. V. Moiseeva

Omsk City Polyclinic No. 12

Email: ppi100@mail.ru
ORCID iD: 0000-0003-3458-9346

Cand. of Med. Sci

Russian Federation, Omsk

N. M. Kalashnikova

Omsk City Polyclinic No. 12

Email: ppi100@mail.ru
Russian Federation, Omsk

V. N. Neshcheretneva

Omsk City Polyclinic No. 12

Email: ppi100@mail.ru
Russian Federation, Omsk

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