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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">adair</journal-id><journal-title-group><journal-title xml:lang="ru">Аллергология и Иммунология в Педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Allergology and Immunology in Paediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2500-1175</issn><issn pub-type="epub">2712-7958</issn><publisher><publisher-name>Ассоциация детских аллергологов и иммунологов России</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.53529/2500-1175-2025-4-9-23</article-id><article-id custom-type="elpub" pub-id-type="custom">adair-228</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Влияние интенсивности пыления березы на особенности течения поллиноза у детей</article-title><trans-title-group xml:lang="en"><trans-title>Influence of birch bark dusting intensity on the peculiarities of the course of pollinosis in children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1806-0787</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стежкина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stezhkina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стежкина Елена Викторовна — к. м. н., доцент кафедры факультетской и поликлинической педиатрии с курсом педиатрии ФДПО ФГБОУ ВО РязГМУ Минздрава России</p><p>390026, Рязань, ул. Высоковольтная, 9</p></bio><bio xml:lang="en"><p>Elena Victorovna Stezhkina — Cand. Sci, Associate Professor of the Department of Faculty and Polyclinic Pediatrics with a course in Pediatrics of the Federal State Budgetary Educational Institution of the Ryazan State Medical University of the Ministry of Health of the Russian Federation</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">polus1972@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5533-0205</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белых</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Belykh</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Белых Наталья Анатольевна — д. м. н., доцент, заведующая кафедрой поликлинической педиатрии с курсом педиатрии ФДПО ФГБОУ ВО РязГМУ Минздрава России</p><p>390026, Рязань, ул. Высоковольтная, 9</p></bio><bio xml:lang="en"><p>Natalia Anatolyevna Belykh — Dr. Sci, Associate Professor, Head of the Department of Polyclinic Pediatrics with a course in Pediatrics of the Federal State Budgetary Educational Institution of the Ryazan State Medical University of the Ministry of Health of the Russian Federation</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">nbelyh68@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-8066-0398</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ульянов</surname><given-names>К. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ulyanov</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ульянов Кирилл Ильич — ординатор 1-го года обучения, ФДПО ФГБОУ ВО РязГМУ Минздрава России</p><p>390026, Рязань, ул. Высоковольтная, 9</p></bio><bio xml:lang="en"><p>Kirill Ilyich Ulyanov — 1st year resident, FDPO of the Ryazan State Medical University of the Ministry of Health of the Russian Federation</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">ulyanovk07@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-8553-5203</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бусарева</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Busareva</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бусарева Елизавета Сергеевна — ординатор 1-го года обучения, ФДПО ФГБОУ ВО РязГМУ Минздрава России</p><p>390026, Рязань, ул. Высоковольтная, 9</p></bio><bio xml:lang="en"><p>Elizaveta Sergeevna Busareva — 1st year resident, FDPO of the Ryazan State Medical University of the Ministry of Health of the Russian Federation</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">lizalezzhova@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-5764-5883</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Агапова</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Agapova</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Агапова Анна Ивановна — врач-педиатр</p><p>390037, г. Рязань, ул. Новосёлов, 26/17</p></bio><bio xml:lang="en"><p>Anna Ivanovna Agapova — pediatrician</p><p>390037, Ryazan, Novosyolov St., 26/17</p></bio><email xlink:type="simple">agapova_96@list.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9288-2714</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Селезнёва</surname><given-names>Ю. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Seleznyova</surname><given-names>J. М.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Селезнёва Юлия Михайловна — к. б. н., доцент, директор института естественных наук РГУ имени С. А. Есенина</p><p>390000, Рязанская область, г. Рязань, ул. Свободы, 46</p></bio><bio xml:lang="en"><p>Yulia Mikhailovna Selezneva — Dr. Sci, Associate Professor, Director of the Institute of Natural Sciences of the Russian State University named after S. A. Yesenin</p><p>46 Svobody St., Ryazan, 390000, Ryazan region</p></bio><email xlink:type="simple">posevina_julia@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9054-070X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карасёва</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Karasyova</surname><given-names>V. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Карасёва Вера Сергеевна — старший преподаватель кафедры биологии и методики ее преподавания РГУ имени С. А. Есенина</p><p>390000, Рязанская область, г. Рязань, ул. Свободы, 46</p><p>+7 (910) 908-01-64</p><p> </p></bio><bio xml:lang="en"><p>Vera Sergeevna Karaseva — Senior Lecturer at the Department of Biology and Methods of Teaching at S. A. Y esenin Russian State University</p><p>46 Svobody St., Ryazan, 390000, Ryazan region</p></bio><email xlink:type="simple">karaseva94@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Рязанский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации</institution></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education “Ryazan State Medical University named after Academician I.P. Pavlov”, Ministry of Health of the Russian Federation</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Государственное бюджетное учреждение Рязанской области «Городская клиническая больница № 11»</institution></aff><aff xml:lang="en"><institution>State budgetary institution of the Ryazan region “City Clinical Hospital № 11”</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Рязанский государственный университет имени С. А. Есенина»</institution></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education “S.A. Esenin Ryazan State University”</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>01</month><year>2026</year></pub-date><volume>0</volume><issue>4</issue><fpage>9</fpage><lpage>23</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Стежкина Е.В., Белых Н.А., Ульянов К.И., Бусарева Е.С., Агапова А.И., Селезнёва Ю.М., Карасёва В.С., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Стежкина Е.В., Белых Н.А., Ульянов К.И., Бусарева Е.С., Агапова А.И., Селезнёва Ю.М., Карасёва В.С.</copyright-holder><copyright-holder xml:lang="en">Stezhkina E.V., Belykh N.A., Ulyanov K.I., Busareva E.S., Agapova A.I., Seleznyova J.М., Karasyova V.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://adair.elpub.ru/jour/article/view/228">https://adair.elpub.ru/jour/article/view/228</self-uri><abstract><p>Обоснование: проблема роста аллергических заболеваний, связанных с пылением растений является актуальной. В настоящее время в многочисленных работах обсуждается влияние глобального потепления на начало, интенсивность и продолжительность пыления растений. Отмечается увеличение суммарной годовой концентрации пыльцы в составе аэропалинологического спектра. Для Центрального Федерального округа (ЦФО) России наибольшее клиническое значение имеет пыление древесных ветроопыляемых растений, в частности березы.Цель: показать зависимости между симптомами, уровнем пыления березы и госпитализациями, изучить клинические характеристики березового поллиноза у детей города Рязани и Рязанской области в сезоне 2023 года в условиях интенсивного пыления березы (Betula).Материалы и методы. Проведено открытое одноцентровое ретроспективное выборочное неконтролируемое когортное исследование. В исследование было включено 211 детей, обратившихся за экстренной медицинской помощью с 01.02.2023 по 30.06.2023 в стационар или поликлинику с симптомами бронхиальной астмы, аллергического ринита. Временные рамки исследования: февраль — июнь 2023 года. Параллельно проводился проспективный аэробиологический мониторинг с помощью волюметрической ловушки и анализ поисковых запросов жителей г. Рязани и Рязанской области в системе «Яндекс Вордстат». Для статистической обработки полученных результатов использовались программное обеспечение Past 4.03 и пакет SPSS V24.0, включая описательную статистику.Результаты. По данным аэробиологических исследований, в сезоне 2023 года рекордно высокая концентрация пыльцы березы за последние 9 лет наблюдений. Это привело к высокой обращаемости в медицинские учреждения за экстренной помощью с симптомами поллиноза. Основная возрастная категория обращавшихся детей была от 7 до 12 лет, однако также отмечены обращения детей в возрасте до 3 лет, что свидетельствует об омоложении дебюта поллиноза. Прослеживалась зависимость от половой принадлежности, так как количество обратившихся мальчиков в 2,5 раза превышало количество обратившихся девочек. В структуре клинических фенотипов детей, экстренно госпитализированных в стационар, преобладала бронхиальная астма, причем половина всех случаев астмы составила ее манифестация клинических проявлений. При сопоставлении данных аэропалинологического мониторинга и клиники у госпитализированных пациентов была выявлена умеренная положительная связь (r = 0,4; p = 0,002) между концентрацией пыльцы в воздухе и количеством обратившихся за помощью детей.Заключение. Особенность сезона пыления в 2023 году в Рязанской области (ЦФО Российской Федерации) заключается в рекордно высокой концентрации пыльцы березы за последние 9 лет наблюдений. Это привело к увеличению числа обращаемости детей с экстренными симптомами респираторного и кожного поллиноза.</p></abstract><trans-abstract xml:lang="en"><p>Rationale: the problem of the growth of allergic diseases associated with plant pollination is urgent. At present, numerous works discuss the influence of global warming on the onset, intensity and duration of plant pollination. An increase in the total annual pollen concentration in the aeropalynological spectrum is noted. For the Central Federal District (CFD) of Russia, pollination of woody wind-pollinated plants, particularly birch, is of the greatest clinical significance.Objective: to study the clinical characteristics of birch pollinosis in children of the city of Ryazan and Ryazan region in the season of 2023 in conditions of intensive dusting of birch (Betula).Materials and methods. An open single-centre retrospective randomized uncontrolled cohort study was conducted. The study included 211 children who sought emergency medical care from 01.02.2023 to 30.06.2023 in hospital or polyclinic with symptoms of bronchial asthma, allergic rhinitis and atopic dermatitis. The time frame of the study was February to June 2023. In parallel, prospective aerobiological monitoring with the help of Lanzoni volumetric trap ‘VPPS 2000’ and analysis of search queries of residents of Ryazan and Ryazan region in the system ‘Yandex Wordstat’ were conducted. For statistical processing of the obtained results, Past 4.03 software and SPSS V24.0 package were used, including descriptive statistics.Results. According to the data of aerobiological studies in the season 2023 record high concentration of birch pollen for the last 9 years of observations. This resulted in a high incidence of emergency visits to health care facilities with symptoms of pollinosis. The main age group of children who applied was from 7 to 12 years old, but there were also cases of children under 3 years old, which indicates rejuvenation of the pollynosis debut. There was a dependence on sex, as the number of boys who applied was 2.5 times higher than the number of girls who applied. Bronchial asthma predominated in the structure of clinical phenotypes of children urgently hospitalised, and half of all asthma cases were its manifestation. A moderate positive association (r = 0.4; p = 0.002) between airborne pollen concentration and the number of children who sought care was found in hospitalised patients when aeropalynological monitoring and clinic data were compared.Conclusion. The peculiarity of the pollen season in 2023 in the Ryazan region (Central Federal District of the Russian Federation) is the record high concentration of birch pollen for the last 9 years of observations. This led to an increase in the number of children with emergency symptoms of respiratory and cutaneous pollinosis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>поллиноз</kwd><kwd>аллергия</kwd><kwd>бронхиальная астма</kwd><kwd>пыльца</kwd><kwd>аэропалинологический спектр</kwd><kwd>береза</kwd><kwd>дети</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pollinosis</kwd><kwd>allergy</kwd><kwd>bronchial asthma</kwd><kwd>pollen</kwd><kwd>aeropalynological spectrum</kwd><kwd>birch</kwd><kwd>children</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Iordache A., Balica N.C., Horhat I.D., Morar R., Tischer A.A., Milcu A.I., et al., A Review Regarding the Connections between Allergic Rhinitis and Asthma epidemiology, diagnosis and treatment. 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