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Ostapenko T. A., Basanets A. V.


State Institution "Institute for Occupational Health of the National Academy of Medical Sciences of Ukraine", Kiev

Full article (PDF), UKR

Іntroduction. A significant part in the structure of professional pathology of chronic obstructive pulmonary disease (COPD), which is caused by exposure to hazardous factors of production environment. Due to the high prevalence among the population, a reduction in life expectancy of patients, the economic losses associated with the loss of working capacity of the population, the disease is a major health and social problem. A priority system in the prevention of COPD among the working-age population is its timely diagnosis.

Purpose of the study. Analyze and summarize current scientific data, including an updated version of the Global Initiative for Chronic Obstructive Lung Disease (Global Initiative for Obstructive Lung Disease – GOLD) 2016 concerning the guidelines for the diagnosis of COPD.

Materials and Methods: Analytical overview of current published materials and GOLD updated version - the main international initiatives for the control of COPD.

Results. The priority for the conservation of the working population health is the timely diagnosis of COPD, based on the detection of airway obstruction constant, the basic criterion of which is the post-bronchodilator value of the ratio FEV1/FVC < 0,70. Patients with COPD require constant monitoring of the severity of symptoms of the disease, the risk of future exacerbations, spirometric severity of violations and to identify comorbidities for the timely appointment of preventive and therapeutic measures in order to prevent the development of complications.

Conclusions. In the edition of 2016 marked the first time the possibility of GOLD COPD professional origin, namely, from the effects of toxic and irritating substances (bio-fuel combustion products, gases, fumes, dust, biological, etc.). In modern scientific publications emphasized that the diagnosis of COPD should be based not only on the study of airway management, but also on the analysis of the clinical manifestations of the disease, evaluating the frequency and severity of exacerbations, prognosis of adverse events in the future, quality of life.

Key words: chronic obstructive pulmonary disease, the Global Initiative for Obstructive Lung Disease (GOLD)


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