RESUMO
The objective of the present study was to evaluate efficiency, safety, and tolerability of two single doses of sinuforte (INVAR, Russia) used in the combined treatment of rhinosinusitis (including that with concurrent exudative otitis media) in children at the age from 5 to 12 years. The data obtained suggest high efficiency of sinuforte in the treatment of mild and moderately severe acute rhinosinusitis and exudative otitis media. Inclusion of sinuforte in combined therapy of these conditions makes it possible to avoid drainage procedures and decreases duration of antibacterial treatment. Simultaneous acceleration of the recovery of functional activity of endonasal mucosa suggests pronounced anti-recurrent action of sinuforte.
Assuntos
Cyclamen , Otite Média com Derrame/terapia , Extratos Vegetais/uso terapêutico , Rinite/terapia , Sinusite/terapia , Antibacterianos/uso terapêutico , Criança , Pré-Escolar , Terapia Combinada , Feminino , Humanos , Masculino , Otite Média com Derrame/tratamento farmacológico , Otite Média com Derrame/cirurgia , Fitoterapia , Rinite/tratamento farmacológico , Rinite/cirurgia , Sinusite/tratamento farmacológico , Sinusite/cirurgia , Resultado do TratamentoRESUMO
The article devoted to the treatment of inflammatory diseases of throat and larynx in children. Features of clinical course of inflammation process, predominant ethiological factors as well group of drugs used in childhood are described. Special attention was paid to drugs for topical treatment and peculiarities of their usage in children. The role of eliminative agents in treatment of inflammatory diseases of throat is elucidated. Outcome of research of efficacy and safety of Aqualor throat cleansing as an initial monotherapy of mild and moderate pharyngolaryngites in children elder 6 y.o. are presented. Data obtained let us to recommend Aqualor throat cleansing as a safe and effective remedy for treatment of non-complicated pharyngolaryngitis in children.
Assuntos
Aloe , Matricaria , Faringite/tratamento farmacológico , Fitoterapia/métodos , Extratos Vegetais/administração & dosagem , Administração Tópica , Criança , Pré-Escolar , Endoscopia , Feminino , Seguimentos , Humanos , Lactente , Masculino , Faringite/diagnóstico , Resultado do TratamentoRESUMO
The article describes various forms of rhinitis and principles of their management; results of monotherapy of patients with different forms of acute rhinitis (viral, allergic) using homeopathic drug corisalium.
Assuntos
Materia Medica/uso terapêutico , Infecções Respiratórias/tratamento farmacológico , Rinite/tratamento farmacológico , Criança , Esquema de Medicação , Humanos , Extratos Vegetais/uso terapêuticoRESUMO
Etiology and antibiotic susceptibility of the pathogens of otitis media purulenta acuta in children was studied within 2000-2005. A total of 161 children at the age of 1 to 14 years were examined. The middle ear discharge collected during paracentosis (79.5%) or spontaneous perforation of the tympanic membrane (20.5%) was used in the bacteriological tests. The microflora growth in the culture was detected in 80% of the cases. The leading pathogen was Streptococcus pyogenes (47.5%), the part of Streptococcus pneumoniae amounted to 36.6% of all the etiologically significant microflora, the part of Staphylococcus aureus amounted to 6.9% and that of Haemophilus influenzae amounted to 4.0%. The part of the associations of 2 microorganisms equaled 5.0%. The species composion of the pathogens differed from that described in the literature. The isolates of S. pneumoniae and S. pyogenes were characterized by low resistance to macrolides (4.0-6.3%). As for the S. pneumoniae isolates, 97.3% of them was susceptible to penicillin. The results of the etiology study and the pathogen antibiotic susceptibility showed that the drugs of choice for the empirical antibacterial therapy of otitis media purulenta acuta in children should be amoxicillin and 1st generation cepholosporins. When the antibacterial therapy within the first 3 days fails, it is advisable to use protected aminopenicillins or 2nd generation cephalosporins. In case of the drug intolerance, macrolide antibiotics should be used.