ABSTRACT
The authors present selected results of the analysis of medical histories of the subjects who died from complications of inflammatory aural diseases and paranasal sinus pathology in multifield city hospitals of Moscow for the period from 1993 till 2003. The character and the frequency of each intracranial complication are reported.
Subject(s)
Central Nervous System Infections/mortality , Otitis Media/complications , Sinusitis/complications , Central Nervous System Infections/etiology , Female , Humans , Male , Middle Aged , Moscow/epidemiology , Otitis Media/mortality , Retrospective Studies , Risk Factors , Sinusitis/mortality , Survival Rate/trends , Urban PopulationSubject(s)
Anti-Bacterial Agents/therapeutic use , Meningoencephalitis , Otorhinolaryngologic Diseases/complications , Otorhinolaryngologic Surgical Procedures/methods , Suppuration/complications , Adult , Female , Humans , Male , Meningoencephalitis/etiology , Meningoencephalitis/mortality , Meningoencephalitis/prevention & control , Middle Aged , Otorhinolaryngologic Diseases/therapy , Patient Education as Topic , Prognosis , Retrospective Studies , Russia/epidemiology , Suppuration/therapy , Survival Rate/trendsABSTRACT
Results of analysis of the case history patients that died from complications of pyo-inflammatory diseases of ear, nose, and throat in multifield hospitals of Moscow during the last 10 years are presented. Data of microbiological studies for the entire period of each patient's stay in the hospitals are extracted They indicate that bacteriological studies are not prescribed as frequently as needed. As a rule, seeding is conducted after a patient is transferred to the intensive therapy department in 16 or more days following admission to the hospital. The materials seeded are largely biological fluids rather than pathological excreta from primary inflammatory foci.
Subject(s)
Bacteria/isolation & purification , Bacteriological Techniques/standards , Otorhinolaryngologic Diseases/diagnosis , Otorhinolaryngologic Diseases/mortality , Suppuration/diagnosis , Suppuration/mortality , Diagnosis, Differential , Follow-Up Studies , Humans , Reproducibility of Results , Russia/epidemiologyABSTRACT
A pilot trial of efficacy of the drugs lisobact and stomatidin in local treatment of acute pharyngitis and combined therapy of tonsillitis and paratonsillar abscess included 82 patients with tonsillitis (n=30), paratonsillar abscess (n=30) and acute pharyngitis (n=22) aged 15-72 years. Effectiveness of the treatment was assessed by changes in clinical symptoms, pharyngoscopic picture and results of bacteriological studies. It was found that treatment with lisobact and stomatidin diminished considerably bacterial contamination of the paratonsillar abscess and pharyngeal mucosa. Local treatment with lisobact and stomatidin for paratonsillar abscess in combination with systemic antibacterial drug reduces the time of hospital stay, in tonsillitis patients - of disability. High compliance to lisobact and stomatidin treatment was observed.
Subject(s)
Anti-Infective Agents/therapeutic use , Hexetidine/therapeutic use , Muramidase/therapeutic use , Pharyngeal Diseases/drug therapy , Adolescent , Adult , Aged , Bacterial Infections/complications , Bacterial Infections/drug therapy , Female , Humans , Male , Middle Aged , Pharyngeal Diseases/microbiology , Pilot ProjectsABSTRACT
Selected results of the analysis of case histories of the patients who died due to complications of ENT diseases in two general hospitals of Moscow from 1993 to 2003 are presented. A clinical course of the disease and its outcome are considered in an age aspect.
Subject(s)
Inflammation/epidemiology , Otorhinolaryngologic Diseases/epidemiology , Adult , Age Factors , Comorbidity/trends , Female , Humans , Incidence , Male , Middle Aged , Prognosis , Retrospective Studies , Russia/epidemiology , Severity of Illness Index , Survival RateSubject(s)
Otitis Media, Suppurative/surgery , Postoperative Complications/physiopathology , Temporal Bone/surgery , Wound Healing/physiology , Chronic Disease , Humans , Inflammation/pathology , Inflammation/physiopathology , Postoperative Care , Postoperative Complications/pathology , Surgical Wound Infection/prevention & control , Temporal Bone/pathology , Temporal Bone/physiopathologyABSTRACT
It is shown that gauze turunda tamponade of the middle ear postoperative cavities provokes bacterial contamination and formation of the infection focus. Inflatable latex tampon and technique of tamponade of the postoperative middle ear cavities after hearing-preserving sanation operations on the temporal bone were designed and tested. They proved superior to the gauze turundas and allow to avoid bacterial contamination. Microscopic and histological studies confirmed that removal of the latex tampon is safe for the postoperative wound surface making postoperative relapse less probable.