Khronicheskiy tonzillit: predstavlenie o mikrobnom peyzazhe nebnykh mindalin


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Abstract

The most important problem of conservative treatment of chronic tonsillitis (CT) is the elimination of pathogenic microorganisms localized in the depths of the tonsils. The frequent recurrence of CT and inefficacy of antibacterial therapy may be related to the underestimation of microorganisms that cause worsening of the disease. Currently, Staphylococcus aureus and Haemophilus influenzae have great importance in the pathogenesis of CT. It is found that in case of failure of penicillin antibiotic therapy during the exacerbation of often recurrent CT, administration of II and III generation cephalosporins and fluoroquinolone is reasonable. In the treatment of CT, conservative therapy should include courses of washings of lacunae of tonsils and physiotherapy in addition to systemic antibiotic therapy.

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