Prevention and treatment of upper respiratory tract diseases complicating the course of acute respiratory infections
- Authors: Morozova S.V.1, Keda L.A1
-
Affiliations:
- Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 27, No 5 (2020)
- Pages: 46-50
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/312633
- DOI: https://doi.org/10.18565/pharmateca.2020.5.46-50
- ID: 312633
Cite item
Open Access
Access granted
Abstract
Acute respiratory infections (ARI) and influenza account for up to 95% in the structure of infectious diseases. The most common pathogens for acute respiratory infections are rhinovirus, respiratory syncytial virus, adenovirus, and coronavirus. The clinical picture manifests in the form of an intoxication syndrome (fever, headache, muscle and joint pain), as well as catarrhal phenomena: hyperemia of the mucous membranes of the upper respiratory tract, and mucus overproduction. Complications of acute respiratory infections occur due to the activity of the virus or due to the secondary bacterial infection. A large proportion of the outpatient appointments in otorhinolaryngologyt accounts precisely for the late complications of acute respiratory infections. The most frequently observed manifestations of acute respiratory infections are acute rhinosinusitis, acute otitis media, tonsillopharyngitis, etc. The use of preparations containing sea water for the irrigation therapy of acute tonsillopharyngitis is high effective and safe. Studies have shown that when saline is used in the treatment of acute tonsillopharyngitis, local signs of inflammation decrease faster according to mesopharyngoscopy, with rarer occurrence of sore throat as noted by patients. Acute rhinosinusitis is one of the common complications of acute respiratory infections. Therapy of acute sinusitis should be aimed at eradicating the pathogen, relieving symptoms, as well as preventing complications. An extremely important component of the treatment of acute rhinosinusitis is irrigation and elimination therapy or sinus rinse with sea water (“nasal douche"). Nasal douche reduces the swelling of the mucous membrane and removes discharge from its surface along with viruses and bacteria. The advantage of sea water preparations over nasal decongestants includes the lack of addiction, as well as better tolerance by patients. Thus, the use of saline solutions is a high effective method for the prevention and treatment of upper respiratory tract diseases arising as a complication of acute respiratory infections. This type of treatment and prevention is well tolerated by patients, is safe and does not cause side effects.
Full Text
About the authors
Svetlana V. Morozova
Sechenov First Moscow State Medical University (Sechenov University)
Email: doctormorozova@mail.ru
Department of Ear, Nose and Throat Diseases, N.V. Sklifosovsky Institute of Clinical Medicine; Dr. Sci. (Med.), Professor 8/2, Trubetskaya str., Moscow 119991, Russian Federation
L. A Keda
Sechenov First Moscow State Medical University (Sechenov University)Department of Ear, Nose and Throat Diseases, N.V. Sklifosovsky Institute of Clinical Medicine Moscow, Russia
References
- Покровский В.И., Пак С.Г. Инфекционные болез -ни и эпидемиология. М, 2007. С. 344-75.
- Свистушкин В.М., Мустафаев Д.М. Острые респираторные вирусные инфекции: принципы рациональной терапии. РМЖ. 2014,26:116. URL: https://aqualor.ru/upload/iblock/369/3697c7610fa30ec62acd25d8b581151b.pdf
- Лыткина И.Н., Малышев Н.А. Профилактика и лечение гриппа и острых респираторных вирусных инфекций среди эпидемиологически значимых групп населения. Лечащий врач. 2010;10:66-9. URL: https://www.lvrach.ru/2010/10/15435060.
- Карта распространения коронавируса в России и в мире. [Map of the distribution of coronavirus in Russia and in the world. URL: https://yandex.ru/maps/covid19?ll=41.775580%2c54.89 4027&z=3. Ссылка активна на/Link active on 30.03.2020.
- Острый тонзиллофарингит. Клинические рекомендации. Национальная медицинская ассоциация оториноларингологов. 2016. С. 3-24.
- Карнеева О.В., Дайхес Н.А., Поляков Д.П. Протоколы диагностики и лечения острых тонзиллофарингитов. РМЖ. 2015;6:307-11.
- Гаращенко Т.И., Тарасова Г.Д., Карнеева О.В. и др. Направления использования ирригационно-элиминационной терапии. Медицинский совет. 2018;(17):80-8. Doi: https://doi.org/10.21518/2079-701X-2018-17-80-88.
- Чернова Т.М., Тимченко В.Н., Дробаченко О.А. и др. Возможности топической терапии тонзиллофарингитов у детей в практике участкового педиатра. Педиатрическая фармакология. 2012;9(1):112-17 Doi: https://doi.org/10.15690/pf.v9i1.175.
- Солдатский Ю., Онуфриева Е., Исаева Е. и др. Эффективность и безопасность применения ирригационного спрея для горла в комплексной терапии воспалительных заболеваний ротоглотки в детском возрасте. Педиатрическая фармакология. 2011;8(1):72-6. URL https://cyberleninka.ru/article/n/effektivnost-i-bezopasnost-primeneniya-irrigatsionnogo-spreya-dlya-gorla-v-kompleksnoy-terapii-vospalitelnyh-zabolevaniy-rotoglotki-v/viewer.
- Fokkens W.J., Lund V.J., Hopkins C., et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020;(Suppl. 29):1-464. doi: 10.4193/Rhin20.600.
- Острый синусит. Клинические рекомендации. 2016:3-25. URL: http://www.nmaoru.org/files/KR313%20Ostryj%20sinusit.pdf.
- Lindbaek M., Hjortdahl F.l., Johnsen U.L. Use of symptoms, signs, and blood tests to diagnose acute sinus infections in primary care: comparison with computed tomography Fam Med. 1996;28:183-88. Available at: https://www.ncbi.nlm.nih.gov/pubmed/8900550.
- Dilger A.E., Peters A.T., Wunderink R.G., et al. Procalcitonin as a Biomarker in Rhinosinusitis: A Systematic Review. Am J Rhinol Allerg. 2018;33(2):103-12. Doi: https://doi.org/10.1177/1945892418810293.
- Kenealy T., Arroll B. Antibiotics for the common cold and acute purulent rhinitis. Cochrane Acute Respiratory Infections Group. Cochrane Database Syst Rev. 2013;2013(6):CD000247. Published on-line 2013 Jun 4. doi: 10.1002/14651858.CD000247.pub3.
- Кунельская Н.Л., Лучшева Ю.В., Изотова Г.Н., Красникова Д.И. Терапевтические и профилактические возможности средств на основе морской воды. Медицинский совет. 2014;(3):61-3. Doi: https://doi.org/10.21518/2079-701X-2014-3-61-63.
- Adam P., Stiffman M., Blake R.L. A Clinical Trial of Hypertonic Saline Nasal Spray in Subjects With the Common Cold or Rhinosinusitis. Arch Fam Med. 1998;7:39-43. doi: 10.1001/archfami.7.1.39.
- Гаращенко Т.И., Тарасова Г.Д., Тулина А.С. и др. Сравнительная эффективность различных методов терапии острого инфекционного риносину-сита у детей. Вопросы практической педиатрии. doi: 10.20953/1817-7646-2017-6-31-39.
- Гаращенко Т.И. Сезонная ирригационная терапия как метод профилактики респираторных заболеваний в условиях мегаполиса у детей школьного возраста с патологией ЛОРорганов. Инфекционные болезни. 2009;2:10-4
Supplementary files
