PharmatecaPharmatecaФарматека2073-40342414-9128Bionika Media289756ArticlesСтатьиResearch ArticleAcute otitis media in childrenОстрый средний отит у детейKosyakovS. YuКосяковС. Я

Department of Otorhinolaryngology

Кафедра оториноларингологии

KirdeevaA. IКирдееваА. И

postgraduate student at the Department of Otorhinolaryngology

аспирант кафедры оториноларингологии

Alena-Kirdeeva@mail.ruFSBEI FPE RMACPE of RMHФГБОУ ДПО РМАНПО Минздрава России10012017241NO1 (2017)№1 (2017)667126022023Copyright ©; 2017, Bionika MediaCopyright ©; 2017, ООО «Бионика Медиа»2017Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/2073-4034/article/view/289756

The literature data suggest overdiagnosis of acute otitis media (AOM). The use of evidence-based clinical practice guidelines allows to accurately diagnose a disease and to avoid unjustified appointment of antibacterial drugs. Instrumental methods of diagnosis of AOM include pneumatic otoscopy, tympanometry, and spectral acoustic gradient reflectometry. Antibacterial and symptomatic therapy, including analgesics and antipyretics, eliminates general and local symptoms within 48-72 hours. Among the possible complications of AOM in children, special attention should be given to persistent loss of hearing because of great social significance in relation to the impact on language development and learning.

Данные литературы свидетельствуют о гипердиагностике острого среднего отита (ОСО). Использование клинических рекомендаций, основанных на принципах доказательной медицины, позволяют точно диагностировать заболевание и избегать необоснованного назначения антибактериальных препаратов. К методам инструментальной диагностики ОСО относят пневматическую отоскопию, тимпанометрию и спектральную акустическую градиентную рефлектометрию. Антибактериальная и симптоматическая терапия, включающая анальгетики, антипиретики, нивелирует общие и местные симптомы заболевания в течение 48-72 часов. Среди возможных осложнений ОСО у детей стоит выделить стойкое снижение слуха, представляющее большую социальную значимость в связи с влиянием на развитие речи и обучение.

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