Current antibacterial therapy of patients with acute rhinosinusitis and exacerbation of chronic rhinosinusitis taking place at the background of bronchial asthma and/or chronic bronchitis


Cite item

Full Text

Abstract

The results of comparative clinical study which include 60 patients with acute maxillary sinusitis (48.4%) and chronic sinusitis exacerbation (51.5%) proceeding against the background of asthma or chronic bronchitis receiving a "nonparacentetic" therapy with levofloxacin 500 mg/daily, or the traditional "paracentetic" treatment with drainage catheter installation, are presented. It is shown that the use of appropriately selected integrated combined scheme of "nonparacentetic" therapy led to recovery or stable remission in 70% of patients, whereas therapeutic effect in the second group was much less pronounced. At the same time, "paracentetic" treatment was accompanied by the development of complications in many patients. The analysis of selected microflora in patients with maxillary sinusitis is presented.

References

  1. Лопатин А.С. Фармакотерапия воспалительных заболеваний околоносовых пазух // Consilium medicum. 2002. Т. 4. № 4. С. 186-88.
  2. Муминов А.И., Плужников М.С., Рязанцев С.В. Патология носа и околоносовых пазух при заболеваниях легких. Ташкент. 1987. С. 54-59.
  3. Маколкин В.И., Овчаренко С.И., Чичкова Н.В. Особенности течения бронхиальной астмы у больных с сочетанной патологией верхних и нижних отделов дыхательной системы // Клиническая медицина. 1996. № 3. С. 39-42.
  4. Pali-Sholl I., Pohl W., Aberer W. et al. Allergic rhinitis and its impact on astma (ARIA update 2008) The Austrian perspective. Wien. Med. Wochenschr. 2009;159:87-92.
  5. Страчунский Л.С. и др. Антибиотики и химиотерапия. 1999. 9: 24-28.
  6. Jean S.S., Hsueh P.R., Lee W.S. Nationwide surveillance of antimicrobial resistance among Haemophilus influenzae and Streptococcus pneumoniae in intensive care units in Taiwan. Eur J Clin Microbiol Infect Dis. 2009; 12.
  7. Lynch J.P. 3rd, Zhanel G.G. Semin. Streptococcus pneumoniae: does antimicrobial resistance matter ? Respir. Crit. Care Med. 2009;30:210-38.
  8. Глазников Л.А., Пониделко С.Н., Позняк А.Л. и др. Состояние слизистой оболочки верхнечелюстных пазух и полости носа у больных хроническими синуситами хламидийной этиологии по данным световой и электронной микроскопии. // Новости оториноларингологии и логопатологии: Медицинский научно-практический журнал. 2001. № 4. С. 82-86.
  9. Kobayashi S., Morishita T. Prevalence of Chlamydia pneumoniae in Japan. JID. 1991;2:18-19.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2009 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies