Acute rhinosinusitis in pediatrics. How to reduce the antibacterial load?

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Дәйексөз келтіру

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Аннотация

Acute rhinosinusitis (ARS) is an inflammation of the mucous membrane of the nasal cavity and paranasal sinuses (PNS) of both viral and bacterial genesis. Therefore, acute respiratory viral infection (ARVI), accompanied by rhinitis, is also one of the variants of ARS. Uncomplicated cases of the disease, according to modern recommendations, are diagnosed clinically, including by anterior rhinoscopy, and do not require additional examination. Therefore, for quite a long time, foreign consensus documents devoted to this problem have been recommended not only for otolaryngologists, but also for pediatricians, general practitioners, therapists, and infectious disease specialists. The prevalence of ARS in pediatrics is high, and pediatricians’ awareness of the issues of diagnosis and treatment of ARS is often insufficient, which justifies discussions of this topic in the pediatric community.

Despite the fact that most ARS have a viral etiology and require only symptomatic therapy, this is one of the diseases for which systemic antibiotics are most often irrationally prescribed. Solution to the problem of overdiagnosis of bacterial rhinosinusitis partly consists in considering the principles of treatment, the place of topical and symptomatic therapy, which can be sufficient and successfully cope with most cases of ARS, including bacterial ones.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Anastasia Polyakova

National Medical Research Center for Children’s Health

Хат алмасуға жауапты Автор.
Email: darmanyan@nczd.ru
ORCID iD: 0000-0003-4655-3375

Pediatrician, Cand. Sci. (Med.), Leading Researcher, Scientific and Methodological Department of Planning and Development, Associate Professor at the Department of Pediatrics and Public Health

Ресей, Moscow

Dmitry Polyakov

National Medical Research Center for Otolaryngology, Federal Medical and Biological Agency of Russia; Pirogov Russian National Research Medical University

Email: darmanyan@nczd.ru
ORCID iD: 0000-0002-6368-648X

Pediatrician, Cand. Sci. (Med.), Leading Researcher, Scientific and Methodological Department of Planning and Development, Associate Professor at the Department of Pediatrics and Public Health

Ресей, Moscow; Moscow

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