ANTIBAKTERIAL'NAYa TERAPIYa OSTRYKh ZABOLEVANIY LOR-ORGANOV U DETEY, SOVREMENNYE POZITsII


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Due to the prevalence of acute viral upper respiratory tract infections in children, one of the leading positions in pediatrics occupies acute rhinosinusitis, acute otitis media, and acute tonsillitis. In the most cases, these diseases resolve without intervention of against the background of symptomatic treatment. Systemic antibiotic therapy is required in at-risk patients, as well as in patients with severe or complicated course of acute rhinosinusitis and acute otitis media, and in children with acute streptococcal tonsillitis. Nevertheless, in clinical practice the majority of children treated with antibiotics even in case of proven viral etiology of disease. This review is aimed to awareness of pediatricians with the positions of the leading international guidelines for diagnosis and treatment of acute diseases of upper respiratory tract in children, based on the principles of evidence-based medicine.

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