Comprehensive treatment of acute rhinosinusitis based on the data of a survey of otolaryngologists in the Russian Federation

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Abstract

Treatment of patients with acute rhinosinusitis (ARS) involves direct action on the causative agent and elimination of the product of inflammation of the mucous membrane. It was previously found that antibiotic therapy in Russia is prescribed by 62% of doctors at the initial visit of patients with ARS, mostly often for a 7-day course (52.48% of cases). Considering that the treatment of ARS should be comprehensive, the purpose of the presented study was to analyze the prescription of different groups of drugs for symptomatic and pathogenetic treatment in adult patients with that kind of disease.

Material and methods. According to the sociological online survey of 627 otolaryngologists via e-mail (using the author’s technology), the prescriptions of different groups of drugs in real clinical practice for ARS were studied.

Results and conclusion. Topical glucocorticosteroids are prescribed by 83.99% of otolaryngologists. Of these, mometasone furoate is prescribed by 67.68% of them, the rest – other drugs of this class that are not indicated in the instructions for ARS treatment. Mucolytics are recommended by 92% of doctors, more often at the first appointment (in 60.83% of cases), mainly for 7–10 days. The most popular drug of this group is Sinupret®, which specialists prescribe in 66.03% of cases. Irrigation of the nasal cavity with various solutions is recommended by 85.64% of otolaryngologists, 83.2% of doctors perform this manipulation by themselves during an appointment, in 80.65% of cases using a saline solution. The method of questioning doctors makes it possible to assess the real situation in the treatment of patients and develop measures to improve the efficacy of medical care.

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About the authors

Elena L. Savlevich

Vladimirsky Moscow Regional Research Clinical Institute; Clinical Hospital of the Russian Department for Presidential Affairs

Author for correspondence.
Email: savllena@gmail.com
ORCID iD: 0000-0003-4031-308X
SPIN-code: 7000-3714
Scopus Author ID: 56769915400

MD, Dr. Sci. (Medicine), Associate Professor, Otolaryngologist; Otolaryngologist

Russian Federation, 61/2, Shchepkin St., Moscow, 129110; Sq. 40, Otkrytoe Hwy, Moscow, 107143

Anastasia V. Stepanova

Polyclinic No. 3 of the Russian Department for Presidential Affairs

Email: dr.shurupina@yandex.ru
ORCID iD: 0000-0002-0920-4267
SPIN-code: 3959-3627

Otolaryngologist

Russian Federation, 31, Grokholsky Lane, Moscow, 129090

Sergey V. Russkikh

Semashko National Research Institute of Public Health; Higher School of Economics

Email: russkikh1@mail.ru
ORCID iD: 0000-0002-3292-1424
SPIN-code: 4853-7625
Scopus Author ID: 56728747900

MD, PhD (Medicine), Leading Researcher; Visiting Lecturer of the Department of Politics and Management of the Faculty of Social Sciences

Russian Federation, 12/1, Vorontsovo Pole St., Moscow, 101000; 20, Myasnitskaya St., Moscow, 101000

Tatyana G. Kabanova

Vladimirsky Moscow Regional Research Clinical Institute

Email: kabanova75@yandex.ru
ORCID iD: 0009-0000-0990-2535
SPIN-code: 9358-1745

MD, PhD (Medicine), Head of the Multidisciplinary Day-Stay Hospital

Russian Federation, 61/2, Shchepkin St., Moscow, 129110

Andrey P. Yastremsky

Tyumen Medical University

Email: yastrem-andrej97@yandex.ru
ORCID iD: 0000-0002-7760-4860
SPIN-code: 8186-5360
Scopus Author ID: 57194856888

MD, Dr. Sci. (Medicine), Professor, Head of the Department of Otolaryngology

Russian Federation, 54 Odesskaya St., Tyumen, 625023

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