Irrigation and elimination therapy in the treatment of rhinological pathology in children

Introduction. In outpatient practice, acute nasopharyngitis in children is one of the most common reasons for seeking medical attention. The local pediatrician, as a rule, is the first to examine the child and determine the tactics of treatment. A competent approach to the choice of drugs avoids polypharmacy.The article presents the published scientific evidence on the modern approach to the treatment, as well as the author’s own clinical observation.Objective. To study the effectiveness of modern methods for the treatment of rhinopharyngitis, including the use of silver proteinate to treat acute respiratory infections in a group of frequently ill children.Materials and methods. The study involved 38 children aged 3 to 4 years, included in the group of frequent illnesses. The children were divided into 3 groups. In the first group (12 people), for four months (October-December 2019), children received symptomatic treatment of an acute respiratory infection; between episodes of acute respiratory infection, daily prophylactic irrigation of the child’s nose and throat with saline was used. In the second group (13 people), symptomatic treatment and nasal instillation of a preparation of silver proteinate were used at each episode of acute respiratory infection. In the third group (13 people), children received only symptomatic treatment for acute respiratory infection.In the first and third groups, children received symptomatic treatment of an acute respiratory infection without the use of silver proteinate.Results. The chosen approach to the ARVI treatment such as nasal instillation of silver proteinate into the bilateral nasal cavities has shown its effectiveness without having to carry out preventive measures between episodes of the disease.Conclusion. The application of elimination and antiseptic therapy with the use of Sialor for each episode of ARVI in the group of frequently ill children can reduce polypharmacy and incidence of morbidity.

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Modern approaches to the treatment of rhinopharyngitis in the practice of a district pediatrician

Koltuntseva

Баирова

Revnova

2021

Medicinskij sovet

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Topical antibiotics for acute rhinosinusitis in children

Тулупов

Карпова

2021

Medicinskij sovet

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Rhinitis or nasopharyngitis are the most common manifestations of acute respiratory viral infection (ARVI) in children. Inflammation of the mucous membrane in the nasal cavity develops in more than 70% of ARVI cases, and rhinovirus infection is the most common etiological factor for these conditions. In this article, the authors present a short review of the existing data on the use of combined drugs based on N-acetylcysteine and tuamingheptan in the treatment of acute rhinological pathology in children. The authors present generalized data on the nature of the course of acute rhinitis, as the main manifestation of acute respiratory viral infection in children, and modern views on the tactics of treating this condition. The main theses on symptomatic treatment of nasal obstruction in acute rhinitis using nasal decongestants are presented. However, the use of nasal vasoconstrictor drugs as monotherapy to treat acute rhinitis may be less effective, as a buildup of thick discharge in the nasal cavity, which a patient is not always able to blow out from the nose (especially in childhood), prevents the drug injected into the nasal cavity from contacting the mucous membrane. The main pathogenetic grounds for the use of mucolytics in the treatment of acute rhinitis and acute rhinosinusitis are presented. The use of N-acetylcysteine-based drugs in otorhinolaryngological practice has been substantiated. N-acetylcysteine is a direct mucolytic agent. Its action is associated with the ability of its free sulfhydryl groups to break intra- and intermolecular disulfide bonds of acidic mucopolysaccharides of a thick discharge. As conclusions, the authors talk about the prospect of using combined drugs based on N-acetylcysteine and tuamingheptan both in the symptomatic treatment of acute rhinitis and as an adjunct treatment for acute rhinosinusitis in children.

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Irrigation and elimination therapy in the treatment of rhinological pathology in children

Cited by 2 publications

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Modern approaches to the treatment of rhinopharyngitis in the practice of a district pediatrician

Modern approaches to the treatment of rhinopharyngitis in the practice of a district pediatrician

Topical antibiotics for acute rhinosinusitis in children

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