Modern Approach to Treatment of the Upper Respiratory Tract and Middle Ear Diseases as a Prevention of Loss Hearing

Upper respiratory tract infections are the most common diseases in childhood. Most of them have viral etiology and resolve on their own. However, there is a category of children with a complicated course of viral infection or with a bacterial infection, who require prescription of the systemic antibiotic therapy. The article discusses the main manifestations of upper respiratory tract infections, indications for antimicrobial treatment of a particular nosology, a group of antibacterial drugs, their effective doses and the duration of therapy.

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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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Modern Approach to Treatment of the Upper Respiratory Tract and Middle Ear Diseases as a Prevention of Loss Hearing

Abstract: Modern approach to the treatment of diseases of the upper respiratory tract and middle ear as a measure of hearing loss prevention

Cited by 5 publications

References 6 publications

Efficacy and safety of simultaneous endoscopic otorhinolaryngological surgery in children (review of medical literature and our clinical cases)

Efficacy and safety of simultaneous endoscopic otorhinolaryngological surgery in children (review of medical literature and our clinical cases)

Bacterial infections of the upper respiratory tract: how to treat?

Topical antibiotics for acute rhinosinusitis in children

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