Acute tonsillitis in a pediatrician’s practice

Acute tonsillopharyngitis (ATP) is a common infectious disease in paediatric practice. Throat pain, as the main symptom of acute tonsillopharyngitis, is the most common cause of seeking outpatient care. ATP is a polyethyological disease and requires a clarification of the etiological factor. Viral t...

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Main Authors: S. V. Zaitseva, A. К. Zastrozhina, E. V. Kulikova
Format: Article
Language:Russian
Published: Remedium Group LLC 2019-02-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/2863
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spelling doaj-99f33768965b4f44a2b3ca810bd0921b2021-07-28T13:29:39ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902019-02-010211311910.21518/2079-701X-2019-2-113-1192794Acute tonsillitis in a pediatrician’s practiceS. V. Zaitseva0A. К. Zastrozhina1E. V. Kulikova2Federal State Budgetary Educational Institution of the Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Healthcare of the Russian FederationState Budgetary Institution of Healthcare of the city of Moscow «Children’s City Polyclinic No. 42 of the Department of Healthcare of the city of Moscow»Federal State Budgetary Educational Institution of the Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Healthcare of the Russian FederationAcute tonsillopharyngitis (ATP) is a common infectious disease in paediatric practice. Throat pain, as the main symptom of acute tonsillopharyngitis, is the most common cause of seeking outpatient care. ATP is a polyethyological disease and requires a clarification of the etiological factor. Viral tonsillitis is the most common in children’s practice. Among bacterial pathogens, the beta hemolytic streptococcus group A (BHSA Streptococcus pyogenes) is of particular importance. This pathogen is associated with 5 to 15% of cases of acute tonsillopharyngitis in adults and 20- 30% in children [5]. Suspicion of BHSA in ATP requires the mandatory prescription of systemic antibiotic therapy. Currently, there are no reliable criteria for differential diagnosis of viral and bacterial ATP. As a result, the choice of ATP treatment tactics is an important task. On the one hand, this pathology is most often associated with unnecessary and unjustified prescription of systemic antibiotic therapy, and on the other hand, the rejection of antibiotics can contribute to the development of serious complications. Given the high frequency of viral ATP, an important area of pediatric practice is the use of local antiseptic and anti-inflammatory drugs. Topical drugs can be used both as monotherapy and, if necessary, in combination therapy of ATP. Timely etiological diagnostics and rational therapy of ATP are an important part of the effectiveness of ATP treatment in children and prevention of antibiotic resistance of microorganisms.https://www.med-sovet.pro/jour/article/view/2863acute tonsillopharyngitisdiagnosticsbeta hemolytic streptococcus group aantibacterial therapylocal therapy
collection DOAJ
language Russian
format Article
sources DOAJ
author S. V. Zaitseva
A. К. Zastrozhina
E. V. Kulikova
spellingShingle S. V. Zaitseva
A. К. Zastrozhina
E. V. Kulikova
Acute tonsillitis in a pediatrician’s practice
Медицинский совет
acute tonsillopharyngitis
diagnostics
beta hemolytic streptococcus group a
antibacterial therapy
local therapy
author_facet S. V. Zaitseva
A. К. Zastrozhina
E. V. Kulikova
author_sort S. V. Zaitseva
title Acute tonsillitis in a pediatrician’s practice
title_short Acute tonsillitis in a pediatrician’s practice
title_full Acute tonsillitis in a pediatrician’s practice
title_fullStr Acute tonsillitis in a pediatrician’s practice
title_full_unstemmed Acute tonsillitis in a pediatrician’s practice
title_sort acute tonsillitis in a pediatrician’s practice
publisher Remedium Group LLC
series Медицинский совет
issn 2079-701X
2658-5790
publishDate 2019-02-01
description Acute tonsillopharyngitis (ATP) is a common infectious disease in paediatric practice. Throat pain, as the main symptom of acute tonsillopharyngitis, is the most common cause of seeking outpatient care. ATP is a polyethyological disease and requires a clarification of the etiological factor. Viral tonsillitis is the most common in children’s practice. Among bacterial pathogens, the beta hemolytic streptococcus group A (BHSA Streptococcus pyogenes) is of particular importance. This pathogen is associated with 5 to 15% of cases of acute tonsillopharyngitis in adults and 20- 30% in children [5]. Suspicion of BHSA in ATP requires the mandatory prescription of systemic antibiotic therapy. Currently, there are no reliable criteria for differential diagnosis of viral and bacterial ATP. As a result, the choice of ATP treatment tactics is an important task. On the one hand, this pathology is most often associated with unnecessary and unjustified prescription of systemic antibiotic therapy, and on the other hand, the rejection of antibiotics can contribute to the development of serious complications. Given the high frequency of viral ATP, an important area of pediatric practice is the use of local antiseptic and anti-inflammatory drugs. Topical drugs can be used both as monotherapy and, if necessary, in combination therapy of ATP. Timely etiological diagnostics and rational therapy of ATP are an important part of the effectiveness of ATP treatment in children and prevention of antibiotic resistance of microorganisms.
topic acute tonsillopharyngitis
diagnostics
beta hemolytic streptococcus group a
antibacterial therapy
local therapy
url https://www.med-sovet.pro/jour/article/view/2863
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AT akzastrozhina acutetonsillitisinapediatricianspractice
AT evkulikova acutetonsillitisinapediatricianspractice
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