The objective of the present study was to evaluate the expediency of the application of nano-scale silver preparations, argovit-C and vitargol, differing in concentration for the treatment of tuberculosis of the upper respiratory tract. The study was carried out based at the Karachaevo-Cherkessian TB dispensary. It has been demonstrated that the 3.3% solution of argovit-C possessed of the 100% bactericidal activity with respect to the medically-resistant mycobacteria at both maximum and minimal concentrations of isoniazid. Based on these findings, this preparation was chosen for the clinical study. It was shown to exhibit a higher therapeutic effectiveness in comparison with the standard anti-tuberculosis treatment. The authors conclude that the inhalation of the 3.3% argovit-C solution twice daily for 10 minutes during 2 months can be recommended for the local treatment of laryngeal tuberculosis.

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The paper analyzes the regional features of the prevalence of the upper respiratory tract tuberculosis in Karachaevo-Cherkessia, providing the study of the structure of this pathology, clinical and morphological changes in the larynx at different pathogenesis of the disease. The authors have considered the problems of increasing the efficiency of diagnosis and treatment of the disease.

The growth of emergencies, increased traffic and overall technological progress led to an increase in the number of traumatic injuries, including the organ of hearing. The lack of information on the structure and prevalence of traumatic injuries of the organ of hearing makes it difficult to plan and increase the effectiveness of the organization of specialized care for such victims. To study the prevalence and structure of traumatic injuries of the hearing organ in the Karachay-Cherkess Republic, the medical records of patients with various ear injuries who were treated in the departments of the Karachay-Cherkess Republican Clinical Hospital over the past three years were analyzed. The prevalence of traumatic injuries of the organ of hearing and its structure was determined according to the data of hospitals of the republican hospital. There was a tendency toward an increase in patients with ear injuries in all age groups. Maintaining the predominance of mechanical trauma, with an increase in the number of victims with baro- and acoustic trauma. The features of damage to the structures of the organ of hearing are examined and it is emphasized that the mechanism of trauma determines the tactics of the victim. The scale of hearing injuries and their consequences require a more in-depth study of their regional characteristics, risk factors to develop all possible preventive measures.

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