Rational choice of antibiotic therapy in acute otitis media in children

Бойкова, Н. Э.; Гаращенко, Т. И.

doi:10.21518/2079-701x-2017-1-232-236

Med. sov.

2017

DOI: 10.21518/2079-701x-2017-1-232-236

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Rational choice of antibiotic therapy in acute otitis media in children

Н. Э. Бойкова¹,

Т. И. Гаращенко²

Abstract: В статье рассматриваются вопросы распространенности и частоты заболевания острого среднего отита (ОСО) в детском возрасте, причины возникновения заболевания, особенности терапии, эмпирический подход к назначению антибактери-ального лечения, выбор антибактериального препарата. The article examines the prevalence and incidence of acute otitis media (AOM) in children, the causes of the disease, the specific therapies, empirical approach to the prescription of antibacterial drugs, and the choice of antibiotics.

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Cited by 3 publications

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Pathomorphosis of acute otitis media in children: when does a pediatric infection become surgical?

Abramenkova,

Luchkina,

Andreeva

et al. 2024

Ross. vestn. perinatol. pediatr.

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The incidence of complications from acute otitis media in children, such as mastoiditis, tends to increase. We analyzed 57 case histories of children who had undergone an anthromastoidotomy. The main reasons for treatment failures in acute otitis media include underestimating the vaccination status of the child, lack of antibiotic therapy, prescribing antibiotics in low doses or for a short period of time, using drugs that are not active against pneumococcal infections, and prescribing only topical therapy. Considering these factors can reduce the need for surgery in pediatric patients with this infection.

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Pathomorphosis of acute otitis media in children: when does a pediatric infection become surgical?

Abramenkova,

Luchkina,

Andreeva

et al. 2024

Ross. vestn. perinatol. pediatr.

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Otitis in paediatric practice: clinic presentation, diagnosis, role of topical therapy

Payganova,

Yastremsky

2024

Medicinskij sovet

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The article considers the main pathological processes in the outer and middle ear, which are detected at the primary paediatric visit. A particular focus has been placed on the importance of otoscopy and the need for sustainable routing of a child with ear pain. The basic principles for the treatment of acute external and otitis media in children are outlined, and indications for additional examinations and systemic antimicrobial therapy are determined. The benefits of topical combination ear drops in the treatment of acute external and otitis media are presented. The benefits of combination ear drops in the treatment of ear pathology in children from 6 years of age are demonstrated by examples of clinical studies and retrospective analysis of clinical efficacy. Clinical cases from our own observations are presented: a 7-year-old patient with acute non-perforative otitis media and a 12-year-old patient with acute exacerbation of chronic external otitis, myringitis. The combination ear drops containing chloramphenicol, beclomethasone dipropionate (anhydrous), clotrimazole and lidocaine hydrochloride monohydrate demonstrated high clinical efficacy. The combination drug with a beneficial and clinically proven effect can help solve the issue of otitis in children from 6 years of age. The authors have developed a treatment and prevention reminder for ear pathologies in children, which will help the paediatrician explain the main principles of treatment and prevention of otitis media to parents in an easily accessible form. It was concluded that ear pathology is a current and multi-etiological challenge that requires attention and expert knowledge of a paediatrician. The active parental involvement in ear pathology prevention in their child will help their children to grow physically healthy.

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Possibilities of effective topical therapy in treatment of acute otitis media in children: A review

Гаращенко

Ilyenko

Payganova³

2022

Pediatr. Con. Med.

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Acute otitis media (AOM) is a common infection of the middle ear in children with predominant symptoms of pain and hearing impairment. If antibiotics are prescribed, they take time to act on the inflammatory process, so the main focus is on relieving pain. Topical anesthetics have the advantage of having fewer systemic side effects when analgesic is used. The review covers a systematic analysis of the literature on the problem of AOM in children for the period from 1990 to 2021. Analgesic ear drops with lidocaine and phenazone can provide first-line pain relief for otitis media without systemic side effects such as gastrointestinal disorders and nausea and can maintain a wait-and-see attitude towards saving antibiotics. A combined drug containing a combination of the anesthetic lidocaine and the anti-inflammatory drug phenazone shows optimal action to eliminate pain and inflammation in children with AOM. The drug, which is recommended from the birth of a child and included in the National clinical guidelines for the treatment of AOM (2021), can be prescribed by a pediatrician and a general and family practitioner.

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Rational choice of antibiotic therapy in acute otitis media in children

Cited by 3 publications

References 6 publications

Pathomorphosis of acute otitis media in children: when does a pediatric infection become surgical?

Pathomorphosis of acute otitis media in children: when does a pediatric infection become surgical?

Otitis in paediatric practice: clinic presentation, diagnosis, role of topical therapy

Possibilities of effective topical therapy in treatment of acute otitis media in children: A review

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