Treatment of tonsillopharyngitis in children
Tonsillopharyngitis is a common disease among pediatric patients. Visits associated with sore throat account for 6 to 8% of all visits to pediatricians and general practitioners. Tonsillopharyngitis can have both infectious and non-infectious etiologies. In pediatric practice, most cases of upper re...
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| Format: | Article |
| Language: | Russian |
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Remedium Group LLC
2020-03-01
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| Series: | Медицинский совет |
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| Online Access: | https://www.med-sovet.pro/jour/article/view/5543 |
| _version_ | 1827961589502836736 |
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| author | S. A. Karpishchenko S. I. Alekseenko S. V. Baranskaya |
| author_facet | S. A. Karpishchenko S. I. Alekseenko S. V. Baranskaya |
| author_sort | S. A. Karpishchenko |
| collection | DOAJ |
| description | Tonsillopharyngitis is a common disease among pediatric patients. Visits associated with sore throat account for 6 to 8% of all visits to pediatricians and general practitioners. Tonsillopharyngitis can have both infectious and non-infectious etiologies. In pediatric practice, most cases of upper respiratory tract infections are of viral origin, especially in children of early and preschool age. In most cases, uncomplicated course and non-infectious etiology of the disease do not require the administration of antibacterial drugs. The bacterial nature of the disease can be distinguished from the viral one using the data of culture analysis and rapid test for group A β-hemolytic streptococcus (GABHS) or Streptococcus pyogenes. The etiotropic therapy of streptococcal tonsillopharyngitis is antibiotic therapy. In GABHS, antibiotic therapy shortens the duration and reduces the severity of symptoms, reduces the Likelihood of purulent complications, post-streptococcal diseases and prevents the generalization of streptococcal infection. The use of modern antiseptic herbal medicines may be an additional and alternative line of therapy. The authors presented a literature review of the clinical trials results of a modern herbal medicine and provided the results of their own case of the combined treatment of a 10-year-old child with a diagnosis: acute moderate tonsillopharyngitis, bilateral cervical lymphadenitis; acute rhinitis; chronic adenoiditis, exacerbation; degree 2 adenoids. Antibacterial therapy included amoxicillin: oral: 100 mg/kg/day in 2 divided doses for 10 days, combined with an anti-inflammatory and antiseptic herbal medicine due to the complicated course of the disease in the form of concomitant regional lymphadenitis. The course of therapy resulted in clear positive changes: overall well-being improved as early as on the second day of treatment, sore throat and submandibular region ceased to cause pain by 5th day of treatment, the temperature became normal by 5th day of the disease. This clinical observation shows the possibility to introduce an anti-inflammatory herbal medicine to the complex treatment of acute tonsillopharyngitis in children, including cases of complicated course of the disease. |
| first_indexed | 2024-04-09T16:30:08Z |
| format | Article |
| id | doaj.art-dd8496ed80d44aa8acbdc0f85be34bf9 |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:30:08Z |
| publishDate | 2020-03-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-dd8496ed80d44aa8acbdc0f85be34bf92023-04-23T06:57:10ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902020-03-0101707510.21518/2079-701X-2020-1-70-755043Treatment of tonsillopharyngitis in childrenS. A. Karpishchenko0S. I. Alekseenko1S. V. Baranskaya2Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech; Pavlov First Saint Petersburg State Medical UniversityK. A. Rauchfus Children’s City Multidisciplinary Clinical Center for High Medical TechnologiesPavlov First Saint Petersburg State Medical UniversityTonsillopharyngitis is a common disease among pediatric patients. Visits associated with sore throat account for 6 to 8% of all visits to pediatricians and general practitioners. Tonsillopharyngitis can have both infectious and non-infectious etiologies. In pediatric practice, most cases of upper respiratory tract infections are of viral origin, especially in children of early and preschool age. In most cases, uncomplicated course and non-infectious etiology of the disease do not require the administration of antibacterial drugs. The bacterial nature of the disease can be distinguished from the viral one using the data of culture analysis and rapid test for group A β-hemolytic streptococcus (GABHS) or Streptococcus pyogenes. The etiotropic therapy of streptococcal tonsillopharyngitis is antibiotic therapy. In GABHS, antibiotic therapy shortens the duration and reduces the severity of symptoms, reduces the Likelihood of purulent complications, post-streptococcal diseases and prevents the generalization of streptococcal infection. The use of modern antiseptic herbal medicines may be an additional and alternative line of therapy. The authors presented a literature review of the clinical trials results of a modern herbal medicine and provided the results of their own case of the combined treatment of a 10-year-old child with a diagnosis: acute moderate tonsillopharyngitis, bilateral cervical lymphadenitis; acute rhinitis; chronic adenoiditis, exacerbation; degree 2 adenoids. Antibacterial therapy included amoxicillin: oral: 100 mg/kg/day in 2 divided doses for 10 days, combined with an anti-inflammatory and antiseptic herbal medicine due to the complicated course of the disease in the form of concomitant regional lymphadenitis. The course of therapy resulted in clear positive changes: overall well-being improved as early as on the second day of treatment, sore throat and submandibular region ceased to cause pain by 5th day of treatment, the temperature became normal by 5th day of the disease. This clinical observation shows the possibility to introduce an anti-inflammatory herbal medicine to the complex treatment of acute tonsillopharyngitis in children, including cases of complicated course of the disease.https://www.med-sovet.pro/jour/article/view/5543tonsillopharyngitisgroup a β-hemolytic streptococcusstreptococcus pyogenesetiotropic therapyherbal medicine |
| spellingShingle | S. A. Karpishchenko S. I. Alekseenko S. V. Baranskaya Treatment of tonsillopharyngitis in children Медицинский совет tonsillopharyngitis group a β-hemolytic streptococcus streptococcus pyogenes etiotropic therapy herbal medicine |
| title | Treatment of tonsillopharyngitis in children |
| title_full | Treatment of tonsillopharyngitis in children |
| title_fullStr | Treatment of tonsillopharyngitis in children |
| title_full_unstemmed | Treatment of tonsillopharyngitis in children |
| title_short | Treatment of tonsillopharyngitis in children |
| title_sort | treatment of tonsillopharyngitis in children |
| topic | tonsillopharyngitis group a β-hemolytic streptococcus streptococcus pyogenes etiotropic therapy herbal medicine |
| url | https://www.med-sovet.pro/jour/article/view/5543 |
| work_keys_str_mv | AT sakarpishchenko treatmentoftonsillopharyngitisinchildren AT sialekseenko treatmentoftonsillopharyngitisinchildren AT svbaranskaya treatmentoftonsillopharyngitisinchildren |