ON THE ROLE OF COLLOID SILVER IN THE TREATMENT OF UPPER RESPIRATORY TRACT AND EAR DISORDERS

The high resistance of infectious agents to antibiotics that doctors currently face in therapy of acute and chronic diseases, especially in ENT-practice makes it possible for experts to search for alternative paths and to select drugs with a broad spectrum of action. These include colloid silver based drugs with proven microbicidal, virucidal and local protective and anti-inflammatory propertie

Impaired nasal breathing and allergic rhinitis in children

Impaired nasal breathing is one of the most frequent causes for seeking otorhinolaryngologist's aid. In childhood, it affects the quality of life and learning, and during infancy - the overall development of the baby and its activities. In children complaining of difficult breathing, ENT specialist may identify either mechanical causes of partial or complete obstruction of the nasal cavity (nasal septum deviation, turbinate hypertrophy, adenoid vegetations, foreign bodies in the nasal cavity or nasopharynx, tumors of the nasal cavity or nasopharynx) or functional causes. The reasons are various diseases leading to swelling of the nasal mucosa and increased secretion. [1

Acute rhinosinusitis. The role of topical therapy

Rhinosinusitis is one of the most common diseases in clinical practice in relation to which which patients seek doctor's aid. The vast majority of acute rhinosinusitis is caused by viral agents with tropism to respiratory epithelium. In case of mild to moderate disease (mild pain, temperature less than 38.3° C), symptomatic treatment includes topical antibiotics, decongestants, topical corticosteroids, irrigation and elimination therapy. Antibacterial broad-spectrum drugs such as amoxicillin are recommended for patients whose symptoms do not improve within 7 days, or whose condition worsens. Radiographic studies are not recommended in examination for acute uncomplicated rhinosinusitis. Computed tomography also should not be used as a routine method of examination, though it can be used to identify anatomic abnormalities and suspected complications of acute bacterial rhinosinusitis, such as orbital, intracranial lesions and lesions of bone structures. Using compound topical preparations with a broad spectrum of anti-bacterial, anti-inflammatory and vasoconstrictor effects can help adequately manage uncomplicated forms of acute viral, postviral and bacterial sinusitis

Children’s cough. How to recognize the cause and what to do?

The article considers the variety of factors that favor the occurrence of cough and describes its types in detail. Particular attention is paid to the prevalence of dry cough; an optimal variant of pharmacotherapy with the choice of a modern centrally active antitussive drug is suggested

Symptomatic management OF ARVI in paediatric practice

The article discusses topical issues of symptomatic management of acute respiratory viral infections at an early age, the need for antipyretics and the rationality of using combination drugs with due regard to the catarrhal syndrome

IRRIGATION THERAPY IN YOUNG CHILDREN

Nasal breathing for newborns and infants is the most important function of the body. First of all, good breathing allows to breathe during feeding, which is certainly a priority during the breastfeeding period. In addition, when passing through the nose, the air gets warm, humidified and clean

Tonsillopharyngitis. Is the choice of antibiotic therapy so clear?

Various throat pain symptoms as a separate complaint or in combination with fever, cough or rhinitis, is a common cause of urgent visits to outpatient pediatricians. Pharynx diseases account for 40% of all ENT pathologies in children and 20-30% in adults [1, 2]

Rational choice of antibiotic therapy in acute otitis media in children

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

Choice of vasoconstrictors for children with rhinosinusitis

The paper highlights the principal items of use of decongestants in the treatment of rhinosinusitis in children. It analyzes the advantages and disadvantages of all classes of decongestants and their role in the pathogenetic therapy of rhinosinusitis. The role of complex vasoconstrictors including excipients (certain components of essential oils) is defined, by using Lasolvan®Rhino as an example. The efficient and timely therapy of acute rhinitis in children can considerably reduce the frequency of complications and improve a child’s health, helping restore normal eating and sleep. Since the earliest treatment is of the greatest importance in the therapy of acute rhinosinusitis, emphasis is placed on decongestants within the first days of the disease. The decongestant Lasolvan®Rhino (Boehringer Ingelheim) fully meets the goals of treatment for acute rhinosinusitis in children over 6 years of age as an effective, reliable, and safe agent, as evidenced by clinical trials