ppharmПедиатрическая фармакологияPediatric pharmacology1727-57762500-3089Издательство «ПедиатрЪ»10.15690/pf.v12i1.1256ppharm-478Research ArticleВ ПРАКТИКУ ПЕДИАТРАFor Pediatricians' PracticeДИАГНОСТИКА И ЛЕЧЕНИЕ ОСТРОГО СТРЕПТОКОККОВОГО ФАРИНГИТА У ДЕТЕЙDIAGNOSIS AND TREATMENT OF ACUTE STREPTOCOCCAL PHARYNGITIS IN CHILDRENКуличенкоТ. В.KulichenkoT. V.

доктор медицинских наук, заведующая отделением неотложной педиатрии НЦЗД, доцент кафедры клинической аллергологии и иммунологии педиатрического факультета Первого МГМУ им. И.М. Сеченова

tkulichenko@yandex.ruНаучный центр здоровья детей, Москва, Российская ФедерацияРоссияScientific Center of Children's Health, Moscow, Russian FederationRussian Federation201521082015121104111Copyright © Куличенко Т.В., 20152015Куличенко Т.В.Kulichenko T.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.pedpharma.ru/jour/article/view/478

Острый стрептококковый фарингит диагностируют у 15–30% пациентов, обратившихся в медицинское учреждение с лихорадкой и болью в горле. Обычно локальная инфекция протекает относительно легко, но в ее исходе возможны серьезные гнойные и иммунопатологические осложнения. Несмотря на высокую частоту и распространенность болезни, до настоящего времени вопросы диагностики и лечения стрептококкового тонзиллита и фарингита остаются предметом широкой дискуссии. В обзоре литературы освещаются современные принципы диагностики, возможности экспресс-тестов для выявления инфекции Streptococcus pyogenes, а также выбор антибактериальной терапии острого стрептококкового фарингита, основанный на данных доказательных исследований и систематических обзоров. Акцентированы наиболее обсуждаемые вопросы лечения, в том числе схемы курсов антибиотикотерапии, эффективность тонзиллэктомии при хроническом и рецидивирующем тонзиллите. 

Acute streptococcal pharyngitis is diagnosed in 15–30% of the patients seeking medical advice for fever and sore throat. The local infection is usually mild/moderate; however, it may result in severe purulent and immunopathological complications. Despite high incidence and prevalence of the disease, the issues of diagnosis and treatment of streptococcal tonsillitis and pharyngitis remain highly discussable. The literature review presents information on the modern diagnostic principles, potential of using express tests to detect Streptococcus pyogenes infection and selection of antibacterial therapy of acute streptococcal pharyngitis based on the data of evidence-based studies and systemic reviews. The article emphasizes the most discussable issues of treatment, including antibiotic therapy pattern, and effectiveness of tonsillectomy in the event of chronic or recurrent tonsillitis.

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The authors declare that there are no conflicts of interest present.