Preview

Pediatric pharmacology

Advanced search

DIAGNOSTICS AND THERAPY OF ACUTE STREPTOCOCCAL TONSILLOPHARYNGITIS: MODERN RECOMMENDATIONS

https://doi.org/10.15690/pf.v10i6.891

Abstract

The article dwells upon modern principles of diagnostics and therapy of acute tonsillopharyngitis in children given Russian antibiotic resistance peculiarities of Streptococcus pyogenes. The rate of antibiotic prescription in the event of acute tonsillopharyngitis remains unreasonably high in Russia. The disease most often has viral etiology and antibiotic prescription in such a situation is unreasonable. Prescription of systemic antibiotics is indicated only in the event of the confirmed streptococcal etiology of acute tonsillopharyngitis. Use of the express test in routine practice allows confirming or ruling out streptococcal etiology of the disease quickly and effectively; this allows selecting therapy of acute tonsillopharyngitis timely and rationally.


About the Authors

E. A. Promyslova
Scientific Center of Children’s Health, Moscow
Russian Federation
research scientist at the standardization and clinical pharmacology department at the SCCH


L. R. Selimzyanova
Scientific Center of Children’s Health, Moscow, Russian Federation First Sechenov Moscow State Medical University of the Ministry of Health of Russia
Russian Federation


E. A. Vishnyova
Scientific Center of Children’s Health, Moscow, Russian Federation
Russian Federation


References

1. Costelloe C., Metcalfe C., Lovering A. Mant D., Hay A. D. BMJ. 2010 May 18; 340: 20–96.

2. Brook I., Foote P. A., Hausfeld J. N. J. Med. Microbiol. 2008 Aug; 57 (Pt. 8): 1015–1017.

3. Risnes K. R., Belanger K., Murk W., Bracken M. B. Am. J. Epidemiol. 2011; 173 (3): 310–318.

4. WHO global strategy for containment of antimicrobial resistance. Geneva: World Health Organization. 2001. WHO/CDS/CSR/DRS/2001.2.

5. Ostrye respiratornye zabolevaniya u detei: lechenie i profilaktika. Nauchno-prakticheskaya programma Soyuza pediatrov Rossii [Acute Respiratory Infections in Children: Treatment and Prevention. Scientific and Practical Program of the Union of Pediatricians of Russia]. Moscow, Mezhdunarodnyi fond okhrany zdorov'ya materi i rebenka, 2004. 68 p.

6. Namazova L. S., Botvin'eva V. V., Torshkhoeva R. M., Tagizade T. G. Voprosy sovremennoi pediatrii = Current pediatrics. 2006; 5 (2): 80.

7. Polyakov D. P. Voprosy sovremennoi pediatrii = Current pediatrics. 2013; 12 (3): 46–51.

8. Polunina T. A., Vishneva E. A. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2011; 8 (5): 106–108.

9. Volodin N. N., Samsygina G. A., Aleksandrov A. E., Alekseeva E. I., Balabolkin I. I., Namazova-Baranova L. S., Tatochenko V. K. Ratsional'naya farmakoterapiya detskikh zabolevanii. Rukovodstvo dlya praktikuyushchikh vrachei: v 2 kn. Ser. «Ratsional'naya farmakoterapiya». Pod obshchei redaktsiei A. A. Baranova, N. N. Volodina, G. A. Samsyginoi [Rational Pharmacotherapy of Child Diseases. Guidelines for Clinicians: in 2 books. Edition “Rational Pharmacotherapy”. Edited by A.A. Baranov, N.N. Volodin, G.A. Samsygina]. Moscow, 2007.

10. Bisno A. L. Acute pharyngitis: betiology and diagnosis. Pediatrics. 1996; 97: 949–954.

11. Darmanyan A. S. Sovershenstvovanie metodov diagnostiki i lecheniya ostrykh tonzillitov u detei. Avtoref. dis … kand. med. nauk [Improving the Diagnosis and Treatment of Acute Tonsillitis in Children. Author’s abstract]. Moscow, 2010.

12. Chiappini E., Regoli M., Bonsignori F., Sollai S., Parretti A., Galli L., de Martino M. Analysis of different recommendations from international guidelines for the management of acute pharynghitis in adults and children. Clin Ther. 2011; 33 (1): 48–58.

13. Andreeva I. V., Stetsyuk O. U., Azovskova O. V., Kozlov R. S. Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya = Clinical microbiology and antimicrobial chemotherapy. 2013; 13 (5): 198–211.

14. Selimzyanova L. R., Promyslova E. A., Vishneva E. A. Voprosy sovremennoi pediatrii = Current pediatrics. 2013; 12 (1): 103–107.

15. Centor R. M., Witherspoon J. M., Dalton H. P. et al. The diagnosis of strep throat in adults in the emergency room [abstract]. Med Decis Making. 1981; 1: 239–46.

16. Mclsaac W. J., White D., Tannenbaum D., Low D. E. A clinical score to reduce unnecessary antibiotic use in patients with sore throat. Can Med Assoc J. 1998; 158: 75–83.

17. Shpynev K. V., Krechikov V. A. Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya = Clinical microbiology and antimicrobial chemotherapy. 2007; 9 (1): 20–33.

18. Are antibiotics still «automatic» in France? Bull World Health Organ. 2011; 89: 8–9.

19. Baranov A. A., Bogomil'skii M. R., Volkov I. K., Geppe N. A., Kozlov R. S., Kozlova L. V., Korovina N. A., Manerov F. K., Mizernitskii Yu. L., Namazova L. S., Nasonova V. A., Samsygina G. A., Sergeeva T. V., Spichak T. V., Strachunskii L. S., Tatochenko V. K., Yakushin S. B. Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya = Clinical microbiology and antimicrobial chemotherapy. 2007; 9 (3): 200–210.

20. Azovskova O. V., Ivanchik N. V., Dekhnich A. V., Krechikova O. I., Kozlov R. S., research group «PeGAS» Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya = Clinical microbiology and antimicrobial chemotherapy. 2012; 14 (4): 309–302.

21. Kulichenko T. V., Patrusheva Yu. S., Redina A. A., Lazareva M. A. Pediatricheskaya farmakologiya = Pediatric pharmacology. 2013; 10 (3): 38–44.

22. van Driel M. L., de Sutter A. I., Kaber N. Different antibiotic treatments for group A streptococcal pharyngitis. Cochrane Database Syst. Rev. 2010; 10: CD004406.

23. Shulman S. T., Bisno A. L., Clegg H. W., Gerber M. A., Kaplan E. L., Lee G., Martin J. M., van Beneden C. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clin. Infect. Dis. Adv. Access published September 9, 2012.


Review

For citations:


Promyslova E.A., Selimzyanova L.R., Vishnyova E.A. DIAGNOSTICS AND THERAPY OF ACUTE STREPTOCOCCAL TONSILLOPHARYNGITIS: MODERN RECOMMENDATIONS. Pediatric pharmacology. 2013;10(6):10-14. https://doi.org/10.15690/pf.v10i6.891

Views: 790


ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)