Importance of vaccination against pneumococcal disease in the tactics of treatment of sinusitis
N.P. ANDREEVA1, T.I. PETROVA1, V.A. RODIONOB1, S.V. LEZHENINA1, S.Yu. VOLKOVA2
1Chuvash State University named after I.N. Ulyanov, 15 Moskovskiy ave., Cheboksary, Russian Federation, 428015
2Republican Clinical Hospital of the Ministry of Health of the Chuvash Republic, 9 Moskovskiy ave., Cheboksary, Russian Federation, 428015
Andreeva N.P. — Candidate of Medical Science, Associate Professor of the Department of Pediatrics and Pediatric Surgery, tel. (8352) 56-31-72, e-mail: NataliUTT@ya.ru
Petrova T.I. — Dr. Med. Sc., Professor of the Department of Pediatrics and Pediatric Surgery, tel. (8352) 56-31-72, e-mail: ptiprop@mail.ru
Rodionov V.A. — Dr. Med. Sc., Professor, Head of the Department of Pediatrics and Pediatric Surgery, tel. (8352) 56-31-72, e-mail: vladimirodionov@mail.ru
Lezhenina S.V. — Candidate of Medical Science, Associate Professor of the Department of Management and Health Economics, tel. (8352) 56-31-72, e-mail: svl-888@bk.ru
Volkova S.YU. — physician-otorhinolaryngologist, tel. (8352) 44-27-02, e-mail: rkb@med.cap.ru
The article reflects the experience in application of immunotropic drugs for the comprehensive treatment of rhinosinusitis in adolescents 15-18 years old. The study involved 57 teenagers with frequent acute respiratory viral infection, complicated by the addition of rhinosinusitis bacterial etiology. In the course of maxillary sinus puncture all the patients had purulence. Antibiotics and local anti-inflammatory therapy aimed at restoring sinus drainage were prescribed to all patients during the clinical manifestations of purulent sinusitis. In the article are considered the issues of treatment with immunotropic drugs after management of an acute process. As the immunotropic therapy was considered vaccination against pneumococcal infection and application of an immunomodulator with antiviral activity Inosinum pranobexum. Vaccination against pneumococcal infection in a postvaccinal period resulted in a statistically significant reduction in the number of rhinosinusitis of bacterial etiology that complicated acute respiratory viral infection. Carrying out the immunotropic therapy with Inosinum pranobexum helped to reduce the number of rhinosinusitis of bacterial etiology, which required a systemic antibiotic therapy.
Key words: vaccination, teenagers, rhinosinusitis, immunotherapy.
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