E.M. POKROVSKAYA¹, S.V. KHALIULLINA^2,3, K.R. KHALIULLINA², O.A. RAKHMANOVA³, N.N. SKVORTSOVA³, V.T. KOZLOVA³

¹Medical center «MART», 16 A. Kutuya Str., Kazan, Russian Federation, 420073

²Kazan State Medical University, 49 Butlerova Str., Kazan, Russian Federation, 420012

³Republican Clinical Infectious Diseases Hospital named after prof. A.Ph. Agaphonov, 83 Pobedy Ave., Kazan, Russian Federation, 420110 

Pokrovskaya E.M. ― Cand. Med. Sc., ENT specialist, tel. +7-917-263-90-96, e-mail: epokrunia@inbox.ru

Khaliullina S.V. ― Cand. Med. Sc., Assistant of the Department of children infectious diseases, infectious disease physician, tel. (843) 267-80-06, e-mail: svekhal@mail.ru

Khaliullina K.R. ― student of group 2103, tel. +7-919-620-94-56, e-mail: karinhal@rambler.ru

Rakhmaninova O.A. ― Head of immunobacteriological laboratory, tel. (843) 267-80-13, e-mail: rkib.mz@tatar.ru

Skvortsova N.N. ― bacteriologist, tel. (843) 267-81-37, e-mail: skvv@yandex.ru

Kozlova V.T. ― bacteriologist, tel. (843) 267-81-37, e-mail: rkib.mz@tatar.ru

This article is about evaluation of etiological structure of acute and chronicle bacterial  lesions of the oropharynx and the nasopharyngeal of children in Kazan, the stability of the selected strains of bacteria to antibiotics (in case of acute tonsillitises), antiseptics and bacteriophages (with chronic adenoiditis). The results of 350 microbiological studies of separated from the oropharynx and the nasopharyngeal of children aged 1 year to 14 years, including 272 ― with acute tonsillitis (AT) and 78 with chronic adenoiditis (CA). Among the bacterial pathogens of AT prevailed ß-Group A beta-hemolytic streptococcus (GABHS) but their registration rate among all isolated bacterial cultures is lower than with CA (59.4%, 123/207 cases vs. 80.8%, 63/78, respectively). The second place by the frequency of isolation is occupied by Staphylococcus aureus (with AT ― 39.1%, 81/207, with CA ― 69.2%, 54/78). Chronic adeno tonsillar pathology is characterized by high frequency of isolation of Candida (25.6%, 20/78 patients with CA and 11.1%, 23/207 with AT) and associations of agents (70.5%, 55/78 ― when CA vs. 25.1%, 52/207 ― when AT). GABHS, which are the cause of acute tonsillitis in children, in 23.3% were resistant to penicillin, in 50% ― to trimethoprim/sulfamethoxazole. Pathogens of CA in children remain sensitive to the majority of modern antiseptic drugs, purpose-specific phages should be prescribed only after studying the individual sensitivity.

Key words: adenotonsillitises, microflora, treatment, children.

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