Inflammatory diseases of ENT organs and purulentseptic intracranial complications associated with them in the Kabardino-Balkarian Republic
https://doi.org/10.21518/2079-701X-2019-20-121-126
Abstract
Actuality. The growth of inflammatory diseases of ENT organs and associated purulent-septic intracranial complications is an urgent problem of modern otorhinolaryngology. Severe complications associated with sepsis and inflammatory lesions of the membranes and brain matter are life-threatening conditions for otorhinolaryngological patients.
Objective. To study the epidemiological situation of inflammatory diseases of the ENT organs and associated purulent-septic intracranial complications in the Kabardino-Balkarian Republic.
Materials and methods. Data of official statistics, electronic databases, statistical reports of the Ministry of Health of the KabardinoBalkan Republic, data of outpatient’s medical records and hospital medical records of multidisciplinary medical and preventive institutions, data on the prevalence of diseases of ENT organs in the Kabardino-Balkarian Republic from 2011 to 2018 among adults and children.
Results and conclusions. The results obtained reflect a significant increase in inflammatory diseases of the ENT organs in the Kabardino-Balkarian Republic from 2011 to 2018. both in the number of reported cases and in the primary incidence. Despite the decrease in the number of inpatient ENT beds in the Republic in 2013, the number of patients treated increased. The reduction of ENT beds entailed an increase in hospital mortality, which is represented exclusively by ENT-associated intracranial complications. Today, the Republic has a rather high level of ENT-associated intracranial complications associated with low prevention and diagnosis of inflammatory ENT diseases, which dictates the importance of using a multidisciplinary approach (ENT doctor, neurologist, ophthalmologist, resuscitator, therapist, neurosurgeon), the need for review management tactics, development of algorithms for the diagnosis and optimal treatment of patients with ENT-associated HFD.
About the Authors
z. N. ShardanovRussian Federation
Zurab N. Shardanov, postgraduate student of the Department of Otorhinolarinology
41, Kirochnaya street, St. Petersburg, 191015
S. A. Artyushkin
Russian Federation
Sergey A. Artyushkin, Dr. of Sci. (Med), Professor, Head of the Department of Otorhinolaryngology
9, Bronnitskaya St., St. Petersburg, 190013
A. A. Krivopalov
Russian Federation
Aleksandr A. Krivopalov, Dr. of Sci. (Med), Senior Researcher
9, Bronnitskaya St., St. Petersburg, 190013
N. A. Shnayder
Russian Federation
Natal’ya A. Shnayder, Dr. of Sci. (Med), Professor, Leading Researcher
3, Bekhterev St., St. Petersburg, 192019
A. Yu. Shcherbuk
Russian Federation
Aleksandr Yu. Shcherbuk, Dr. of Sci. (Med), Professor
7-9, Universitetskaya Emb., St Petersburg, 199034
Yu. A. Shcherbuk
Russian Federation
Yuriy A. Shcherbuk, Academician of the Russian Academy of Sciences, Professor, Dr. of Sci. (Med), Head of the Department of Neurosurgery and Neurology
7-9, Universitetskaya Emb., St Petersburg, 199034
A. I. Krasikova
Russian Federation
Aleksandra I. Krasikova, resident
9, Bronnitskaya St., St. Petersburg, 190013
References
1. Krivopalov A.A., Artyushkin S.A., Tuzikov N.A., Demidenko A.N., Piskunov V.S. The specific features of rhinosinusogenic intracranial complications. Rossiyskaya Rinologiya = Russian Rhinology. 2014;22(3):4-11. (In Russ.) Available at: https://www.mediasphera.ru/issues/rossijskaya-rinologiya/2014/3/030869-5474201432.
2. Yanov Y.K., Krivopalov A.A., Shcherbuk A.Y., Rubin A.N., Tuzikov N.A. Complex approach to the diagnosis and treatment of otorhinosinusogenic pyoinflammatory intracranial complications: state-of-the-art. RMGH = RMJ. 2016;(21):1447-1455. (In Russ.) https://www.rmj.ru/articles/otorinolaringologiya/Koncepciya_kompleksnogo_podhoda_k_diagnostike_i_ lecheniyu_bolynyh_s_otorinosinusogennymi_gnoyno-vospalitelynymi_vnutricherepnymi_osloghneniyami_v_sovremennyh_usloviyah/
3. Krivopalov A.A., Yanov Y.K., Astaschenko S.V., Shcherbuk A.Y., Artyushkin S.A., Vahrushev S.G., Piskunov I.S., Piskunov V.S., Tuzikov N.A. Demographic, clinical and epimiological features of otogenic intracranial complications at the present stage. Rossiyskaya otorinolaringologiya = Russian Otorhinolaryngology. 2016;(1):48-60. (In Russ.) Available at: https:// elibrary.ru/item.asp?id=25440060.
4. Krivopalov A.A., Vahrushev S.G. The sistem of specialized otorhinolaryngological service in Krasnoyarsk region. Rossiyskaya otorinolaringologiya = Russian Otorhinolaryngology. 2013;(4):50-54. (In Russ.) Available at: https:// elibrary.ru/download/elibrary_21056390_84675118.pdf.
5. Yanov Yu.K., Krivopalov A.A., Tuzikov N.A., Shnaider N.A., Nasyrova R.F., Shcherbuk A.Yu., Shcherbuk Yu.A., Shardanov Z.N., Artyushkin S.A. The assessment of specialized otorhinolaryngological care quality. Rossiyskaya otorinolaringologiya = Russian Otorhinolaryngology. 2019;18(1):103–115. (In Russ.) doi: 10.18692/1810-4800-2019-1-103-115.
6. Krivopalov A.A., Janov Y.K., Shcherbuk A.Y., Shcherbuk Y.A., Rubin A.N., Artyushkin S.A., Shardanov Z.N. Predictors of poor outcome in treatment of patients with pyoinflammatory otogenic and rinosinusogenic intracranial complications. Vestnik khirurgii imeni I.I. Grekova = Grekov’s Bulletin of Surgery. 2017;176(3):14-20. (In Russ.) doi: 10.24884/0042-4625-2017-176-3-14-20.
7. Patel N.A., Garber D., Hu S., Kamat A. Systematic review and case report: Intracranial complications of pediatric sinusitis. Int J Pediatr Otorhinolaryngol. 2016;(86):200-212. doi: 10.1016/j. ijporl.2016.05.009.
8. DelGaudio J.M., Evans S.H., Sobol S.E., Parikh S.L. Intracranial complications of sinusitis: what is the role of endoscopic sinus surgery in the acute setting. Am J Otolaryngol. 2010;31(1):25-28. doi: 10.1016/j.amjoto.2008.09.009.
Review
For citations:
Shardanov zN, Artyushkin SA, Krivopalov AA, Shnayder NA, Shcherbuk AY, Shcherbuk YA, Krasikova AI. Inflammatory diseases of ENT organs and purulentseptic intracranial complications associated with them in the Kabardino-Balkarian Republic. Meditsinskiy sovet = Medical Council. 2019;(20):121-126. (In Russ.) https://doi.org/10.21518/2079-701X-2019-20-121-126