On the role of topical drugs in the treatment of acute otitis media in children
https://doi.org/10.21518/2079-701X-2019-17-76-80
Abstract
The article presents an overview of modern approaches to diagnosis and treatment of acute otitis media in children. On the basis of the existing clinical recommendations the indications for systemic antibacterial therapy and tympanocentesis are listed, the algorithm of antibacterial therapy accepted in Russia is described. The role of various drugs in the form of ear drops for local treatment of acute otitis media in children is considered separately. One clinical case is presented, illustrating the capabilities of local anesthetics in the treatment of acute otitis media.
About the Authors
D. A. Tulupov
Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Denis A. Tulupov, Cand. of Sci. (Med), Associate Professor of the Department of Children’s Otorhinolaryngology
1, 2/1 Barrikadnaya St., Moscow, 125993
E. P. Karpova
Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Elena P. Karpova, Dr. of Sci. (Med), Professor, Head of the Department of Pediatric Otorhinolaryngology
1, 2/1 Barrikadnaya St., Moscow, 125993
O. G. Naumov
Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Oleg G. Naumov, Cand. of Sci. (Med), Associate Professor of the Department of Children’s Otorhinolaryngology
1, 2/1 Barrikadnaya St., Moscow, 125993
References
1. Bogomil’skiy M.R., Minasyan V.S., Samsygina G.A. Ostryy sredniy otit u novorozhdennykh i grudnykh detey = Acute otitis media in newborns and infants. Moscow: Russian State Medical University; 2007:4-5.
2. Tulupov D.A., Karpova E.P. Ostryy sredniy otit u detey. Posobiye dlya vrachey = Acute otitis media in children. A manual for doctors. Moscow: Petrorush; 2012
3. Kozlov R.S., Krechikova O.I., Murav’yov A.A., Mironov K.O. Platonov A.E., Dunaeva E.A., Tatochenko V.K., Shcherbakov M.E., Rodnikova V.YU, Romanenko V.V., Saf’yanov K.N. Incidence of Community-Acquired Pneumonia and Acute Otitis Media in Children 0–5 Years in Russia and Role of S. pneumoniae or H. influenzae in the Etiology of the Diseases. Klinicheskaya mikrobiologiya i antimikrobnaya khimioterapiya = Clinical Microbiology and Antimicrobial Chemotherapy. 2013;15(4):246-260. (In Russ.) Available at: http://www.antibiotic.ru/cmac/pdf/cmac.2013.t15.n4.p246.pdf.
4. Yakovlev S.V., Rafal’skiy V.V., Sidorenko S.V., Spichak T.V. (eds.). Spravochnik poliklinicheskogo vracha = Handbook of the outpatient physician. 2017;(01):6-53. (In Russ.) Available at: http://nphcd.ru/wp-content/uploads/2017/05/Евразийские-рекомендации-2016.pdf.
5. Karneeva O.V, Polyakov D.P., Gurov A.V., Ryazantsev S.V., Maksimova E.A., Kazanova A.V. Otit sredniy ostryy. Klinicheskiye rekomendatsii = Otitis media. Clinical recommendations. 2016. (In Russ.) Available at: http://www.nmaoru.org/files/KR314%20Ostryj%20srednij%20otit.pdf.
6. Lieberthal A.S., Carroll A.E., Chonmaitree T., Ganiats T.G., Hoberman A., Jackson M.A., Joffe M.D., Miller D.T., Rosenfeld R.M., Sevilla X.D., Schwartz R.H., Thomas P.A., Tunkel D.E. The diagnosis and management of acute otitis media. Pediatrics. 2013;131(3):e964-999. doi: 10.1542/peds.
7. Tatochenko V.K. Antibiotikoi khimioterapiya infektsiy u detey = Antibioticand chemotherapy of infections in children. Moscow: IPK-Kontinent Press; 2008. (In Russ.)
8. Thornton K., Parrish F., Swords C. Topical vs. systemic treatments for acute otitis media. Pediatr Nurs. 2011;37(5):263-267. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22132572.
9. Pichichero M.E., Casey J.R., Almudevar A. Reducing the frequency of acute otitis media by individualized care. Pediatr Infect Dis J. 2013;32(5):473-478. doi: 10.1097/INF.
10. Harmes K.M., Blackwood R.A., Burrows H.L., Cooke J.M., Harrison R.V., Passamani P.P. Otitis media: diagnosis and treatment. Am Fam Physician. 2013;88(7):435-440. Available at: https://www.ncbi.nlm.nih.gov/pubmed/24134083
11. Castellsague J., Riera-Guardia N., Calingaert B., Varas-Lorenzo C., Fourrier-Reglat A., Nicotra F., Sturkenboom M., Perez-Gutthann S. Safety of Non-Steroidal Anti-Inflammatory Drugs (SOS) Project. Individual NSAIDs and upper gastrointestinal complications: a systematic review and meta-analysis of observational studies (the SOS project). Drug Saf. 2012;35(12):11271146. doi: 10.2165/11633470-00000000000000.
12. Prasad S., Ewigman B. Use anesthetic drops to relieve acute otitis media pain. J Fam Pract. 2008;57(6):370-373. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183864/pdf/JFP-57-370.pdf.
13. Grigor’ev K.I., Grigoryan A.K., Zaprudnov A.M. Otipax in the treatment of acute otitis media in children. Rossiyskiy vestnik perinatologii i pediatrii = Russian Bulletin of perinatology and pediatrics. 2000;(2):45-48. (In Russ.) Available at: http://nature.web.ru/db/msg.html?mid=1171840&uri=index2.html.
14. Minasyan V.S., Bondarenko M.G. Use of Otipax in acute otitis media in newborns and infants. Vestnik otorinolaringologii = Bulletin of Otorhinolaryngology. 2004;(4):44. (In Russ.)
15. Adam D., Federspil P., Lukes M., Petrowicz O. Therapeutic properties and tolerance of procaine and phenazone containing ear drops in infants and very young children. Arzneimittelforschung. 2009;59(10):504-512. doi: 10.1055/s-0031-1296434.
16. Francois M. Efficacy and safety of phenasone– lidocaine eardrops in infants and children with congestine otitis. Ann Peditrique. 1993;(7):481–484.
Review
For citations:
Tulupov DA, Karpova EP, Naumov OG. On the role of topical drugs in the treatment of acute otitis media in children. Meditsinskiy sovet = Medical Council. 2019;(17):76-80. (In Russ.) https://doi.org/10.21518/2079-701X-2019-17-76-80
Views:
772
Email this article 