Modern approaches to the treatment of rhinopharyngitis in the practice of a district pediatrician

Abstract

Introduction. In outpatient practice, acute nasopharyngitis in children is one of the most common reasons for seeking medical attention. The local pediatrician, as a rule, is the first to examine the child and determine the tactics of treatment. A competent approach to the choice of drugs avoids polypharmacy.The article presents the published scientific evidence on the modern approach to the treatment, as well as the author’s own clinical observation.Objective. To study the effectiveness of modern methods for the treatment of rhinopharyngitis, including the use of silver proteinate to treat acute respiratory infections in a group of frequently ill children.Materials and methods. The study involved 38 children aged 3 to 4 years, included in the group of frequent illnesses. The children were divided into 3 groups. In the first group (12 people), for four months (October-December 2019), children received symptomatic treatment of an acute respiratory infection; between episodes of acute respiratory infection, daily prophylactic irrigation of the child’s nose and throat with saline was used. In the second group (13 people), symptomatic treatment and nasal instillation of a preparation of silver proteinate were used at each episode of acute respiratory infection. In the third group (13 people), children received only symptomatic treatment for acute respiratory infection.In the first and third groups, children received symptomatic treatment of an acute respiratory infection without the use of silver proteinate.Results. The chosen approach to the ARVI treatment such as nasal instillation of silver proteinate into the bilateral nasal cavities has shown its effectiveness without having to carry out preventive measures between episodes of the disease.Conclusion. The application of elimination and antiseptic therapy with the use of Sialor for each episode of ARVI in the group of frequently ill children can reduce polypharmacy and incidence of morbidity.

Keywords

• acute nasopharyngitis
• acute respiratory viral infection
• outpatient pediatrics
• rhinitis
• pharyngitis
• treatment
• silver proteinate