BACTERIAL INFECTIONS OF THE EAR, NOSE AND THROAT: A DELICATE TREATMENT

Abstract

Although the majority of acute inflammatory ENT pathologies are known to be caused by viruses alone, their association with bacteria tend to make the infection severe, persistent, and recurrent. In these caseslong-term systemic antibiotics are required. ENT-specialists use beta-lactameantibiotics (penicilline/cephalosporine), macrolides, respiratoryfluoroquinolones. Adverse drug reactions for these medications are very common, and gastrointestinal tract is particularly vulnerable.The article gives a detailed account ofnormal gut mictobiota changesafter systemic use of antibiotics forbacterial ENT-infections and consideration to problem solving. Ecoantibiotics are the new a new group of antibacterial drugs containing traditional antibiotic and prebiotic as adjuvant, that give us future prospect for delicate and safe antibiotic therapy.

Keywords

• bacterial rhinosinusitis
• treatment guidelines
• reference documents
• etiotropic treatment
• antibiotic resistance
• ecoantibiotics
• prebiotics
• antibiotic-assotiated diarrhea
• lactulose