Role of Probiotics in Optimizing the Causal Treatment for Acute Bacterial Rhinosinusitis

Abstract

The article deals with one of the most common ENT diseases — rhinosinusitis, in particular of bacterial origin. The basic principles of diagnosis and treatment of this disease, according to current recommendations (EP3OS, 2012 edition), are provided. It is proved that antibiotic therapy with almost all groups of antibiotics indicated in acute bacterial rhinosinusitis is associated in up to 25 % of cases by complications, the most common of which is antibiotic-associated diarrhea. For the prevention and treatment of this complication, it is recommended to administer probiotics (class Ib, level of evidence A), in particular Subalinum.

Keywords

• rhinosinusitis
• diagnosis
• treatment
• antibiotics
• complications
• probiotics.