Rational choice of antibacterial drug for the treatment of ent organs in outpatient practice

Abstract

The article examines the choice of a group of antibacterial drugs for the treatment of ENT organs with uncomplicated infections in the practice of the otorhinolaryngologist. Described the principles of antibacterial therapy, resistance of the main pathogens of infections of ENT organs (Streptococcus pneumonia, Streptococcus pyogenes, Haemophilus influenza, Moraxella catarrhalis) to antibiotics of different groups: penicillins, cephalosporins of different generations, macrolides, respiratory fluoroquinolones. It is told about the patient’s compliance to the prescribed treatment, which has a great influence not only on the effectiveness of treatment, but also on the increase of antibiotic resistance in general. A group of cephalosporins of the third generation for oral administration (Cefixime) has some competitive advantages over other groups antibiotics: better adherence like as macrolides and high susceptibility of a wide range of bacteria, like as penicillins and fluoroquinolones.

Keywords

• sinusitis
• otitis media
• pharyngitis
• antibacterial therapy
• patient’s compliance
• antibiotics
• third generation cephalosporins
• cefixime