Improvement of complex treatment of patients with acute rhinosinusitis by selective use of mucolytics

Improvement of complex treatment of patients with acute rhinosinusitis by selective use of mucolytics

Authors

  • S.S. Arifov Center for the Development of Professional Qualifications of Medical Workers
  • J.A. Kurbonov Center for the Development of Professional Qualifications of Medical Workers

DOI:

https://doi.org/10.57231/j.ejohns.2023.2.1.001

Keywords:

acute rhinosinusitis, endoscopic examination, transport function, treatment, mucolytics

Abstract

The aim of the study was to improve the complex treatment of patients with acute rhinosinusitis through the selective use of mucolytic drugs. As part of the study, 110 patients with acute rhinosinusitis underwent a comprehensive clinical, functional and instrumental examination. The study showed that in patients with acute rhinosinusitis, depending on the state of the secretory-transport function of the nasal mucosa, that is, a mucolytic kinetic is recommended with a sharp decrease in the transport function, mucoregulators with a slight decrease in the transport function and liquid secretion, as well as mucolytic-thiolitics with a slight decrease transport function and dense secret.

References

Almutairi A. F. N. et al. Acute and Chronic Sinusitis Causes and Management //The Egyptian Journal of Hospital Medicine. – 2017. – Т. 68. – №. 3. – С. 1513-1519.

Babar-Craig H. British Rhinological Society audit of the role of antibiotics in complications of acute rhinosinusitis: a national prospective audit / H. Babar-Craig, Y. Gupta, V.J. Lund // Rhinology. – 2010. – Vol. 3, №48. – P. 344-347.

Barry A., Fahey T. Clinical Diagnosis of Acute Bacterial Rhinosinusitis //American Family Physician. – 2020. – Т. 101. – №. 12. – С. 758-759.

Chen Z. et al. Injectable and Self‐Healing Hydrogel with Anti‐Bacterial and Anti‐Inflammatory Properties for Acute Bacterial Rhinosinusitis with Micro Invasive Treatment //Advanced Healthcare Materials. – 2020. – Т. 9. – №. 20. – С. 2001032.

Cho S. H., Ledford D., Lockey R. F. Medical management strategies in acute and chronic rhinosinusitis //The Journal of Allergy and Clinical Immunology: In Practice. – 2020. – Т. 8. – №. 5. – С. 1559-1564.

Cottrell J. et al. Quality Indicators for the Diagnosis and Management of Acute Bacterial Rhinosinusitis //American journal of rhinology & allergy. – 2020. – Т. 34. – №. 4. – С. 519-531.

Dankbaar J. W., van Bemmel A. J. M., Pameijer F. A. Imaging findings of the orbital and intracranial complications of acute bacterial rhinosinusitis //Insights into imaging. – 2015. – Т. 6. – №. 5. – С. 509-518.

Dikhtyaruk O. Acute rhinosinusitis: european standart for examination and treatment //Украинский научно-медицинский молодежный журнал. – 2015. – №. 2. – С. 31-36.

Ebell M. H. et al. Accuracy of signs and symptoms for the diagnosis of acute rhinosinusitis and acute bacterial rhinosinusitis //The Annals of Family Medicine. – 2019. – Т. 17. – №. 2. – С. 164-172.

Fokkens W.J. European position paper on rhinosinusitis and nasal polyps 2012 / W.J. Fokkens, V.J. Lund, J. Mullol, C. Bachert et al. // Rhinology Suppl. – 2012. – №23. – P. 9-42.

Hamilos D. L. Pediatric chronic rhinosinusitis //American journal of rhinology & allergy. – 2015. – Т. 29. – №. 6. – С. 414-420.

Hopkins C. Medical Management For Rhinosinusitis //Scott-Brown’s Otorhinolaryngology Head and Neck Surgery. – CRC Press, 2018. – С. 1059-1069.

Imre A., Ozturkcan S., Kalogjera L. Acute Bacterial Rhinosinusitis: Pediatric and Adult //All Around the Nose. – Springer, Cham, 2020. – С. 203-211.

Ito C. J. et al. Microbiology of acute rhinosinusitis in immunosuppressed patients //Infectious Diseases in Clinical Practice. – 2017. – Т. 25. – №. 5. – С. 260-263.

Kalogjera L. EPOS 2020-New Classification and Rhinosinusitis Treatment Guidelines //Medica Jadertina. – 2020. – Т. 50. – №. Suplement. – С. 22-22.

Karpishchenko S. A., Fatalieva A. F. Modern concept of acute rhinosinusitis treatment //RMJ. Medical Review. – 2019. – Т. 9. – С. 93-96.

Lee H. Diagnosis and treatment of acute rhinosinusitis in children //J Korean Med Assoc. – 2018. – Т. 61. – №. 2. – С. 125-129.

Makarenko O., Solomko D., Solomko Y. Medico-social and gender and age-related features of acute sinusitis pharmacotherapy //Modern Science—Moderní věda. – 2018. – Т. 6. – С. 114-119.

Miah M. S. et al. Microbial causes of complicated acute bacterial rhinosinusitis and implications for empirical antimicrobial therapy //The Journal of Laryngology & Otology. – 2016. – Т. 130. – №. 2. – С. 169-175.

Mustafa M. et al. Acute and chronic rhinosinusitis, pathophysiology and treatment //Int J Pharm Sci Invent. – 2015. – Т. 4. – №. 2. – С. 30-36.

Orlandi R. R. et al. International consensus statement on allergy and rhinology: rhinosinusitis 2021 //International forum of allergy & rhinology. – 2021. – Т. 11. – №. 3. – С. 213-739.

Patel Z. M., Hwang P. H. Acute Bacterial Rhinosinusitis //Infections of the Ears, Nose, Throat, and Sinuses. – 2018. – С. 133-143.

Scaglione F., Petrini O. Mucoactive agents in the therapy of upper respiratory airways infections: fair to describe them just as mucoactive? //Clinical Medicine Insights: Ear, Nose and Throat. – 2019. – Т. 12. – С. 1179550618821930.

Seresirikachorn K. et al. EPOS2012 has better specificity compared to IDSA2012 for diagnosing acute bacterial rhinosinusitis //Rhinology. – 2018. – Т. 56. – №. 3. – С. 241-244.

Smith S. S. et al. The prevalence of bacterial infection in acute rhinosinusitis: a systematic review and meta‐analysis //The Laryngoscope. – 2015. – Т. 125. – №. 1. – С. 57-69.

Tan K. S. et al. Impact of respiratory virus infections in exacerbation of acute and chronic rhinosinusitis //Current allergy and asthma reports. – 2017. – Т. 17. – №. 4. – С. 24.

Published

2023-03-25

Issue

Section

Articles
Loading...