Email this article Questions of systemic and topical antibacterial therapy of acute rhinosinusitis in a child
- Authors: Karpova E.P.1, Tulupov D.A.1,2, Emel'yanova M.P.1,3, Naumov O.G.1,2
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Affiliations:
- Russian Medical Academy of Continuous Professional Education
- Filatov Children's City Clinical Hospital
- Family Clinic “Healthy Children”
- Issue: No 3 (2023)
- Pages: 127-134
- Section: Articles
- URL: https://pediatria.orscience.ru/2658-6630/article/view/602628
- DOI: https://doi.org/10.26442/26586630.2023.3.202361
- ID: 602628
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Abstract
Background. Acute otitis media is the most common complication of acute respiratory viral infection in children under 6 years of age. More than 90% of children suffer from acute otitis media in the first 5 years of life. Ear pain is one of the main symptoms of acute otitis media and determines the patient's well-being.
Aim. To evaluate the efficacy and tolerability of the use of ear drops based on the combination of phenazone and lidocaine in the local therapy of acute otitis media in the preperforative stage in children.
Materials and methods. A retrospective analysis of the outpatient records of 50 patients with complaints of symptoms of acute otitis media was performed.
Results. Based on the analysis of medical records, it was found that the use of ear drops based on a combination of phenazone and lidocaine can significantly reduce the severity of ear pain in acute otitis media within 3 minutes. The use of ear drops based on the combination of phenazone and lidocaine for a course of 7 days allows most patients to abandon the use of systemic forms of analgesics. No patient has been reported to have developed adverse events associated with the use of phenazone-lidocaine combination ear drops.
Conclusion. The use of ear drops based on a fixed combination of lidocaine + phenazone is not only a highly effective and safe drug for the treatment of acute otitis media in the preperforative stage in children, but also a fast symptomatic therapy, which physicians after otoscopy can use as the method of choice to reduce patients' ear pain already during the initial examination.
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About the authors
Elena P. Karpova
Russian Medical Academy of Continuous Professional Education
Email: edoctor@mail.ru
ORCID iD: 0000-0002-8292-9635
D. Sci. (Med.), Prof., Russian Medical Academy of Continuous Professional Education
Russian Federation, MoscowDenis A. Tulupov
Russian Medical Academy of Continuous Professional Education; Filatov Children's City Clinical Hospital
Author for correspondence.
Email: tulupov-rmapo@yandex.ru
ORCID iD: 0000-0001-6096-2082
Cand. Sci. (Med.), Assoc. Prof., Russian Medical Academy of Continuous Professional Education, Filatov Children's City Clinical Hospital
Russian Federation, Moscow; MoscowMaria P. Emel'yanova
Russian Medical Academy of Continuous Professional Education; Family Clinic “Healthy Children”
Email: tulupov-rmapo@yandex.ru
Senior Assistant, Russian Medical Academy of Continuous Professional Education, Family Clinic “Healthy Children”
Russian Federation, Moscow; LytkarinoOleg G. Naumov
Russian Medical Academy of Continuous Professional Education; Filatov Children's City Clinical Hospital
Email: olegnaumov.68@mail.ru
ORCID iD: 0000-0002-8243-8385
Cand. Sci. (Med.), Russian Medical Academy of Continuous Professional Education, Filatov Children's City Clinical Hospital
Russian Federation, Moscow; MoscowReferences
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