Possibilities of effective topical therapy in treatment of acute otitis media in children: A review
- Authors: Garashchenko T.I.1,2, Ilenko L.I.1, Payganova N.E.3
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Affiliations:
- Pirogov Russian National Research Medical University
- National Medical Research Center for Otorhinolaryngology
- Dr. Zaitsev ENT Clinic
- Issue: No 2 (2022)
- Pages: 147-152
- Section: Articles
- URL: https://pediatria.orscience.ru/2658-6630/article/view/109547
- DOI: https://doi.org/10.26442/26586630.2022.2.201748
- ID: 109547
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Abstract
Acute otitis media (AOM) is a common infection of the middle ear in children with predominant symptoms of pain and hearing impairment. If antibiotics are prescribed, they take time to act on the inflammatory process, so the main focus is on relieving pain. Topical anesthetics have the advantage of having fewer systemic side effects when analgesic is used. The review covers a systematic analysis of the literature on the problem of AOM in children for the period from 1990 to 2021. Analgesic ear drops with lidocaine and phenazone can provide first-line pain relief for otitis media without systemic side effects such as gastrointestinal disorders and nausea and can maintain a wait-and-see attitude towards saving antibiotics. A combined drug containing a combination of the anesthetic lidocaine and the anti-inflammatory drug phenazone shows optimal action to eliminate pain and inflammation in children with AOM. The drug, which is recommended from the birth of a child and included in the National clinical guidelines for the treatment of AOM (2021), can be prescribed by a pediatrician and a general and family practitioner.
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About the authors
Tatiana I. Garashchenko
Pirogov Russian National Research Medical University; National Medical Research Center for Otorhinolaryngology
Email: payganova-natella@yandex.ru
ORCID iD: 0000-0002-5024-6135
D. Sci. (Med.), Prof., Pirogov Russian National Research Medical University, National Medical Research Center for Otorhinolaryngology
Russian Federation, Moscow; MoscowLidia I. Ilenko
Pirogov Russian National Research Medical University
Email: payganova-natella@yandex.ru
ORCID iD: 0000-0001-8375-4569
D. Sci. (Med.), Prof., Pirogov Russian National Research Medical University
Russian Federation, MoscowNatella E. Payganova
Dr. Zaitsev ENT Clinic
Author for correspondence.
Email: payganova-natella@yandex.ru
ORCID iD: 0000-0001-7823-5422
Cand. Sci. (Med.), Dr. Zaitsev Clinic
Russian Federation, MoscowReferences
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