The bacteriological research in case of acute respiratory infections: actual, informative and effective
The most common nosology in the routine work of family doctors is acute respiratory infections. The etiological composition of the acute respiratory viral infections is changing from year to year, which causes difficulties with the use of treatments. Purpose - improvement of tactics of a family doctor for antibiotic therapy of acute respiratory infections. Clinical manifestations of all etiological forms of ARI are similar, which complicates their differentiation. One of the leading - respiratory syndrome, is determined by the local defeat of certain parts of the respiratory tract. The pathogens of these diseases are mainly viruses, but the role of bacteria is also indisputable. According to the results of bacteriological studies with ARI, pathogens often include opportunistic bacteria of the staphylococcus group, streptococci, other aerobic and anaerobic cocci, representatives of the intestinal group and Candida, which can cause antibiotic-resistant forms. The family doctor should establish the diagnosis of respiratory infections, solve the problem of symptomatic therapy and agree on a strategy for the appointment of antibiotics. Most acute respiratory infections even in the absence of antibiotic therapy are recovering. Therefore, the tactics for the appointment of antibiotics should be determined depending on the severity of the disease, the belonging of the patient to certain risk groups. It would be advisable to include the collection of information on previous bacteriological studies and the preliminary history of the use of antibacterial agents, which would allow a family doctor to be better targeted when prescribing antibiotic therapy. The algorithm of the physician's action in the case of acute respiratory infections should be expanded at the point of coordination of the strategy of antibiotic therapy, adding to it the purpose of bacteriological examination in each case of diagnosis of ARI.
2. Volianska, L. A, Romaniuk, L. B. & Kalatai, N. R. (2009). Stan biotopu rotohlotky u ditei, shcho chasto i tryvalo khvoriiut ta antybiotykochutlyvist vyiavlenykh mikroorhanizmiv [State of biotope of oral pharynx in children suffering fromrespiratory di seases and sensi tivi ty to antibioti cs of the reveal ed microorgani sms]. Medychni perspektyvy - Medi cal perspective, 1, 182-185.
3. Volianska, L. A., Romaniuk, L. B. & Shcherbatiuk. N. Iu. (2011). Novi mozhlyvosti polipshennia likuvannia respiratornykh zak hvoriuvan u ditei, yaki chasto i tryvalo khvorii ut [Possibilities for improving of treatment of respiratory diseases in children, who are frequently ill]. Aktualni pytannia pediatrii, akusherstva ta hinekolohii - Actual questions of pediatrics, obstetrics and gynecology, 2, 97-99.
4. Haryfulina, M. A., Voronkova, O. S., Shevchenko, T. M. & Vinnikov, A. I. (2014). Kharakterystyka stafilokokiv ta yikh rol u patolohii ditei [Characterization of staphylococci and their role in pathology of children]. Visnyk Dnipropetrovskoho universytetu. Seriia: Biolohiia. Medytsyna - Bull etin of Dni propetrovsk Universi ty. Seri es: Biol ogy. Medicine, 5(2),115-120.
5. Gendon, Yu. Z. (2011). Etiol ogiya ostryh respiratornyh zabolevanij . [Etiol ogy of acute respiratory diseases]. Vakcinaciya - Vaccination, 5 (17), 4-5.
6. Kazyukova, O. M., Pankratov, I. V. & Samsygina, G. A. (2010). Vozmozhnosti semejnoj profi laktiki grippa i ostryh respiratornyh vi rusnyh i nfekcij. [Possibi lities of family prevention of influenza and acute respiratory viral infections]. Pediatriya - Pediatrics, 89 (6), 117-122.
7. Kopcha, V. S., Andreichyn, M. A. & Davydovych O. V. (2011). Suchasni antybi otyk y ta pryntsypy ratsi onal noi antybiotykoterapii (Ch. I) [Modern antibiotics and principles of rational antibioticоtherapy (Part I)]. Infektsiini khvoroby - Infectious diseases, 4(66), 55-71.
8. Tkachenko, V. I., Kukharchuk, Kh. M. & Babichenko, K. V. (2015). Likuvannia hostrykh respiratornykh infektsi i u praktytsi simeinoho likaria [Treatment of acute respiratory infections in the practice of the family doctor]. Semeinaia medytsyna - Family Medicine, 3 (59), 98-102.
This work is licensed under a Creative Commons Attribution 4.0 International License.