Actual antibacterial therapy for inflammatory diseases of nose and paranasal sinuses

The article presents a literature review of the problem in paranasal sinuses inflammatory diseases. Various forms of sinusitis, their diagnostic criteria, management algorithm are considered in detail. Different forms of inflammatory diseases of paranasal sinuses have different etiology and pathophysiology, but the basics of drug therapy are almost identical. The appointment of systemic antibacterial therapy is always justified and is not in doubt due to rhinogenic and to odontogenic rhinosinusitis. Antimicrobials are sometimes not prescribed in posttraumatic changes in the paranasal sinuses. Trauma of the nasal mucosa leads to a rough sharp violation of the microbiota of the nasal cavity, thereby significantly increasing the risk of infection and the development of purulent complications. Appointment of adequate systemic antibiotic therapy has a positive effect on the outcome of the current inflammatory process. Timely prescribed antimicrobials in reasonable required dosages can prevent the risks of intracranial and orbital complications in acute and exacerbations of chronic sinusitis, nasal furuncle. In order to prevent the development of complications in the early postoperative period, patients are also prescribed antibiotics. Drugs of choice are penicillins or cephalosporins. In practice, the combination of amoxicillin with clavulanic acid proved to be good in the practice of ENT hospital.

острый синусит, хронический синусит, антибактериальная терапия, амоксициллин/клавулановая кислота