EMPIRIC ANTIBIOTIC THERAPY OF ACUTE INFLAMMATORY PROCESSES OF THE FACE AND NECK IN CHILDREN AT THE OUTPATIENT STAGE, BASED ON THE RESULTS OF BACTERIOLOGICAL MONITORING OF THE DEPARTMENT OF MAXILLOFACIAL SURGERY.

Dmitriy Yu. Kharitonov, I. V. Korytina, Nonna A. Nazareva, Margarita A. Agapova
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Abstract

Based on the analysis of bacteriological cultures of the wound discharge according to archival data of the case histories of patients with acute inflammatory processes of the face and neck on the basis of the Department of Maxillofacial Surgery of the Voronezh Regional Children's Clinical Hospital No. 2, data were obtained on microbiological pathogens and their sensitivity to various antibacterial drugs. Monitoring was carried out and the pathogen was classified in the main inflammatory processes of the face and neck in children from 1 to 15 years old. Based on the results obtained, we have developed and proposed schemes for empirical antibiotic therapy for use by pediatric dentists and pediatricians on an outpatient basis. The most relevant for outpatient applications are oral antibiotics with high bioavailability and efficacy against etiological pathogens.
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根据颌面外科细菌学监测结果,在门诊阶段对儿童面部和颈部急性炎症过程进行经验性抗生素治疗。
沃罗涅日州第二儿童临床医院颌面外科根据脸部和颈部急性炎症患者病史档案资料对伤口分泌物进行细菌培养分析,在此基础上获得了微生物病原体及其对各种抗菌药物敏感性的数据。对 1 至 15 岁儿童面部和颈部的主要炎症过程进行了监测和病原体分类。根据所得结果,我们制定并提出了经验性抗生素治疗方案,供儿童牙医和儿科医生在门诊使用。最适合门诊应用的是生物利用度高、对病原体有效的口服抗生素。
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