Analysis of current diagnostic and treatment approaches for acute rhinosinusitis according polyclinics data of the outpatient service of Administrative Directorate of the President of the Russian Federation

Savlevich E.L.; Kozlov V.S.; Farikov S.E.

doi:https://doi.org/10.17116/otorino20208504151

Savlevich E.L.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Kozlov V.S.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Farikov S.E.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Analysis of current diagnostic and treatment approaches for acute rhinosinusitis according polyclinics data of the outpatient service of Administrative Directorate of the President of the Russian Federation

Authors:

Savlevich E.L., Kozlov V.S., Farikov S.E.

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Journal: Russian Bulletin of Otorhinolaryngology. 2020;85(4): 51‑57

DOI: 10.17116/otorino20208504151

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To cite this article:

Savlevich EL, Kozlov VS, Farikov SE. Analysis of current diagnostic and treatment approaches for acute rhinosinusitis according polyclinics data of the outpatient service of Administrative Directorate of the President of the Russian Federation. Russian Bulletin of Otorhinolaryngology. 2020;85(4):51‑57. (In Russ.)
https://doi.org/10.17116/otorino20208504151

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the treatment regimens of adult patients with acute rhinosinusitis in the system of the outpatient service of Administrative Directorate of the President of the Russian Federation in Moscow and compare these schemes with guidelines.

MATERIAL AND METHODS

A retrospective analysis of 2267 outpatient disease histories of patients who were on outpatient treatment with a diagnosis of acute rhinosinusitis treated by otorhinolaryngologists from 7 ambulance clinics for the period from January 2016 to May 2018 was performed. Diagnostic methods and treatment regimens of these patients were evaluated.

RESULTS

At the diagnostic stage, X-ray methods were recommended in 87% of cases, and ultrasound examination of the paranasal sinuses was performed in 4% of cases. Elimination and irrigation therapy was prescribed in 88.05% of cases (1996 people), maxillary sinus punctures were performed in 9.82% of cases, the average number of procedures was 2±1.3, treatment by displacement was performed in 31.8% of patients, the average number of procedures was 3±1.2. Antibiotic therapy was recommended in 77.4% of cases (1755 people), penicillin group drugs were prescribed in 41.5% of cases, macrolides in 30.5% of cases, cephalosporins in 20.7% of cases, and fluoroquinolones in 7.3% of cases. Intranasal glucocorticosteroids were submitted by 67.7% of patients (1535 people), mucolytics and mucoregulatory drugs — 41% of patients, decongestants for acute rhinosinusitis were recommended in 60.9% of cases, antihistamines — in 36.8% of cases. An average course of antibacterial therapy was 5.9±1.34 days, the recovery of the patients was observed on the background of complex treatment.

CONCLUSIONS

In general, in the system of the outpatient service of Administrative Directorate of the President of the Russian Federation, diagnostic and therapeutic measures are carried out in accordance with current clinical recommendations. There is a fairly high percentage of prescribing macrolides (30.5%) and fluoroquinolones (7.3%) in starting therapy, which is a violation of the principles of starting antibacterial therapy.

Keywords:

acute rhinosinusitis

outpatient treatment

antibiotics

intranasal corticosteroids

cephalosporin

cefditoren

Authors:

Savlevich E.L.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Kozlov V.S.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Farikov S.E.

Central State Medical Academy of Administrative Directorate of the President of the Russian Federation

Received:

30.04.2020

Accepted:

20.07.2020

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References:

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