AETIOLOGY OF SHARP TONSILLITIS AT CHILDREN

OF DIFFERENT AGE AT THE PRESENT STAGE

Fedyuchenko A.G.

Children's infectious diseases hospital of the city of Astana, Kazakhstan

Relevance. The problem of sharp tonsillitis is one of the most actual in modern clinical medicine [1]. Now it is possible to say with confidence that this subject went beyond otorhinolaryngology and has paramount importance in clinic of children's infectious diseases [2].

Rational etiotrop therapy of sharp tonsillitis at children represents a great interest for experts in many areas of medicine since it is interfaced to a number of difficulties.

It is important to decide most correctly for the first time days of an illness on the most probable cause of tonsillitis.

Appointment unreasonable or the wrong choice of antibiotics involves development of regionary and/or system complications, development of chronic pathology [3].

The purpose of the real research was studying of etiologic and clinical features of sharp tonsillitis at children of different age.

Materials and methods. Under supervision there were 40 children aged from 5 months till 15 years, hospitalized city children's infectious diseases hospital with sharp tonsillitis within 1 quarter 2013.

Sick children are divided into 3 age groups:

The I group (0 - 2 years 11 months) - 26 people;

The II group (3 years - 6 years 11 months) - 10 people;

The III group (7 years - 15 years) - 4 people.

Research included: given the epidemiological anamnesis, the disease anamnesis, clinical manifestations of a disease in dynamics, studying haemogram, biochemical indicators of blood, bacteriological, virologic inspection.

Statistical processing of the obtained data was carried out by means of the STATISTICA 7.0 program.

Results. At children of the I group the virus etiology of a disease was registered in a third of cases.

From them at 62,5% of patients it specified, at other 37,5% - didn't receive confirmation.

The virus and bacterial etiology of tonsillitis is revealed at 17,8% of patients. From them at the majority (Stph. were 80,0 %) etiology of an illness. aureus, Str. pneumoniae, Klebsiella oxyloca.

The bacterial nature of tonsillitis is registered at a half of patients of this group. From them in 35,8% of cases the disease was caused by Acinetobacter luxoffi, Str. pneumoniae, Haemophilus influensae, Candida albica, at other 64,2% the bacterial nature didn't find specification.

The majority of children of this age group had a sharp disease with body temperature increase to 39,1± 1,6 .

Duration of a hyperthermia made 4,6±0,9 days.

Tonsillitis was shown by a giperemia and increase in almonds to 1 degree at children is more senior than 2 years.

42,8% of children had a complicated course of a disease.

In haemogram the tendency to leycocities (9,2±0,9 G/l), increase in speed of subsidence of erythrocytes to 22,2 ± 2,45 mm/h was observed.

In the analysis of data of a disease of children of the II age group the virus etiology of an illness was observed less often - at 11,1% surveyed.

The virus and bacterial and bacterial nature of tonsillitis came to light in equal quantities, at 39,2% and 35,4% respectively.

The associated infection – Stph. was more often specified. aureus, Haemophilus influensae, Klebsiella oxyloca.

The disease beginning as began sharply with expressed intoxication more often. Duration of a hyperthermia was 4,7 ± 1,1 days.

In clinic of tonsillitis the giperemia of almonds and their bigger increase to 1-2 degrees, in comparison with younger children took place.

Diseases proceeded smoothly at 2/3 hospitalized. Changes гемограммы were similar to that at children of the I group.

In the III age group the virus, virus and bacterial and bacterial nature of tonsillitis is established in an equal ratio. The disease was caused by Stph. aureus, Klebsiella pneumonia.

Clinical manifestations of an illness and change гемограммы were similar to those at children of 1 and 2 groups. Complications were registered at 44,5% of school students.

Conclusions. Thus, sharp tonsillitis proceeds is similar at children of different age. Complications arise at children of early age and in the pubertatn period more often. The most frequent etiology of tonsillitis are Stph. aureus.

Literature:

1 . Korovin N. A. Zaplatnikov A.P. It is frequent and long ill children: modern possibilities of immunorehabilitation. The management for doctors. – M - 2001; - 244 pages.

2 . Lourin M. I. Fever at children. / the Lane with English - M: Medicine. – 2008- 255 pages.

3 . Rational pharmacotherapy of children's diseases. The management under the editorship of V.A. Nasonova, E.L. Nasonova. – M - 2003 – 506 pages.