Comprehensive treatment of acute rhinosinusitis based on the data of a survey of otolaryngologists in the Russian Federation
Abstract. Treatment of patients with acute rhinosinusitis (ARS) involves direct action on the causative agent and elimination of the product of inflammation of the mucous membrane. It was previously found that antibiotic therapy in Russia is prescribed by 62% of doctors at the initial visit of patients with ARS, mostly often for a 7-day course (52.48% of cases). Considering that the treatment of ARS should be comprehensive, the purpose of the presented study was to analyze the prescription of different groups of drugs for symptomatic and pathogenetic treatment in adult patients with that kind of disease.Savlevich E.L., Stepanova A.V., Russkikh S.V., Kabanova T.G., Yastremskiy A.P.
Material and methods. According to the sociological online survey of 627 otolaryngologists via e-mail (using the author’s technology), the prescriptions of different groups of drugs in real clinical practice for ARS were studied.
Results and conclusion. Topical glucocorticosteroids are prescribed by 83.99% of otolaryngologists. Of these, mometasone furoate is prescribed by 67.68% of them, the rest – other drugs of this class that are not indicated in the instructions for ARS treatment. Mucolytics are recommended by 92% of doctors, more often at the first appointment (in 60.83% of cases), mainly for 7–10 days. The most popular drug of this group is Sinupret®, which specialists prescribe in 66.03% of cases. Irrigation of the nasal cavity with various solutions is recommended by 85.64% of otolaryngologists, 83.2% of doctors perform this manipulation by themselves during an appointment, in 80.65% of cases using a saline solution. The method of questioning doctors makes it possible to assess the real situation in the treatment of patients and develop measures to improve the efficacy of medical care.
Keywords
acute bacterial rhinosinusitis
macrolides
azithromycin
intranasal glucocorticosteroids
mucoregulators
antihistamines
irrigation of nasal mucosa
local antiseptics
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About the Authors
Elena L. Savlevich, MD, Dr. Sci. (Medicine), associate professor, otolaryngologist at M.F. Vladimirsky Moscow Regional Research Clinical Institute, otolaryngologist at the Clinical Hospital of the Russian Department for Presidential Affairs. Address: 107143, Moscow, quarter 40 Otkrytoe Highway.E-mail: savllena@gmail.com
ORCID: https://orcid.org/0000-0003-4031-308X. Scopus ID: 56769915400. eLibrary SPIN: 7000-3714
Anastasia V. Stepanova, MD, otolaryngologist at Polyclinic No. 3 of the Russian Department for Presidential Affairs. Address: 129090, Moscow, 31 Grokholsky Lane.
E-mail: dr.shurupina@yandex.ru
ORCID: https://orcid.org/0000-0002-0920-4267. eLibrary SPIN: 3959-3627
Sergey V. Russkikh, MD, PhD (Medicine), leading researcher at N.A. Semashko National Research Institute of Public Health, visiting lecturer of the Department of politics and management of the Faculty of social sciences, National Research University “Higher School of Economics”. Address: 101000, Moscow, 12/1 Vorontsovo Pole St.
E-mail: russkikh1@mail.ru
ORCID: https://orcid.org/0000-0002-3292-1424. Scopus ID: 56728747900. eLibrary SPIN: 4853-7625
Tatyana G. Kabanova, MD, PhD (Medicine), head of the multidisciplinary day-stay hospital of M.F. Vladimirsky Moscow Regional Research Clinical Institute. Address: 129110, Moscow, 61/2 Shchepkina St.
E-mail: kabanova75@yandex.ru
ORCID: https://orcid.org/ 0009-0000-0990-2535. eLibrary SPIN: 9358-1745
Andrey P. Yastremskiy, MD, Dr. Sci. (Medicine), professor, head of the Department of otolaryngology, Tyumen Medical University of the Ministry of Healthcare of Russia. Address: 625023, Tyumen, 54 Odesskaya St.
E-mail: yastrem-andrej97@yandex.ru
ORCID: https://orcid.org/0000-0002-7760-4860. Scopus ID: 56728747900. eLibrary SPIN: 8186-5360
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