Topical therapy of acute tonsillopharyngitis

S.A. Karpischenko, O.M. Kolesnikova

Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg

Sore throat and acute tonsillopharyngitis account for more than 2% and 5% of the causes of all outpatient seeking for primary care in adults and children, respectively. Bacterial infection can occur primarily or secondarily, as a result of the pathogenic microflora overlay during viral infection or by increasing the opportunistic microflora growth, in the ENT organs. Topical therapy is one of the key stages in the treatment of acute tonsillopharyngitis. The clinical recommendations recommend topical therapy in the form of rinses, orodispersible tablets and sprays. Topical therapy can be combined, including a stage of gargarism, which allows to mechanically wash off pathogens, formed plaque with pathogen accumulation and food particles (infection source of the already inflamed pharyngeal mucosa. When choosing antimicrobials for topical therapy, preference should be given to those with a low-resistance potential, as well as with a favorable safety profile. The authors cite a clinical case of a female patient with acute tonsillopharyngitis. The prescription of a topical antimicrobial agent (nitrofural) allowed to quickly alleviate the disease symptoms and prevent the use of a systemic antibacterial drug.

Keywords: acute tonsillopharyngitis, tonsillitis, antibiotic resistance, antibiotic therapy, nitrofural, clinical recommendations.

For citation: Karpischenko S.A., Kolesnikova O.M. Topical therapy of acute tonsillopharyngitis. RMJ. 2022;2:50–54.