Modern solution in the treatment of acute tonsillopharyngitis

Modern solution in the treatment of acute tonsillopharyngitis

S.A. Karpischenko, O.M. Kolesnikova 

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

Clinical recommendations for doctors concerning the treatment of acute tonsillopharyngitis (ATP) are focused on the detection of group A β-hemolytic streptococcus (GABHS) and the restriction of systemic antibacterial therapy without indications. The article presents a number of clinical cases of ATP with an atypical clinical picture, in which only the implementation of extra examination methods led to the correct diagnosis, treatment tactics and rapid recovery of patients with the prevention of complications. In the first clinical case, despite the negative rapid test for GABHS and the compliance of the clinical picture with only 3 points according to the McIsaac score, only systemic antibacterial therapy led to a rapid recovery of the patient. In the second case, there was a subclinical picture of streptococcal ATP. The lack of pathogen verification led to the development of late post-streptococcal complications. A clinical case of viral ATP with vivid clinical symptoms was also presented, in which systemic antibacterial therapy was required according to clinical recommend ations. Thus, it is very difficult to standardize treatment methods of ATP. Future developments of multi-pathogen rapid tests are needed, which can provide improved diagnostics and benefit from antibacterial therapy. Moreover, there is a need in further research and clarification elaboration of existing recommendations regarding antimicrobial therapy of ATP of various etiologies.

Keywords: acute tonsillopharyngitis, topical therapy, clinical recommendations, group A beta-hemolytic streptococcus, benzyldimethyl-myristoylamino-propylammonium, aerosol.

For citation: Karpischenko S.A., Kolesnikova O.M. Modern solution in the treatment of acute tonsillopharyngitis. RMJ. 2023;1:46–50.