Validity of topical analgesic therapy in the treatment of acute otitis media in children
DOI: 10.32364/2618-8430-2023-6-4-14
E.P. Karpova1, V.A. Belov1,2, A.I. Asmanov2
1Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation
2Veltishchev Institute, Moscow, Russian Federation
Acute otitis media (AOM) in children is one of the most common diseases. The provision of medical care in AOM is performed in accordance with the relevant clinical recommendations approved by the Ministry of Health of the Russian Federation. The article presents the risk factors concerning the AOM development in children, gives a brief description of the etiological factors and specifics about the pathogenetic mechanism. The clinical symptom patterns and diagnosis of AOM in infants are analyzed. In the treatment of AOM in children, antibiotics are prescribed more commonly than in other diseases. The article also considers the basic principles of prescribing systemic antibacterial drugs in AOM, as well as indications and benefits of using high doses of antibacterial drugs. In otalgia, the relief of ear pain is precisely the primary task. The positive role of topical otic anesthetics as first-line drugs is discussed, which helps to reduce the frequency of antibiotic use. Topical analgesic treatment in AOM is preferable because it avoids adverse events from systemic antibacterial drugs, and anesthesia may be faster, more intense and last longer versus oral analgesia. Special attention is paid to the description of the benefits, efficacy and safety of topical otic anesthetic drops with a combination of lidocaine + phenazone. The results of researches and clinical studies are presented, pathogenetically substantiating the expediency of using the lidocaine + phenazone combination in AOM and confirming its efficacy and safety.
Keywords: acute otitis media, conservative treatment, risk factors, clinical recommendations, phenazone, lidocaine, children.
For citation: Karpova E.P., Belov V.A., Asmanov A.I. Validity of topical analgesic therapy in the treatment of acute otitis media in children. Russian Journal of Woman and Child Health. 2023;6(4):411–416 (in Russ.). DOI: 10.32364/2618-8430-2023-6-4-14.
About the authors:
Elena P. Karpova — Dr. Sc. (Med.), Professor, Head of the Department of Pediatric Otorhinolaryngology named after Professor B.V. Shevrygin, Russian Medical Academy of Continuous Professional Education; 2/1, Barricadnaya str., Moscow, 125993, Russian Federation; ORCID iD 0000-0002-8292-9635.
Vladimir A. Belov — C. Sc. (Med.), Assistant Professor of the Department of Pediatric Otorhinolaryngology named after Professor B.V. Shevrygin, Education; 2/1, Barricadnaya str., Moscow, 125993, Russian Federation; Head of the Department of Otorhinolaryngology, Veltishchev Institute; 2, Taldomskaya str., Moscow, 125412, Russian Federation; ORCID iD 0000-0002-2955-2015.
Alan I. Asmanov — C. Sc. (Med.), Head of the Research Department of Acute and Chronic Pathology of the Ear, Throat and Nose, Veltishchev Institute; 2, Taldomskaya str., Moscow, 125412, Russian Federation; ORCID iD 0000-0002-3116-6447.
Contact information: Vladimir A. Belov, e-mail: belov_v_a@mail.ru.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 08.10.2023.
Revised 31.10.2023.
Accepted 24.11.2023.
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