Complex therapy of acute bacterial rinosinusis

Abstract

Federal State Funded Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University under the Ministry of Health of the Russian Federation (I.M. Sechenov First MSMU) Acute rhinosinusitis is a common disease with worldwide prevalence. It is a disease that leads to the temporary disability and associates with decrease of quality of life. Patients with acute rhinosinusitis seek a medical care not only at otorhinolaryngologist but also to general practitioner, physician and pediatrician of the outpatient departments. Acute bacterial rhinosinusitis (ABRS) usually comes from acute viral upper respiratory infections or acute viral rhinosinusitis. Distinguishing acute viral rhinosinusitis and acute bacterial rhinosinusitis is a frequent challenge to the primary care clinician because of the lack of reliable criteria. So, the diagnosis of acute bacterial rhinosinusitis is most appropriately made on the basis of the medical history, length of the disease and clinical features. The treatment of ABRS should be complex, because despite the infectious etiology of the disease the necessity of antibiotics is still the point at issue. The main required effects of treatment of the acute bacterial rhinosinusitis are anti-inflammatory, mucolytic and anciliary. Phytotherapy is recommended for ABRS treatment by European, American and Russian guidelines.