The modern possibilities of diagnostics and treatment of recurrent otitis media in children

Abstract

The incidence of recurrent acute otitis media (RAOM) is between 5-30% of the population and has no tendency to decrease. The purpose of this study was to improve the efficiency of diagnosis and treatment of RAOM in children. In carrying out this work were as follows: to establish the incidence of herpes simplex virus, Epstein-Barr virus, cytomegalovirus in children with recurrent otitis media, define the clinical features of RAOM in children with identified markers of active herpes infection and develop an algorithm for the diagnosis and treatment children with recurrent otitis media and markers of active herpes infection. According to the survey markers of herpes infections in children with RAOM identified in 63,8% of cases, mainly active EBV infection is diagnosed – 46,7%. The clinical picture of RAOM in children with markers of active herpes infection characterized by a prolonged course of the disease for more than 7 days – 96,7% (p < 0,05), intoxication more than 3 days – 93,3% (p < 0,05) , obstruction of nasal breathing – in 80,0% (p < 0,05), regional lymphadenitis – in 76.7% of cases (p <0,05), the reaction temperature 38–39 ° C – in 63,3% of cases (p < 0,05). We have developed an algorithm of diagnosis and treatment of children with recurrent otitis media with identified markers of active herpes infection allows to conduct the anti-viral therapy and prevent complications.