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[ENT problems in children with chronic nonspecific pulmonary diseases]
Insights
Combined treatment for children with chronic nonspecific pulmonary disease (CNSPD) and ENT issues proved more effective. This approach reduced exacerbations by addressing identical microflora in both upper and lower airways.
Area of Science:
- Pediatric Pulmonology
- Otorhinolaryngology
- Infectious Disease
Background:
- Chronic nonspecific pulmonary disease (CNSPD) in children often coexists with Ear, Nose, and Throat (ENT) conditions.
- Identifying common microbial causes in both respiratory and ENT infections is crucial for effective treatment.
Purpose of the Study:
- To evaluate the efficacy of combined bronchological and otorhinolaryngological treatment in pediatric CNSPD patients with ENT comorbidities.
- To investigate the microbiological similarities between chronic infection foci in the upper and lower airways.
Main Methods:
- Conducted combined bronchological and otorhinolaryngological examinations on 67 children with CNSPD and ENT issues.
- Performed bacteriological tests to analyze microflora in both respiratory and ENT infection sites.
- Compared treatment outcomes of combined therapy versus isolated pulmonological or otolaryngological approaches.
Main Results:
- Bacteriological analysis revealed near-identical microflora in chronic infection foci of the upper and lower airways.
- Coccal flora, particularly pneumococcal and Streptococcus viridans, predominated in these infections.
- Combined treatment led to significant improvements in both ENT and lower respiratory tract conditions.
Conclusions:
- Combined bronchological and otorhinolaryngological therapy is more effective for pediatric CNSPD with ENT involvement than single-modality treatments.
- Addressing the shared microbial etiology in both airway systems improves treatment outcomes and reduces exacerbation frequency and duration.
Abstract:
Combined bronchological and otorhinolaryngological examinations with bacteriological tests were performed in 67 children with chronic nonspecific pulmonary disease (CNSPD) associated with ENT trouble. These patients comprised 69.6% of overall number of children with CNSPD treated by the authors. Bacteriological tests have shown almost absolute identity of microflora from chronic infection foci in the upper and lower airways. Coccal flora predominated, especially pmeumococcal and Streptococcus viridans. The response to treatment was observed both from the lower respiratory tracts and the ENT system. Both ENT and respiratory system benefited from the combined treatment which reduced frequency and duration of the exacerbations. Thus, combined therapy has proved more effective than pulmonological or otorhynolaryngological alone.