New effects of a topical antimicrobial (agent) in the treatment of acute tonsillopharyngitis

Sore throat is the leading symptom of acute tonsillopharyngitis associated with previous acute respiratory viral infections, including COVID-19. The pathogenesis of these nosologies is based on the cumulative result of the primary direct damaging effect of viruses and secondary alternative inflammatory changes in the mucosal epithelium in the focus of infection, which, against the background of changes in the functions of the regional microbiota, leads to the development of viral-bacterial inflammation that goes beyond the protective-reparative level. In the treatment of acute tonsillopharyngitis after exclusion of GABHS etiology, topical etiotropic drugs are often used. It is desirable to achieve a uniform distribution of active ingredients, and to maximize the use of additional pharmacological capabilities (irrigation-eliminative action, reparative effect). To build up the evidence base for the effectiveness of just such medicines on the basis of the Department of Otorhinolaryngology of the Moscow State Medical University named after. A.I. Evdokimov, an observational prospective comparative study was conducted, using, in addition to the clinical assessment method, cytomorphological approaches (cytomorphometry). The results of the study demonstrated that gargling with a solution of hydroxymethylquinoxylindioxide (Dioxydin 0.25 mg/ml solution for topical application) in adult patients with acute tonsillopharyngitis provides rapid relief of pain, a decrease in the severity of inflammation symptoms, and also makes it possible to achieve limitation of the degree of destruction of the epithelium in the height of inflammation and a more complete and rapid recovery of the damaged mucous membrane by the time of recovery.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:88

Enthalten in:

Vestnik otorinolaringologii - 88(2023), 4 vom: 04., Seite 93-102

Sprache:

Russisch

Weiterer Titel:

Novye effekty topicheskogo antimikrobnogo preparata v lechenii ostrogo tonzillofaringita

Beteiligte Personen:

Ovchinnikov, A Yu [VerfasserIn]
Miroshnichenko, N A [VerfasserIn]
Nikolaeva, Yu O [VerfasserIn]

Links:

Volltext

Themen:

Acute respiratory viral infections
Acute tonsillopharyngitis
Anti-Bacterial Agents
Anti-Infective Agents
Antiseptics
Benzyldimethyl-myristoylamino-propylammonium
COVID-19
Comparative Study
Cytomorphology
Dioxidine
English Abstract
Gargling
Journal Article
Observational Study
Topical antimicrobials

Anmerkungen:

Date Completed 23.10.2023

Date Revised 23.10.2023

published: Print

Citation Status MEDLINE

doi:

10.17116/otorino20238804193

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362638624