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1
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Antibiotic therapy for an ENT specialist

100%
Albrecht P.
Otolaryngologia Polska
|
2018
|
vol. 72(6)
1-9
EN
The study dedicated mainly to general practitioners of ENTs discusses the principles of antibiotic therapy of the most common diseases that this specialty deals with, namely acute tonsillitis and throat inflammation, acute otitis media (AOM), and acute sinusitis. The most common errors in the antibiotic therapy of these diseases are also presented. The basic antibiotic in streptococcal pharyngitis is and remains oral penicillin administered for 10 days. The basic antibiotic, if it is needed, in AOM and acute sinusitis is amoxicillin in high doses. The most common mistake in antibiotic therapy is to start it with macrolides, especially azithromycin, a “comfortable” antibiotic but with the greatest strength of stimulating drug resistance to all macrolides. Another condition that has been highlighted due to frequency and in this case completely unnecessary antibiotic therapy is subglottic laryngitis in which the basis of treatment are systemic steroids, inhalation adrenaline and possibly inhaled steroids. Practical advice on this type of symptomatic management has been presented.
2
Publication available in full text mode
Content available

Antibiotic therapy for an ENT specialist

100%
Albrecht P.
Polish Journal of Otolaryngology
|
2018
|
vol. 72
|
issue 6
1-9
EN
The study dedicated mainly to general practitioners of ENTs discusses the principles of antibiotic therapy of the most common diseases that this specialty deals with, namely acute tonsillitis and throat inflammation, acute otitis media (AOM), and acute sinusitis. The most common errors in the antibiotic therapy of these diseases are also presented. The basic antibiotic in streptococcal pharyngitis is and remains oral penicillin administered for 10 days. The basic antibiotic, if it is needed, in AOM and acute sinusitis is amoxicillin in high doses. The most common mistake in antibiotic therapy is to start it with macrolides, especially azithromycin, a “comfortable” antibiotic but with the greatest strength of stimulating drug resistance to all macrolides. Another condition that has been highlighted due to frequency and in this case completely unnecessary antibiotic therapy is subglottic laryngitis in which the basis of treatment are systemic steroids, inhalation adrenaline and possibly inhaled steroids. Practical advice on this type of symptomatic management has been presented.
3
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Otolaryngological symptoms in patients treated for tick-borne diseases

70%
Sowula K., Składzień J., Szaleniec J., Tomik J., Gawlik J.
Otolaryngologia Polska
|
2018
|
vol. 72(1)
30-34
EN
Introduction: In recent years tick-borne diseases have become a very serious problem. The most common of these infections are borreliosis (Lyme disease) and tick-borne encephalitis (TBE). Lately there is growing incidence of Bartonella, Babesia, Anaplasma and Brucella co-infections. The similarity between the symptoms of tick-borne diseases and other pathologies causes serious diagnostic issues. Material and methods: 216 patients aged 18–55, who presented to the outpatient clinic for tick-borne diseases in the years 2014–2016, were enrolled in the study. The patients had been diagnosed with Lyme disease and co-infections. The principal diagnostic tests to confirm the infections included ELISA, Western-Blot and circulating immune complexes (CIC).Results: In the group of 216 patients, 162 presented with otolaryngological symptoms. The most common complaint was tinnitus (76,5%) accompanied by vertigo and dizziness (53,7%), headache (39%), unilateral sensorineural hearing loss (16,7%). The patients also had tick-borne coinfections, among them the most common was Bartonella henselae (33,4%) and Bartonella quintana (13%).Conclusions: Otolaryngological symptoms are a  common manifestation of tick-borne diseases. They are most frequently observed in Lyme disease and Bartonella spp. infections. The symptoms in the head and neck region are usually occur in chronic Lyme disease with predominant IgG antibodies nad VlsE antigen.
4
Publication available in full text mode
Content available

Otolaryngological symptoms in patients treated for tick-borne diseases

70%
Sowula K., Składzień J., Szaleniec J., Tomik J., Gawlik J.
Polish Journal of Otolaryngology
|
2018
|
vol. 72
|
issue 1
30-34
EN
Introduction: In recent years tick-borne diseases have become a very serious problem. The most common of these infections are borreliosis (Lyme disease) and tick-borne encephalitis (TBE). Lately there is growing incidence of Bartonella, Babesia, Anaplasma and Brucella co-infections. The similarity between the symptoms of tick-borne diseases and other pathologies causes serious diagnostic issues. Material and methods: 216 patients aged 18–55, who presented to the outpatient clinic for tick-borne diseases in the years 2014–2016, were enrolled in the study. The patients had been diagnosed with Lyme disease and co-infections. The principal diagnostic tests to confirm the infections included ELISA, Western-Blot and circulating immune complexes (CIC).Results: In the group of 216 patients, 162 presented with otolaryngological symptoms. The most common complaint was tinnitus (76,5%) accompanied by vertigo and dizziness (53,7%), headache (39%), unilateral sensorineural hearing loss (16,7%). The patients also had tick-borne coinfections, among them the most common was Bartonella henselae (33,4%) and Bartonella quintana (13%).Conclusions: Otolaryngological symptoms are a  common manifestation of tick-borne diseases. They are most frequently observed in Lyme disease and Bartonella spp. infections. The symptoms in the head and neck region are usually occur in chronic Lyme disease with predominant IgG antibodies nad VlsE antigen.
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