respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da respiraciuli sistemis daavadebebi pirveladi jandacvis rgolis da
garda amisa, naCvenebia, rom im bavSvebSi, romlebSic antibiotikebi ar iyo dasawyisidanve gamoyenebuli, Zalian iSviaTia mastoiditis an sxva garTulebebis ganviTarebis riski. antibiotikebi gamoyenebuli unda iqnes rutinulad 2 wlamde asakis bavSvebSi an orxrivi otitis dros. mwvave otitis dros antibiotiki ar unda iyos daavadebis dasawyisSive rutinulad gamoyenebuli. antibiotikebi gamoyenebuli unda iqnes 2 wlamde asakis bavSvebSi an orxrivi otitis dros. a n t i b i o t i k e b i s m o g v i a n e b i T i g a m o y e n e b a . antibiotikebis mogvianebiT daniSvnasTan dakavSirebul kvlevaSi gamoyenebuli iyo ori strategia: dauyovneblivi antibiotikoTerapia da mogvianebiTi antibiotikoTerapia (mdgomareobis ucvlelobis gamo antibiotiki daniSnuli iqna 72 saaTis Semdeg). dadginda, rom: (a) dauyovneblivi antibiotikoTerapia simptomur efeqturobas iZleva pirveli 24 saaTis Semdeg, maSin, rodesac simptomebi ukve Semcirebulia. (b) dauyovneblivi antibiotikoTerapia 10%-iT zrdis diareis sixSires; (g) mogvianebiTi antibiotikoTerapiis jgufSi antibiotikebi gamoyenebul iqna mxolod 24%-Si; (d) mogvianebiTi antibiotikoTerapia amcirebs antibiotikebis gamoyenebis sixSires 76%-iT (sarwmunoebis done I). adeqvaturi analgezia da “davelodoT da davakvirdeT’ midgoma ufro gonivrulia, dauyovnebliv antibiotikoTerapiasTan SedarebiT. mwvave otitis dros mogvianebiTi antibiotikoTerapia (mdgomareobis ucvlelobis gamo antibiotikis daniSvna 72 saaTis Semdeg) SeiZleba gamoyenebuli iqnes pirveladi jandacvis praqtikaSi. a n t i b i o t i k e b i s a r C e v a n i d a x a n g r Z l i v o b a . mravali kvleviT dadgenilia mwvave otitis gamomwvevi ori uxSiresi baqteriuli gamomwvevi: Streptococcus pneumoniae da Haemophi;us influanzae. SedarebiT iSviaTia Moraxela catarrhalis. aqedan gamondinare, arCevis preparats warmoadgens amoqsicilini (60-90 mg/kg/dReSi or miRebaze). bavSvebSi SeiZleba doza SerCeuli iqnes asakis da riskis gaTvaliswinebiT. Tu bavSvis asaki 2 welze metia, is ar izrdeba organizebul koleqtivebSi da bolo 3 Tvis ganmavlobaSi antibiotiki gamoyenebuli ar yofila, rekomendebuli dozaa 40 mg/kg/dReSi. sxva SemTxvevebSi amoqsicilinis rekomendebuli dozaa 80 mg/kg/dReSi (rekomendacia A). Tu 72 saaTis Semdeg mkurnaloba uefeqtoa, an Tu pirveli rigis preparatze aRiniSna alergiuli reaqcia, rekomendebulia 28
amoqsicilini/klavulinis mJavis an peroraluri cefalosporinebis gamoyeneba (rekomendacia C). Tu simptomebi grZeldeba amoqsicilini/klavulinatis miRebis Semdegac, an Tu medikamentis peroraluri miReba SeuZlebelia, mizanSewonilia ceftriaqsonis intramuskularuli ineqciebi 1-3 dRis ganmavlobaSi (rekomendacia C). amoqsiciliniT Terapiis uefeqtobis SemTxvevaSi ar aris rekomendebuli makrolidebis gamoyeneba (rekomendacia A). mkurnalobis optimaluri xangrZlivoba gansxvavebulia sxvadasxva qveyanaSi, ase magaliTad, did britaneTSi upiratesobas aniWeben 5 dRian kurss, holandiaSi 7 dRians, xolo CrdiloeT amerikaSi 10 dRian kurss. Cochrane-is mimoxilvis mixedviT gaurTulebeli mwvave otitis dros mkurnalobis 5 dRiani kursi efeqturia. Cvili asakis bavSvebSi mkurnalobis optimaluri xangrZlivoba dadgenili ar aris (sarwmunoebis done I). garTulebuli mwvave otitis dros da riskis jgufis bavSvebSi mizanSewonilia 10 dRiani antibiotikoTerapia (rekomendacia A). gaurTulebeli mwvave otitis dros rekomendebulia 5 dRiani antibiotikoTerapia. garTulebeli mwvave otitis dros da riskis jgufis bavSvebSi rekomendebulia 10 dRiani antibiotikoTerapia. d e k o n g e s t a n t e b i , a n t i h i s t a m i n u r i p r e p a r a t e b i d a m u k o l i t i k e b i . Cochrane-is mimoxilva dekongestantebTan da antihistaminebTan dakavSirebiT 13 kvlevis analizis safuZvelze askvnis, rom maT gamoyenebas ar moaqvs damatebiTi sargebloba mkurnalobis xangrZlivobis, simptomebis Semcirebis, qirurgiuli Carevis an sxva garTulebebis Tavidan acilebis TvalsazrisiT. mxolod maTi kombinirebuli gamoyenebis SemTxvevaSi nanaxi iqna persistirebuli otitis sixSiris Semcireba. amave dros, dafiqsirda maTi gverdiTi movlenebis gamovlenis riskis mateba. amitom uefeqtobis da gverdiTi movlenebis arsebobis gamo antihistaminuri preparatebis, dekongestantebis an maTi kombinirebuli gamoyenebis, aseve mukolitikebis gamoyeneba mwvave otitebis dros rekomendebuli ar aris. mwvave otitis dros antihistaminuri preparatebis da dekongestantebis gamoyeneba rekomendebuli ar aris. morecidive mwvave otiti. mwvave otitis mkurnalobis taqtikis gansazRvisas gaTvaliswinebuli unda iqnes morecidive mwvave otitis diagnozis SesaZlebloba. aseT 29
- Page 1 and 2: sa qa rT ve lo s res pir ac iu li a
- Page 3 and 4: Cvenebebi, romelic saSualebas misce
- Page 5 and 6: Zvlis fragmentiT), alergia an postn
- Page 7 and 8: nuSura jirkvlebis nacxSi streptokok
- Page 9 and 10: preparatad rezistentul floraze misi
- Page 11 and 12: ealurad mwvave tonziliti. amitom, r
- Page 13 and 14: stagnacias, pH-is da Jangbadis konc
- Page 15 and 16: obstruqciis, lorwos gasufTavebis me
- Page 17 and 18: (mtkicebulebis done A). sinusitis d
- Page 19 and 20: aseT dros antibiotiki iniSneba, Tu
- Page 21 and 22: gamoyenebis sasargeblod mxolod mcir
- Page 23 and 24: pediatri; zogadi praqtikis eqimi; g
- Page 25 and 26: klinikuri suraTi Sua yuris anTebis
- Page 27: damadasturebeli kontrolirebadi kvle
- Page 31 and 32: literatura 1. Diagnosis and managem
- Page 33 and 34: 29. Heikkinen T, Chonmaitree T: Inc
- Page 35 and 36: aseve SesaZlebelia: • cxeleba;
- Page 37 and 38: Tu pacients mkurnaloben antibiotike
- Page 39 and 40: unda miewodoT informacia mosalodnel
- Page 41: • ko-amoqsiklavi; • cefuroqsimi
gar<strong>da</strong> amisa, naCvenebia, rom im bavSvebSi, romlebSic antibiotikebi ar<br />
iyo <strong>da</strong>sawyisi<strong>da</strong>nve gamoyenebuli, Zalian iSviaTia mastoiditis an sxva<br />
garTulebebis ganviTarebis riski.<br />
antibiotikebi gamoyenebuli un<strong>da</strong> iqnes rutinulad 2 wlamde asakis<br />
bavSvebSi an orxrivi otitis dros.<br />
mwvave otitis dros antibiotiki ar un<strong>da</strong> iyos <strong>da</strong>avadebis<br />
<strong>da</strong>sawyisSive rutinulad gamoyenebuli.<br />
antibiotikebi gamoyenebuli un<strong>da</strong> iqnes 2 wlamde asakis bavSvebSi an<br />
orxrivi otitis dros.<br />
a n t i b i o t i k e b i s m o g v i a n e b i T i g a m o y e n e b a .<br />
antibiotikebis mogvianebiT <strong>da</strong>niSvnasTan <strong>da</strong>kavSirebul kvlevaSi<br />
gamoyenebuli iyo ori strategia: <strong>da</strong>uyovneblivi antibiotikoTerapia <strong>da</strong><br />
mogvianebiTi antibiotikoTerapia (mdgomareobis ucvlelobis gamo<br />
antibiotiki <strong>da</strong>niSnuli iqna 72 saaTis Semdeg). <strong>da</strong>dgin<strong>da</strong>, rom: (a)<br />
<strong>da</strong>uyovneblivi antibiotikoTerapia simptomur efeqturobas iZleva pirveli<br />
24 saaTis Semdeg, maSin, rodesac simptomebi ukve Semcirebulia. (b)<br />
<strong>da</strong>uyovneblivi antibiotikoTerapia 10%-iT zrdis diareis sixSires; (g)<br />
mogvianebiTi antibiotikoTerapiis jgufSi antibiotikebi gamoyenebul iqna<br />
mxolod 24%-Si; (d) mogvianebiTi antibiotikoTerapia amcirebs<br />
antibiotikebis gamoyenebis sixSires 76%-iT (sarwmunoebis done I).<br />
adeqvaturi analgezia <strong>da</strong> “<strong>da</strong>velodoT <strong>da</strong> <strong>da</strong>vakvirdeT’ midgoma ufro<br />
gonivrulia, <strong>da</strong>uyovnebliv antibiotikoTerapiasTan Se<strong>da</strong>rebiT.<br />
mwvave otitis dros mogvianebiTi antibiotikoTerapia<br />
(mdgomareobis ucvlelobis gamo antibiotikis <strong>da</strong>niSvna 72 saaTis<br />
Semdeg) SeiZleba gamoyenebuli iqnes <strong>pirveladi</strong> <strong>jan<strong>da</strong>cvis</strong><br />
praqtikaSi.<br />
a n t i b i o t i k e b i s a r C e v a n i d a x a n g r Z l i v o b a .<br />
mravali kvleviT <strong>da</strong>dgenilia mwvave otitis gamomwvevi ori uxSiresi<br />
baqteriuli gamomwvevi: Streptococcus pneumoniae <strong>da</strong> Haemophi;us influanzae.<br />
Se<strong>da</strong>rebiT iSviaTia Moraxela catarrhalis. aqe<strong>da</strong>n gamondinare, arCevis preparats<br />
warmoadgens amoqsicilini (60-90 mg/kg/dReSi or miRebaze). bavSvebSi<br />
SeiZleba doza SerCeuli iqnes asakis <strong>da</strong> riskis gaTvaliswinebiT. Tu<br />
bavSvis asaki 2 welze metia, is ar izrdeba organizebul koleqtivebSi <strong>da</strong><br />
bolo 3 Tvis ganmavlobaSi antibiotiki gamoyenebuli ar yofila,<br />
rekomendebuli dozaa 40 mg/kg/dReSi. sxva SemTxvevebSi amoqsicilinis<br />
rekomendebuli dozaa 80 mg/kg/dReSi (rekomen<strong>da</strong>cia A).<br />
Tu 72 saaTis Semdeg mkurnaloba uefeqtoa, an Tu pirveli rigis<br />
preparatze aRiniSna alergiuli reaqcia, rekomendebulia<br />
28
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