Acute tonsillitis on the pediatric district: etiologic diagnosis and treatment

Relevance. Acute tonsillitis is a common virus ailment among children. The activators of acute tonsillitis are usually viri, much less often bacteria. Among the latter the most important causative agent of acute tonsillitis is streptococcus progenes. Use of antibiotics in case of acute tonsillitis is determined by complexity of bacteriological confirmation (verification) of streptococcus progenes infection in the outpatient setting and fear of complications development. Usage of sensitive and high-avid bedside test allows to avoid shortcomings of cultural investigation connected with late respond (at 4th-5th day) and material transportation to bacteriological laboratory. Such bedside test allows to define streptococcus progenes causation (aetiology) in 5-10 minutes. Object: children acute tonsillitis diagnostic and treatment optimization. Patients and methods. In case of follow-up of one particular district covered by childhealth care in number of 935 children in age of from 0 months to 18 years 79 cases of acute tonsillitis were registered. Were educed such signs as posterior pharyngeal wall hyperemia, implication of palatine tonsils in inflammatory process. Apart from general methods rapid tests were provided. Results. The population occurrence of acute tonsillitis showed 84 cases among 1000 children, of tonsillitis caused by streptococcus progenes 7,3 cases among 1000 children. SG (specific gravity) of streptococcus progenes among other acute tonsillitis is 8,8%. Children with acute tonsillitis were referred for medication intake of amoxicillin (50 mg/kg during 10 days). Conclusion. Use of instant exclusion (diagnosis) of streptococcus progenes infection allows to reduce antibiotic treatment to 8,8% in case of children acute tonsillitis.