No2(1) 2018
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DOI 10.37219/2528-8253-2018-2-24 |
Al Hariri Mahmoud Jomaa, Semenenko SI, Semenenko AI, Zaikov
SV
Clinical and epidemicological characteristics of acute rinosinusite by
medical document recommended by multidisciplinary polyclinics |
Al Hariri Mahmoud Jomaa
National Pirogov Memorial Medical University
Department of Clinical Pharmacy and Clinical Pharmacology
Otolaryngologist, post-graduate student
E-mail: alhariri.mahmoud75@gmail.com
Semenenko SI
National Pirogov Memorial Medical University, Vinnytsya
Semenenko AI
National Pirogov Memorial Medical University, Vinnytsya
Zaikov Sergey Viktorovich
Shupik National Medical Academy of Postgraduate Education
Department of Phthisiology and Pulmonology, Professor
Doctor of Medical Sciences, Associate Professor
E-mail: zaikov1960@gmail.com |
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Abstract
Introduction. Despite the world practice, the problem of inflammatory
diseases of the paranasal sinuses is still relevant and has an important
social meaning. Despite the fact that rhinosinusitis is one of the most
common diseases, the reisvery little accurate data on its epidemiology.
Therefore, our goal was to conduct a clinical epidemiological analysis with
the establishment of the role of rhinosinusitis in the structure of requests
for medical care in multidisciplinary polyclinics.
Materials and methods. The data on the prevalence of various forms of
sinusitis in the structure of ambulatory-polyclinic patients in the period
2011-2015 have been studied. In patients with acute rhinosinusitis, the
following parameters were analyzed: gender and age of patients, duration,
clinical variant of the disease, duration of treatment.
Results. A clinical and statistical analysis of medical aid appeals
at the level of the multidisciplinary outpatient clinic of the Vinnytsia
City Clinical Hospital of ambulatory care and the Communal Medical Center
"City Medical and Diagnostic Center" of Vinnytsia during 2011-2015. A
statistical analysis based on the criterion approach included 896 patients
with rinosunsitis. The following parameters have been analyzed: gender and
age of patients, duration, clinical variant of the disease, duration of
treatment.
The conducted researches indicate that in the structure of appeals to the
otolaryngologist rhinosinusitis is dominated by acute rhinosinusitis, the
frequency of which remained relatively stable for five consecutive years:
133 cases - in 2011, 143 in 2012, 168 in 2013, 150 and 151 in 2014 and 2015,
respectively. Among ambulatory polyclinic patients with different clinical
variants of sinusitis prevailing persons of young working age. In general,
patients with acute bacterial rhinosinusitis in the age group up to 60 years
old make up 90.6%, which emphasizes the socioeconomic significance of this
pathology.
The frequency of treatment with rhinosinusitis is dominated by maxillary
sinus lesions. The median duration of treatment was greatest in the case of
hemi-sinusitis and polysynytes – 11.27±3.69 and 11.23±3.99 days,
respectively, and the lowest in patients with frontal lobe was 9.48±3,76
days (p=0.032). A reduction in the mean duration of treatment for patients
during the last three years of observation was observed (p<0.001).
Conclusions: The study of the main clinical and epidemiological
indicators of rhinosinusitis in the Ukrainian population can be the basis
for the in for medplanning of medical care and social activities for this
category of otolaryngological patients. |
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Keywords
paranasal sinuses, acute rhinosinusitis |
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Reference
- Kryvopalov AA [Definitions, Classifications, Etiology and
Epidemiologists of Rhinosinusitis (Review of Literature)]. Rossiĭskaia
rinologiia. 2016;(2):39-45. [Article in Russian].
- Lopatin AS, editors. [Acute rhinosinusitis: clinical
recommendations]. Moscow: Russian Society of Rhinologists; 2017. 36 p.
[Article in Russian].
- Piskunov GS, Piskunov SZ. [Clinical rinology]. Moscow: Miklos;
2002:225-233. [Article in Russian].
- Sakovich AR. [Sinusitis: Clinical and Epidemiological Analysis].
Voennaya meditsina: nauchnoprakticheskiy retsenziruemyiy zhurnal.
2009;(3):60-62. [Article in Russian].
- Benson V, Marano MA. Current estimates from
the National Health Interview Survey, 1995. Vital
Health Stat 10. 1998;199:1-428.
- Chen Y, Dales R, Lin M. The epidemiology of
chronic rhinosinusitis in Canadians. Laryngoscope.
2003;113(7):1199-1205.
- Hastan D, Fokkens WJ, Bachert C, Newson RB,
Bislimovska J, Bockelbrink A, et al. Chronic rhinosinusitis in Europe – an underestimated disease.
A GA²LEN study. Allergy. 2011 Sep;66(9):1216-23. doi: 10.1111/j.1398-9995.2011.02646.x. Epub
2011 May 24.
- Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, et al. EPOS 2012: European
position paper on rhinosinusitis and nasal polyps
2012. A summary for otorhinolaryngologists. Rhinology. 2012 Mar;50(1):1-12.
doi:
10.4193/Rhino50E2.
- Chow AW, Benninger MS, Brook I, Brozek JL,
Goldstein EJ, Hicks LA, et al. Infectious Diseases
Society of America. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children
and adults. Clin Infect Dis. 2012;54(8):e72-e112.
doi: 10.1093/cid/cir1043. Epub 2012 Mar 20.
- Lanza DС, Kennedy DW. Adult rhinosinusitis
defined. Otolaryngol Head Neck Surg. 1997
Sep;117(3 Pt 2):S1-7.
doi: 10.1016/S0194-59989770001-9.
- Hoffmans R, Schermer T, van Weel C, Fokkens
W. Management of rhinosinusitis in Dutch general
practice.Prim Care Respir J. 2011 Mar;20(1):64-70. doi: 10.4104/pcrj.2010.00064.
- Osguthorpe JD, Hadley JA. Rhinosinusitis. Current concepts in evaluation and management. Med
Clin North Am. 1999 Jan;83(1):27-41, vii-viii.
- Sande MA, Gwaltney JM. Acute communityacquired bacterial sinusitis: continuing challenges
and current management. Clin Infect Dis. 2004
Sep 1;39 Suppl 3:S151-8.
- Kaliner MA, Osguthorpe JD, Fireman P, Anon J,
Georgitis J, Davis ML, Naclerio R, Kennedy D.
Sinusitis: bench to bedside. Current findings, future directions. J Allergy Clin Immunol. 1997
Jun;99(6 Pt 3):829-48.
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