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Diagnosis and treatment of angina
Medical expert of the article
Last reviewed: 23.04.2024
Diagnosis of angina
Streptococcal angina is diagnosed on the basis of clinical data (severe intoxication, bright hyperemia of the mucous membrane of the oropharynx, necrotic changes on the tonsils), epidemiological history (contact with a patient with streptococcal infection), and positive laboratory test results. In the mucus from the oropharynx, beta-hemolytic streptococcus is detected, the titres of antibodies to streptococcus antigens (anti-streptolysins, anti-hyaluronidase, etc.) increase.
Treatment of sore throats
Treatment of streptococcal angina usually occurs at home. Only children with severe forms of illness or complications are liable to hospitalization, and also children who have difficulty in excluding diphtheria of the oropharynx. Patients are placed in the box. Recommended bed rest for 5-6 days, mechanically sparing food, multivitamins.
For rinsing the oropharynx, a bactericide Tomicide, chamomile, eucalyptus, sage, St. John's wort, as well as solutions of furacilin, potassium permanganate, etc., are used.
Antibiotic therapy is mandatory. For mild and moderate forms, it is possible to restrict the use of phenoxymethylpenicillin, erythromycin, amoxiclav, azithromycin in the dose to the interior. With intolerance to antibiotics, sulfanilamide preparations are given (bactrim, lidaprim, etc.).
Simultaneously with the antibiotic, probiotics are administered (acipol, etc.). To improve the effectiveness of antibacterial therapy, it is recommended to prescribe vobenzym - a polyenzyme preparation that has immunomodulating and detoxifying effects. A good therapeutic effect can be obtained with the appointment of bacterial lysates, especially imudona.
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