Academic literature on the topic 'Laryngitis and sinusitis'

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.

Objectives: To examine delirium, chronic medical problems and sociodemographic factors as predictors of activities of daily living (ADL), basic ADL (BADL) and instrumental ADL (IADL).Methods: A prospective cohort study of four groups of elderly patients examined in the emergency department (ED): those with delirium, dementia, neither, and both. All were aged 66 years or older and living at home. Delirium was assessed with the Confusion Assessment Method and dementia with the Informant Questionnaire on Cognitive Decline in the Elderly. Demographic variables and chronic medical problems were ascertained with questionnaires. Outcome was ADL at 6, 12 and 18 months, measured with the ADL subscale of the Older Americans Resources and Services instrument.Results: Univariate analyses suggested significantly poorer ADL, particularly IADL, at 18 months in the delirium versus the non-delirium group, in the absence of dementia only. Statistically significant independent predictors of poorer ADL at 18 months in the non-dementia groups were poorer initial ADL, stroke, Parkinson's disease, hypertension and female sex. Independent predictors of poorer BADL at 18 months in the non-dementia groups were poorer initial BADL, Parkinson's disease, stroke, cancer, colds/sinusitis/laryngitis, female sex and hypertension. Independent predictors of poorer IADL at 18 months in the non-dementia groups were poorer initial IADL, stroke, never-married status, colds/sinusitis/laryngitis, arthritis and hypertension, with Parkinson's disease showing a non-significant but numerically large regression coefficient.Conclusion: Rather than finding delirium to be a predictor of poorer functional outcome among survivors, we found an interaction between delirium and dementia and several plausible confounders, primarily chronic medical problems, although we cannot rule out the effect of misclassification or survivor bias.

We studied clinical and immunological relations of respiratory diseases (recurrent maxillar sinusitis, tonsillitis, adenoiditis, laryngotracheobronchitis with obstructive syndrome) in 261 children aged 2 to 14. Relationships between immunological parameters, severity of clinical course and pathogenic activity of the microbial agent were found. A scheme of immunotherapy with leukinterferon and interferon-α was worked out. The therapeutic efficacy of this scheme as a part of the basic therapy of constricting laryngitis and obstructive bronchitis and in children with frequently recurrent respiratory disease was proved. Longer stable period in recurrent respiratory disease, shorter antibacterial courses, less frequent hospitalizations, and possibility of outpatient administration were also seen.

Background: Ear, nose, and throat (ENT) symptoms are less well-documented but are vital for diagnosis and treatment of extra-pulmonary tuberculosis (EPTB), which affects organs outside the lungs. Objective: The objective of the study was to evaluate the various ENT symptoms of TB in patients undergoing treatment at a tertiary care hospital's outpatient department (OPD). Methodology: In this cross-sectional research, which took place at Hazara University, KPK, between August 2020 and January 2021, 124 patients with ENT-related EPTB were included. Complete ENT histories, physical exams, and a range of diagnostic tests, such as biopsies, endoscopies, and chest X-rays, were performed on the participants. SPSS version 25 was utilized to analyze the data, and the chi-square test was used to look into any relationships between risk variables like smoking. Determining statistical significance required a p-value of less than 0.05. Results: Among the 124 patients with EPTB, the most prevalent ENT symptom was neck swelling, affecting 31 patients (25.00%). This was followed by laryngitis in 28 patients (22.58%) and pharyngitis in 25 patients (20.16%). Chronic sinusitis was observed in 22 patients (17.74%), while voice changes and otitis media were noted in 19 patients (15.32%) and 18 patients (14.52%), respectively. Hemoptysis was present in 15 patients (12.10%). The prevalence of these symptoms was notably higher in patients with symptoms lasting 6-12 months. Additionally, smoking was significantly associated with increased rates of laryngitis (p = 0.033) and hemoptysis (p = 0.039). Conclusion: The research demonstrates that common ENT symptoms in EPTB include neck edema, laryngitis, and pharyngitis, with symptom duration and smoking status having a major impact on their incidence.