Antibiotic therapy for an ENT specialist

Abstract

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.