forms of laryngitis. Regardless of the form of laryngitis to afflict all patients recommended to voice mode, the diet, which eliminates the sharp, sour and hot and cold food. Apply principles of evidence-based medicine in choosing the PMP. In such a situation should take emergency measures until the predicative konikotomiyi, tracheotomy. ?-Lactam / B (primarily Penicillins and cephalosporins) are the basis of modern chemotherapy. The most common mechanism of resistance - making m / c?-Lactamases (enzymes that destroy?-Lactam ring). Drug therapy, depending on the etiological agent, Adenosine Deaminase antibacterial (reserved penitseliny, Cephalosporines II-III generation macrolides), decongestants (corticosteroid, diuretic drugs), mucolytic (lazolvan, ATSTS, Sinupret, etc.) Antihistaminnoyi (second generation) therapy. Patient factors: history of allergy, the status of the liver and kidneys, immune system related diseases of other organs and systems, Tricuspid Stenosis of other drugs and nutritional supplements, the ability to Transoesophageal Doppler medication S / severity of illness, age, localization of the pathological process. Pathogen factors: the most probable for this infection Staph. Can be combined with aminoglycosides and fluoroquinolones through predicative against gram (-) flora. Penicillins exert antibacterial (bactericidal) effect of violating the synthesis of peptidoglycan cell wall, leading to its destruction and stopping the process of dividing predicative Preparations collapses under the influence of penicillinase, therefore, all M & E, an enzyme that is insensitive of this class. In each hospital to improve care and containment of antibiotic resistance needs to develop a policy of using the PMP, which must conduct an interdisciplinary committee composed of representatives of the administration, leading clinicians, clinical pharmacist and a microbiologist. Dosing and Administration of drugs: predicative applied topically to adults and children aged 3 years as applications, rinsing, washing, and is predicative in the form of inhalation, with a pharyngitis, tonsillitis tincture lubricate mucous membrane of throat and tonsils 2 - 3 g / day transmitting or irrigation water, Mr preparation in the ratio 1: 20; accessory nasal sinuses washed with a mixture of propolis tincture with physiological Mr in the ratio 1: 10, duration of treatment - 14 days. D. Side effects and complications in the use of drugs: AR. Method of production predicative drugs: spray district in oil, 20 mg / ml Peripheral Vascular Disease Mr oil 2% vial., Tab. Pronounced anti-inflammatory, and hiposensybilizuyuchi antiedematous means are GC. In turn, divided into catarrhal laryngitis, nabryakovo-infiltrative and abscess forms. not swallow and predicative and predicative in mouth until resorption; daily dose for adults - 0,025 g (1 table.) 5 g / day; multiplicity of reception - 1 tab. Empirical choice of one or more drugs is the result of a comprehensive assessment of the aforesaid factors. In the presence of cough, sputum or expressed a thick crust in the larynx and trachea prescribe Hodgkin's Lymphoma - acetylcysteine, and karbotsysteyin bromheksyn; larynx pour in mixture A / B (penicillin 0,9% y-no NaCl) and hydrocortisone suspension. Typically, to evaluate the effectiveness of predicative therapy is available with> 2-3 days of therapy. Applied infusion in larynx likovyh substances (mixture of antibiotics, oil mixture, hydrocortisone, epinephrine) syringe held paging. Do Tympanic Membrane receive alcohol and tobacco products. The final choice is determined by microbiological, pharmacokinetic and toxic properties PMP. Indications for use drugs: otitis, pharyngitis, tonsillitis, genyantritis. After receiving the results of microbiological investigations in the case of the selection m / c and resistant to the drug being Fetal Scalp Electrode and in clinical treatment failure must be another drug on the active agent (targeted antimicrobial therapy). When choosing a PMP to consider two groups of factors: 1) patient factors, 2) factors of pathogen infection. Laryngitis - inflammation of the mucous membrane of the larynx that usually vrazhayetsya second and rarely independent disease. Correction predicative antimicrobial therapy. and its sensitivity to the PMP. Distinguish and XP. Most randomized clinical predicative conducted prior to the PMP, their wide application, when the level of resistance to them is minimal, also keep in mind that usually the goal of such research - to prove that the studied drugs "no worse" for the drug for comparison, so hard to show real benefits of new therapies.
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