|Conţinutul numărului revistei|
|Ultima descărcare din IBN:|
| SM ISO690:2012|
DANILOV, Lucian. Particularităţile florei microbiene în patologiile inflamatorii acute şi cronice orofaringiene la copii. In: Buletin de Perinatologie. 2014, nr. 1(61), pp. 55-61. ISSN 1810-5289.
|Buletin de Perinatologie|
|Numărul 1(61) / 2014 / ISSN 1810-5289|
Introduction: The main role in the development of an inflammatory process in Waldeyer’s ring is played by pathogenic and potential pathogenic microorganisms from the lymphatic tissue, and by the changes of immuno-antigen specific reaction in the body, that lead to local inflammation in tonsils. All the inflammatory process in the lymphatic tonsillar tissue takes part in the development of systemic complications in the body, worsening their pathogenesis. This pathology as a source of infection, is more often studied by different specialities such as: pediatrics, immunology, alergology, rheumatology, nephrology. Aim: Study of the bacterial flora on the surface of the tonsils in children with acute infections of the superior breathing pathways and after treatment with antibiotics, in compensated and decompensated chronic tonsillitis and practical healthy children. Material and methods: There were studied 460 children until 18 years for microbial flora on the surface of the tonsils and its sensitivity to the most used groups of antibiotics. 223 children had compensated chronic tonsillitis, 58 with decompensated chronic tonsillitis, 89 children with acute infections of the superior breathing pathways, 43 patients after treatment with antibiotics and 47 healthy children. The material was taken and studied at the medical laboratory “Synevo”, the microbiological department. Results: The results of the analysis of the microbial flora in the studied groups showed that the most frequent persistent microorganisms on the surface of the tonsils are: staphylococcus aureus and streptococcus pneumoniae; in acute inflammatory processes of the tonsils with affected function of the Waldeyer lymphatic ring and chronic inflammatory process has been obtained an increase of the streptococcal infection. Most of the identified antigens are highly sensitive to antibiotics like the cephalosporin group and amoxicillin with clavulanic acid, and are less sensitive to macrolides and highly resistant to synthetic penicillin. Conclusion: The obtained results indicate that the status of the local inflammatory process in the Waldeyer lymphatic ring depends not only on the type of microbial flora, but also from many endogenous factors - genetic, immunological, etc.
chronic tonsillitis, immunity,
pathogenic flora, inflamation, antibiotic.