Introducere. Tonsilita este una dintre cele mai răspândite afecțiuni. Această patologie rămâne a fi o problemă dificilă şi complexă atât a otorinolaringologiei, cât şi a medicinii, în general. Scopul lucrării. Studierea diagnosticului şi tratamentului tonsilitei la persoanele din mediul rural al Republicii Moldova Material şi metode. Studiul a fost efectuat în oficiile medicilor de familie în 40 de sate din Republica Moldova. Persoanele din aceste sate au fost examinate: internist, pediatru, neurolog, chirurg, cardiolog, oftalmolog, urolog, otorinolaringolog, medici de familie. Au fost examenate 1500 de persoane. Examenul a inclus: (1) anamneza generală, cea personală şi cea eredocolaterală; (2) examenul general pe sisteme de organe; (3) investigațiile de laborator; (4) consultațiile altor specialişti, la necesitate. Rezultate. La bolnavii cu tonsilită acută au fost stabilite următoarele semne clinice: odinofagie ‒ 97,6%, disfagie ‒ 99,1%, sialoree ‒ 89,0%, dureri în muşchi, articulații ‒ 64,0%, otalgie ‒ 32,8%, hiperemia mucoasei tonsilelor palatine ‒ 100,0%, edemul mucoasei tonsilelor palatine ‒ 96,8%, infiltrația mucoasei tonsilelor palatine ‒ 87,5%, febră 38,0-40,3°C ‒ 81,2%, cefalee ‒ 76,6%, starea generală alterată ‒ 92,2%. Concluzii. (1) Medicul de familie poate stabili un diagnostic corect în baza semnelor clinice menționate. (2) Bolnavii s-au tratat cu: augmentină 375 mg×4ori/zi timp 7 zile. (3) Rezultatele tratamentului au fost: însănătoşire ‒ 97,3%, ameliorare ‒ 2,7%, complicații nu s-au stabilit.

Introduction. Quinsy is one of the most common diseases. This pathology remains a difficult and complex problem for both otorhinolaringology and general medicine. Objective of the study. The study of the diagnosis and treatment of quinsy in the rural population of the Republic of Moldova. Material and methods. The study was conducted in the offices of family doctors in 40 villages from the Republic of Moldova. People in these villages were examined by several specialists: internist, pediatrician, neurologist, surgeon, cardiologist, ophthalmologist, urologist, ENT, family doctors. 1500 people were examined. The examination included: (1) general history, personal and hereditary background; (2) general body examination;(3) laboratory investigations; (4) consultations of the other specialists, if needed. Results. In patients with chronic tonsillitis clinical signs such as sore throat ‒ 97.6%, dysphagia ‒ 99.1%, salivation ‒ 89.0%, muscle and joint pain ‒ 64.0%, ear pain ‒ 32.8%, palatine tonsils mucosal hyperemia ‒ 100.0%, palatine tonsils mucosal edema ‒ 96.8%, palatine tonsils mucosal infiltration ‒ 87.5%, fever 38.0-40.3°C – 81,2%, headache ‒76.6%, malaise ‒ 92.2% were established. Conclusions. (1) A family physician can establish an accurate diagnosis based on clinical signs mentioned above. (2) The patients were treated with augmentin 375 mg q.i.d. for 7 days. (3) The treatment results were the following: 97.3% ‒ recovery, improvement ‒ 2.7%, no complications were established.