ALGORITHM OF DOCTOR’S ACTION IMPROVEMENT FOR PRESCRIBING ANTIBIOTIC THERAPY FOR THE TREATMENT OF PATIENTS WITH ACUTE RESPIRATORY INFECTIONS TAKING INTO CONSIDERATION THEIR BACTERIOLOGICAL EXAMINATION

Abstract

The aim of the work – to analyse the bases and prospects of choosing tactics of antibiotics appointment in acute respiratory diseases under the condition of three different algorithms of therapy, expediency and informativeness of the results of the bacteriological examination of the microbiotit oral cavity and nasopharynx with the determination of the sensitivity to the antibiotics of isolated strains and taking into account existing normative documents. The advantages of appointing antibiotic therapy to patients according to the results of bacteriological studies concerning the patient in particular and the microflora in general, namely: preventing the development of intestinal dysbiosis, preventing an increase in the number of polysaccharides strains of the conditionally pathogenic flora, reducing the cost of treatment and, accordingly, the number of days on the disability sheet. The work includes data on the use of the main groups of antibiotics used in outpatient and the features of their interaction with each other and the impact on macroorganism. A modified algorithm of the primary care physician’s treatment in acute respiratory infections is presented, taking into account the results of bacteriological research and antibioticograms.

Conclusions. Economic levers are suggested, which will allow to reduce the cost of a complex of treatment at the ARIs due to the reasonable not the purpose of antibiotics, or their application taking into account the sensitivity of pathogens, the competitiveness of bacteriological research in comparison with the virological and immunological in respiratory infections.