Angina

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Clinic plan

1. Angina
2. Symptoms of the disease
3. Diagnostics
4. Treatment
Angina in the child
Angina (aka - acute tonsillitis) is one of the most
common infectious diseases in children, starting
from the age of seven months.
Angina in a child is provoked mainly by viruses and bacteria. It
is the bacteria that initiate angina in childhood in about a third
of all cases. In 90-95% of cases, the causative agent is β-
hemolytic streptococcus. Viral forms of tonsillitis occur more
often at the age of up to 3 years.

In newborns and infants of the first months of life, there is


often no angina as such, but acute nasopharyngitis.

Angina in infants and young children is rare, and it is extremely


difficult, therefore in this situation, only inpatient treatment is
needed.
Symptoms of the disease
Symptoms of angina in children are the same, regardless
of the infectious agent that triggered the disease:

1.Acute onset of the disease, body temperature up to 40


degrees;
2.Chills and cold sweat;
3.Sharp pains in the throat;
4.Swelling of the tonsils, tongue and throat walls;
5.Rashes on the tonsils;
6.Loss of appetite or refusal of food, general lethargy.
Streptococcal angina
differentiates with viral by the
presence or absence of discharge
from the nose and cough.
Sometimes the soreness of
cervical and submandibular
lymph nodes is noted.
Diagnostics

For the selection of adequate therapy, differential diagnosis


of the bacterial and viral etiology of the disease is
necessary. Although with these pathologies, the symptoms
are similar. This is important in the selection of antibiotics
necessary to eliminate the bacteria and stop possible
complications.

The main criterion for the diagnosis is the culture test of the
throat smear for hemolytic streptococcus. To date, there are
express methods that allow you to quickly identify this
infectious agent in 90% of cases.
Treatment

Treatment of angina in children, provoked


by streptococcal infection, requires the use
of antibiotics. These drugs are selected
based on the sensitivity of the infectious
agent, determined on the basis of sowing.

The doctor chooses from penicillins,


cephalosporins or macrolides. They can be
used in a tablet form or in syrups for the
youngest, and also, at the doctor's
discretion, in complicated cases, injectable
or infusional.
The goal of antibiotic therapy is the complete elimination of the
infectious agent from the body. Such tactics are needed to prevent
relapse, and to prevent the emergence of strains of bacteria resistant
to the action of this antibiotic. The main thing is not to interrupt the
treatment, even if the child's condition is normal.

In addition to antibiotics, angina can also be treated with inhalants


and sprays containing substances for the sanation of the mucous in
the pharynx (inhalipt, oraspet, tantum verde). There are antibiotics in
sprays (bioparox).

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