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[儿童真菌性外耳道炎:诊断原则与合理治疗]

[Fungal otitis externa in children: principles of diagnosis and rational therapy].

作者信息

Kryukov A I, Kunelskaya N L, Kunelskaya V Ya, Ivoylov A Yu, Shadrin G B, Machulin A I

机构信息

Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Department of Otolaryngology of Cure Faculty, Moscow, Russia, 117997; Sverzhevsky Research Clinical Institute of Otorhinolaryngology of the Moscow Healthcare Department, Moscow, Russia, 117152.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology of the Moscow Healthcare Department, Moscow, Russia, 117152.

出版信息

Vestn Otorinolaringol. 2020;85(1):60-63. doi: 10.17116/otorino20208501160.

Abstract

AIM

To study the current diagnosis and treatment of fungal inflammation of the external auditory canal in children. This article summarizes the literature on predisposing factors for the occurrence of fungal infections of the external auditory canal in children.

PATIENTS AND METHODS

In this study, we present modern approaches to the diagnosis and treatment of external fungal otitis media in children depending on the isolated genus and species of fungus.

RESULTS

We established that, according to the study conducted from 2015 to 2017 in the L.I. Sverzhevskiy Clinical Research Institute of Otorhinolaryngology, the incidence of the external fungal otitis media in children is 13,0%. The primary causative agents of fungal inflammation are fungi of the genera Aspergillus, Candida and Geotrichum.

CONCLUSION

In the presented study, the rationale for the selected treatment regimen was made based on data obtained during microbiological studies.

摘要

目的

研究儿童外耳道真菌性炎症的当前诊断和治疗方法。本文总结了有关儿童外耳道真菌感染发生的易感因素的文献。

患者和方法

在本研究中,我们根据分离出的真菌属和种,介绍了儿童外耳道真菌性中耳炎的现代诊断和治疗方法。

结果

我们确定,根据2015年至2017年在L.I. 斯韦日夫斯基耳鼻喉科临床研究所进行的研究,儿童外耳道真菌性中耳炎的发病率为13.0%。真菌性炎症的主要病原体是曲霉属、念珠菌属和地霉属的真菌。

结论

在本研究中,所选治疗方案的依据是微生物学研究中获得的数据。

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