Авторът разглежда най-честите рискови фактори за появата и развитието на рецидивиращ остър отит. От страна на микроорганизма това е нарастващата резистентност на най-честите причинители на острия отит, свързана с широката и често неправилна употреба на антибиотиците. От страна на макроорганизма влияние оказва следните фактори: малка възраст на детето ( до 2 години), изкуственото хранене, отглеждането в детски ясли и градини, пасивното тютюнопушене, аденоидната вегетация, алергията и ниския социално-икономически статус на родителите. Важен фактор е и правилното приложение на антибиотиците при лечението на първия пристъп от остър отит. За избягване на рецидивите е необходимо антибиотикът да се прилага в максимална доза и достатъчно продължително време.
The author is reviewing the most common risk factors for the appearance and development of the acute recurring otitis. From the side of the microorganism, this is the increasing resistance of the most common causes for the acute otitis, connected with the wide and often improper use of antibiotics. From the part of the macro organism, the following factors have a big influence: the young age of the child (up to two years old), bottle-feeding, the stay in kinder gardens, passive smoking, vegetatio adenoidea, allergies and the low social status of the parents. An important factor is the proper use of antibiotics during the treatment of the first outburst of acute otitis. In order to prevent the recurrences, it is necessary the antibiotic to be given in maximal doses and for a long enough period of time.
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