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[Peculiarities of epidemiology of chronic tonsillitis under current conditions of providing specialized aid to the patients presenting with ENT diseases].
[acute rheumatic fever]
The
objective
of
he
present
works
was
to
analyse
epidemiological
parameters
characterizing
the
prevalence
of
chronic
tonsillitis
morbidity
and
specific
features
of
its
local
and
systemic
complications
(
the
former
included
paratonsillar
abscess
,
PA
,
while
the
latter
acute
rheumatic
fever
,
ARF
,
and
acute
post-streptococcal
glomerulonephritis
,
APSGN
)
.
The
data
subjected
to
the
analysis
comprised
information
collected
by
the
Statistical
Department
of
the
Clinical
Infectious
Hospital
No
1
for
the
past
10
years
about
the
number
of
hospitalized
patients
having
the
diagnosis
of
tonsillitis
in
combination
with
PA
and
the
data
on
the
number
of
peritonsillar
abscess
drainage
procedures
performed
between
2008
and
2010
(
Statistical
Department
of
S
.
P
.
Botkin
City
Clinical
Hospital
)
,
the
number
of
tonsillectomies
,
the
prevalence
of
ARF
and
APSGN
during
the
last
10
years
(
Medical
Statistics
Bureau
of
the
Moscow
Health
Department
)
,
and
the
results
of
monitoring
regular
medical
check-ups
of
the
patients
presenting
with
the
above
pathologies
.
The
number
of
the
patients
hospitalized
at
the
Clinical
Infectious
Hospital
No
1
for
the
diagnosis
of
tonsillitis
in
combination
with
PA
was
shown
to
increase
as
well
as
the
number
of
autopsies
of
the
patients
with
PA
performed
at
S
.
P
.
Botkin
City
Clinical
Hospital
.
Simultaneously
,
the
number
of
tonsillectomies
in
the
clinics
of
Moscow
Health
Department
decreased
whereas
the
prevalence
of
ARF
and
APSGN
and
the
number
of
the
patients
with
chronic
tonsillitis
under
dispensary
observation
for
over
2
years
increased
.
It
is
concluded
that
otorhinolaryngologists
working
in
outpatient
facilities
must
promptly
identify
indications
for
radical
surgical
sanitation
of
the
pockets
of
chronic
infection
by
means
of
bilateral
tonsillectomy
.
Diseases
Validation
Diseases presenting
"radical surgical sanitation of the pockets"
symptom
acute rheumatic fever
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