1.Angina 2.Symptoms of the disease 3.Diagnostics 4.Treatment

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.

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.

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 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).