Long-term effects on the malt organs after having Epstein-Barr virus, cytomegalovirus infections in children

Epstein-Barr virus (EBV) and cytomegalovirus (CMV) infections are currently a significant problem in practical medicine. The level of diagnosis of these pathologies by local practitioners (district physicians and pediatricians) has recently been extremely low. The low detection rate of these infections is explained, first of all, by the latent, erased course of the infectious process, as well as the unavailability of a number of screening tests at the outpatient stage. This entails a number of adverse long-term effects, including on the ENT organs. There is an increase in the prescription of irrational antibiotic therapy for this pathology and, as a result, the formation of antibiotic resistance. This study aimed to analyze the number of surgical interventions on the ENT organs for 2021 and the first half of 2022 in patients who had had EBV, CMV. In recent years, we have seen an increase in the number of adenotomies, adenotonsillotomies in children who have had EBV or CMV. When collecting an anamnesis from the parents of the patients, it turned out that there was no single scheme in the treatment of the acute phase of the infectious process. Thus, the results of this work serve as a reason to improve the quality of diagnosis and develop a unified treatment regimen in patients with EBV and CMV infections.

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