title: [OUTPATIENT ANTIMICROBIAL TREATMENT FOR ACUTE TONSILLOPHARYNGITIS].
abstract: One of the most significant problems in antimicrobial therapy (AMT) is widespread administration of antimicrobial agents without relevant medical conditions. The aim of the research was the analysis of antimicrobial agent prescribing practices for outpatient treatment of acute tonsillopharyngitis at the Karaganda Polyclinic №1 and Polyclinic №2. The analysis of antimicrobial agents prescribing practices for outpatient treatment of acute tonsillopharyngitis was conducted; medical records of outpatients with acute tonsillopharyngitis treated in 2014 at Polyclinics №1 and №2 were analyzed.
  
  
  METHODS
  patients ranging in age from18 to 44, verified diagnosis - acute tonsillopharyngitis. It was found that in all cases antimicrobial agents have been prescribed speculatively, without previous bacteriological study or method of express diagnostics of Group A beta-hemolytic streptococcus (GABHS). In a majority of cases β-lactams were prescribed. Flemoxin Solutab was the most commonly prescribed β-lactam in Polyclinic №1; Amoxicillin was the most commonly prescribed β-lactam at Polyclinic №2; it associated with personal experience of administration of these agents rather than data of evidentiary medicine. Study of actual medicine administration showed that in half of the cases dosage regimen, rout of administration, dosage and treatment session duration have not been followed. For the development of clinical guidelines for rational treatment of acute tonsillopharyngitis is necessary to study the local spectrum of the major pathogens and their antimicribial resistance.
authors.affiliation: Karaganda State Medical University, Department of General Practice №1; Labaratory of Collective Use; Department of General practice №3 and Nursing Education; Karaganda Polyclinic №1; Karaganda Polyclinic №2, Kazakhstan.
authors.forename: A
authors.initials: A
authors.lastname: Beisenayeva
authors.affiliation: Karaganda State Medical University, Department of General Practice №1; Labaratory of Collective Use; Department of General practice №3 and Nursing Education; Karaganda Polyclinic №1; Karaganda Polyclinic №2, Kazakhstan.
authors.forename: G
authors.initials: G
authors.lastname: Muldaeva
authors.affiliation: Karaganda State Medical University, Department of General Practice №1; Labaratory of Collective Use; Department of General practice №3 and Nursing Education; Karaganda Polyclinic №1; Karaganda Polyclinic №2, Kazakhstan.
authors.forename: I
authors.initials: I
authors.lastname: Azizov
authors.affiliation: Karaganda State Medical University, Department of General Practice №1; Labaratory of Collective Use; Department of General practice №3 and Nursing Education; Karaganda Polyclinic №1; Karaganda Polyclinic №2, Kazakhstan.
authors.forename: Z
authors.initials: Z
authors.lastname: Kalbekov
authors.affiliation: Karaganda State Medical University, Department of General Practice №1; Labaratory of Collective Use; Department of General practice №3 and Nursing Education; Karaganda Polyclinic №1; Karaganda Polyclinic №2, Kazakhstan.
authors.forename: N
authors.initials: N
authors.lastname: Kim
authors.affiliation: Karaganda State Medical University, Department of General Practice №1; Labaratory of Collective Use; Department of General practice №3 and Nursing Education; Karaganda Polyclinic №1; Karaganda Polyclinic №2, Kazakhstan.
authors.forename: E
authors.initials: E
authors.lastname: Litvinova
authors.affiliation: Karaganda State Medical University, Department of General Practice №1; Labaratory of Collective Use; Department of General practice №3 and Nursing Education; Karaganda Polyclinic №1; Karaganda Polyclinic №2, Kazakhstan.
authors.forename: A
authors.initials: A
authors.lastname: Ibysheva
mesh_terms: D000208:Acute Disease; D000328:Adult; D000553:Ambulatory Care; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D024881:Drug Resistance, Bacterial; D005260:Female; D006801:Humans; D018942:Macrolides / Q000627:therapeutic use; D008297:Male; D010612:Pharyngitis / Q000150:complications / Q000188:drug therapy* / Q000382:microbiology; D010818:Practice Patterns, Physicians'; D012189:Retrospective Studies; D013297:Streptococcus pyogenes; D014069:Tonsillitis / Q000150:complications / Q000188:drug therapy* / Q000382:microbiology; D047090:beta-Lactams / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D018942:Macrolides; D047090:beta-Lactams