SPECIFIC FEATURES OF ANTIBIOTICS RESISTANCE IN CHILDREN WITH ENT PATHOLOGY
DOI:
https://doi.org/10.32782/eddiscourses/2025-3-12Keywords:
antibiotic resistance, otoryhnolaryngology, cross-resistance, moderate sensitivity, biofilms, adenoid hypertrophy, effectiveness of antibiotics, secretory otitis, chronic tonsillitisAbstract
Antibiotic resistance is a phenomenon in which bacteria become insensitive to antibiotics that are intended to eliminate them. The main causes of this process are excessive or improper prescription and use of antibiotics, including selfmedication, as well as their widespread use in animal husbandry. Treating infections caused by resistant microorganisms is much more difficult or even impossible. Thus, antibiotic resistance leads to increased mortality from infectious diseases and becomes a real threat for modern medicine. Bacterial resistance poses a particular danger for children, since the range of drugs used in pediatrics is much smaller due to their specific effects on the childrens’ body. In the course of this study, we analyzed data from patients who were hospitalized in the head and neck surgery department of Kyiv City Children’s Clinical Hospital №2 in 2024 and received antibacterial therapy. The aim was to investigate the dynamics of antibiotic resistance depending on such factors as gender, age, diagnosis, and type of persistent pathogen. Using mathematical methods and computer programming, we were able to determine individual resistance indicators for various microorganisms, as well as assess the effectiveness of different antibacterial drugs. The results obtained may be useful in the practice of pediatric otolaryngologists for prescribing and adjusting treatment, and also emphasize the importance of optimizing and controlling antibiotic prescriptions for doctors of all specialties.
References
Державна установа «Центр громадського здоров’я Міністерства охорони здоров’я України». Пояснюємо, чому антибіотикорезистентність – серйозна загроза для людства. 2023. URL: https://www.phc.org.ua.
Dall C. US health groups sign on to cut outpatient antibiotic use. CIDRAP News. 2016, October 6.
Sex Differences in Otolaryngology: Focus on the Emerging Role of Estrogens in Inflammatory and Pro-Resolving Responses. Frontiers in Immunology. 2021. PMCID: PMC8395901.
A Midsagittal-View Magnetic Resonance Imaging Study of the Growth and Involution of the Adenoid Mass and Related Changes in Selected Velopharyngeal Structures. 2022. PMID: 35239427.
Bacteriology of Adenoids and Tonsils in Children With Recurrent Adenotonsillitis. International Journal of Pediatric Otorhinolaryngology. 2023. PMCID: PMC10668888.
Bulfamante A. M., Saibene A. M., Felisati G., Rosso C., Pipolo C. Adenoidal Disease and Chronic Rhinosinusitis in Children – Is There a Link? 2019.
Adenoid hypertrophy in children: a narrative review of pathogenesis and clinical relevance. Pediatric Investigations. 2023. PMCID: PMC10106074.
Lethal synergy between SARS-CoV-2 and Streptococcus pneumoniae in hACE2 mice and protective efficacy of vaccination. 2022. PMID: 35482422.
Impact of the COVID-19 Pandemic on Antibiotic Resistant Infection Burden in U.S. Hospitals: Retrospective Cohort Study of Trends and Risk Factors. 2025. PMID: 40294418.
mino Acid Mutations Essential to Production of an Altered PBP 2X Conferring High-Level β-Lactam Resistance in a Clinical Isolate of Streptococcus pneumoniae. Journal of Bacteriology. PMCID: PMC1280142.
Doxycycline: Pediatric Medication. Memorial Sloan Kettering Cancer Center, 2022.
Aminoglycosides-Related Ototoxicity: Mechanisms, Risk Factors, and Prevention in Pediatric Patients. Frontiers in Pediatrics. 2023. PMCID: PMC10610175.
Sanford Guide to Antimicrobial Therapy. Treatment of Methicillin-Sensitive Staphylococcus aureus. 2024.
Kosmeri Ch., Giapros V., Serbis A., Balomenou F., Baltogianni M. Antibiofilm Strategies in Neonatal and Pediatric Infections. Antibiotics. 2024. URL: https://www.mdpi.com/2079-6382/13/6/509.
harma S., Mohler J., Mahajan S. D., Schwartz S. A., Bruggemann L., Aalinkeel R. Microbial Biofilm: A Review on Formation, Infection, Antibiotic Resistance, Control Measures, and Innovative Treatment. Microorganisms. 2023. URL: https://www.mdpi.com/2076-2607/11/6/1614.
Principi N., Esposito S. Biofilm Production and Its Implications in Pediatrics. Microorganisms. 2024. URL: https://www.mdpi.com/2076-2607/12/8/1522.






