Pharyngalgia: self-treatment or the qualified help of the family doctor?
DOI:
https://doi.org/10.26641/2307-0404.2016.4.90026Keywords:
sore throat, pharmacist, family physician, self-treatmentAbstract
Self-treatment by pharmaceuticals is an actual problem of health care, patients more and more often address to the pharmacist, not visiting the family doctor for various reasons. In this case, the role of the pharmacist is not limited to the release of non-prescription drugs "at the request or insistence of the patient." This situation requires from the pharmacist not only specialist knowledge of the pharmacology of drugs, but also a professional approach to the diagnosis and treatment of symptoms and syndromes. Pharmacoepidemiologic research of the department of General and Clinical Pharmacy showed that about 93% of population of Dnepropetrovsk use pharmaceuticals without preliminary consultation with the doctor. The pharmacist in time having recognized the leading symptoms, having provided symptomatic treatment with OTC-medicines and having convinced the patient to ask for the qualified help of the doctor is a link between the patient and the family doctor. In the article by the example of one of the most common symptoms – pharyngalgia – difficulties of diagnostics which is impossible without a deep knowledge of clinical medicine are shown and the need of administering prescription drugs in most cases is confirmed, which in turn is possible only after consultation of the family doctor in most cases.
References
Astakhovа AV, Lepahyn VK. [Adverse side ef-fects and drug safety monitoring]. Moscow: Kohyto Center, 2004;1-199. Russian.
Okonenko LB, Antropov GA, Egorov ES, Bryzha-hin GG [OTC and self-treatment]. Bulletin of Peoples' Frien¬dship University (medicine series). 2009;4:42-46. Russian.
Luchsheva JV, Izotov GN. [Local therapy for pha¬ryngitis]. RMJ. 2011;6:420. Russian.
Malji VP, Romantsov MG, Sologub TV. [Flu: A guide for physicians]. Spb. – Kharkiv, 2007;108. Russian.
Soldatskiy YL, Onufrieva EK, Strygina YV, Shchepin NV, Gasparyan SF. [Evaluating the effective-ness of the local treatment of acute pharyngitis in children with drugs containing Biklotimol]. Pediatric Pharma¬cology. 2007;4(3):80-83. Russian.
Chernih VP, Zupanets ІA, Nesterchuk MM, Che-rnih VP, Zupanets ІA, Nesterchuk MM. [Protocol of a pharmacist]. Kharkiv. Zoloti storіnki. 2013;231. Ukraine.
Masheyko AM, Podpletnya OA, Zayarsky MІ, Zaligіna EV, Kuhar OP. [The role of the pharmacist in the successful implementation of the concept of responsible self-medication]. Pharmaceutical Journal. 2011;3:26-31. Ukraine.
Umerovа AR, Кashtanova OA, Novoseltseva TV. [Some aspects of self-treatment]. Astrahanskyy Medical Journal. 2010;5(1):123-27. Russian.
[Uniform clinical protocol of assisted primary care for adults and children. Acute respiratory infection.]. Order of the Ministry of Health of Ukraine. Kyiv. 2014;109. Ukraine.
Sachek MM, Kugach AA, Dybal AB, Gromov SV. [Epidemiology of poisoning drugs]. Herald of Phar¬macy. 2007;1(35):46-53. Belarus.
Avoiding Sore Throat Morbidity and Mortality: When Is It Not “Just a Sore Throat?” Robert M. Centor, MD, Facp, and Ralph Samlowski, MD, Faafp, University of Alabama at Birmingham, Huntsville Regional Medical Campus, Huntsville, Alabama. Am Fam Physician. 2011 Jan 1;83(1):26-28.
Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G. et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin. Infect. Dis. 2012;55(10):86-102. Russian.
Harris AM, Hicks LA, Qaseem A. Appropriate An¬tibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention. Annals of Internal Medicine. 2015;162(6):1-11.
Gehanno P, Dreiser RL, Ionescu E, Gold M, Liu J.M. Lowest effective single dose of diclofenac for an-tipyretic and analgesic effects in acute febrile sore throat. Clin Drug Investig 2003;23:263-71.15.
McNally D, Simpson M, Morris C, Shephard A, Goulder M. Rapid relief of acute sore throat with AMC. DCBA throat lozenges: randomised controlled trial. Int J Clin Pract. 2010;64:194-207.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Medical Perspectives
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.
