COMPLEX APPROACH TO PREVENTION OF ACUTE TONSILLITIS IN EDUCATIONAL INSTITUTIONS

Aim. Was to determine a complex preventive of measures aimed at reduction of spread of acute tonsillitis, and, in particular, to assess the effectiveness of existing sanitary and epidemiological requirements to the conditions and organization of training in educational institutions of Novosibirsk. Materials and Methods. The survey was conducted on the topic: «Visiting of educational institutions and public places by children, schoolchildren and students at the initial stages of the clinical picture of acute tonsillitis», as well as anonymous online questioning on compliance with sanitary and epidemiological requirements to the content and organization of the work of educational institutions in Novosibirsk. The first study involved 320 respondents, attending preschool institutions, schools and universities, with a history of episodes of acute tonsillitis, in particular: the 1st group of 70 children of preschool age, 2nd group and 3rd group of 120 students and 130 students, respectively. The second study involved 135 respondents, including 30 nurse teachers, 45 school teachers, 60 teachers of higher educational institutions. Results. It was found that among the respondents: 21% of the first, 65% of the second and 87% of the third group attended educational institutions and public places at the early stages of the clinical picture of acute tonsillitis. It was found that: 1) in preschool educational institutions, sanitary-epidemiological rules were observed to 72.3% level, with 27.7% of disorders of ventilation of the rooms; 2) 69% of respondents in general educational institutions had no time to ventilate the room before the classes at schools, 78.2 % – before classes in higher educational institutions, 75.6 and 81.9% of the respondents do not ventilate the rooms both before and after classes at schools and higher educational institutions, respectively. Conclusion. The data obtained indicate that 1-5% of people in closed communities of educational institutions are a source of a future disease within the community, besides, a partial non-compliance with the recommended sanitary and epidemiological requirements in educational institutions was found. Thus, at the moment there exists a necessity in the observance of compliance with all established sanitary and epidemiological requirements in educational institutions, and also in development, implementation and further improvement of a complex of preventive measures aimed at reducing the incidence of acute tonsillitis in communities.