Identifying root cause - Bacterial or viral infectious pathogens

The diagnosis has been confirmed, what next?

So, once the diagnosis of adenoid hypertrophy is confirmed, the next step is to investigate the underlying root cause of adenoid growth. But how should we go about this diagnostic search?

First of all, it's vital to identify/rule out whether bacterial or viral infectious pathogens are present.

One method is to perform Nasal Culture Smears to identify infectious pathogens in the nasopharynx.

• Bacteriological culture of nasal discharge is conducted to identify microflora and fungi, along with determining their sensitivity to antibiotics and bacteriophages.

Bacteriological nasal culture allows us to identify the microorganisms that populate the mucous membranes of the nose and throat (pharynx). Based on the results antibacterial therapy should be considered. Natural antibacterial and antimicrobial remedies are widely used to address many known microorganisms overgrowth including Streptococcus pyogenes (S. pyogenes), Streptococcus pneumoniae (S. pneumoniae), Pseudomonas aeruginosa, Haemophilus influenzae or Moraxella catarrhalis and so on.

• Rhinocytogram

A rhinocytogram is a study of the cellular composition of nasal mucosa secretions using a microscope. This examination is valuable for distinguishing between allergic and infectious inflammation. However, it's important to note that in cases with minimal mucous discharge, a rhinocytogram may yield false-negative results.

It's important to note that the absence of an obvious allergic reaction in a child doesn't necessarily mean it doesn't exist. In such cases, the examination of the nasal cavity's mucosa by an ENT doctor, who can observe its characteristic cyanotic tint in cases of allergic inflammation, along with a rhinocytogram, can simplify the diagnostic process.

• ARVI-screen

This is a smear test for respiratory viruses that sustain chronic inflammation in the nasopharynx. Treatment will depend on the findings, but it's important to note that antibacterial therapy is not indicated in this case.

I believe it's crucial to discuss the significance of a straightforward diagnostic method such as nasal cultures (smears). Many children with chronic, long-term conditions have experienced significant improvement after the identification of the responsible pathogens. These same pathogens may also contribute to adenoid hypertrophy.