National UK survey of antibiotics prescribed for acute tonsillitis and peritonsillar abscess

The Journal of Laryngology and Otology
V Visvanathan, P Nix

Abstract

To survey antibiotics prescribed for patients admitted with acute tonsillitis and peritonsillar abscess to UK ENT departments. An anonymous postal questionnaire was sent to UK ENT consultants. Intravenous benzylpenicillin alone was preferred significantly more often for acute tonsillitis (n = 175) than for peritonsillar abscess (83) (p < 0.001). A combination of benzylpenicillin and metronidazole was preferred significantly more often for peritonsillar abscess (n = 131) than for tonsillitis (62) (p < 0.001). In this survey, penicillin was the commonest antibiotic choice for tonsillitis; this is in accordance with published guidelines. For cases of peritonsillar abscess, benzylpenicillin with metronidazole was the most common antibiotic combination chosen. However, the high resolution rate of peritonsillar abscess following drainage and treatment with penicillin alone suggests that multiple antibiotics are unnecessary and inappropriate in this setting.

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Citations

Nov 28, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Stephen RyanJ E Fenton
Jan 2, 2013·Pediatrics and Neonatology·Shih-Min Wang
Nov 6, 2012·Acta otorrinolaringológica española·Francisco Javier García-CallejoJordi Calvo-Martínez
Feb 11, 2012·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·J Powell, J A Wilson
Nov 19, 2014·The Annals of Otology, Rhinology, and Laryngology·Chanan ShaulJean-Yves Sichel
Jun 11, 2020·International Journal of Environmental Research and Public Health·David SloukaRadek Kucera
Feb 14, 2021·American Journal of Otolaryngology·Aaron L ZebolskyCorbin D Sullivan

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