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An audit of prophylactic antibiotic treatment following tonsillectomy in children

Published online by Cambridge University Press:  29 June 2007

W. C. Lee ,
M. C. Duignan ,
R. M. Walsh  and
J. R. McRae-Moore
W. C. Lee*
Affiliation:
Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
M. C. Duignan
Affiliation:
Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
R. M. Walsh
Affiliation:
Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
J. R. McRae-Moore
Affiliation:
Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
*
Address for correspondence: Mr W. C. Lee, Eye, Ear & Throat Hospital, Shrewsbury SY1 1JS. Fax: 01743 357925
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Abstract

A prospective audit study was undertaken to assess the effect of two different management policies following tonsillectomy in children in this hospital, one of which requires a prophylactic five-day course of oral antibiotics and the other does not. A total of 95 children were entered into the trial: 54 received post-operative antibiotics and 41 did not. The post-operative recovery was assessed by completion of a parent questionnaire which included the following parameters: degree of patient distress, nausea and vomiting, otalgia, halitosis, pharyngeal bleeding, analgesic requirement, day of return to a regular diet and General Practitioner consultation. There was no significant reduction in any of the morbidity measures in patients treated with antibiotics. In fact, the analgesic requirement and the incidence of otalgia and irritability on Days 6 and 7 and secondary haemorrhage were significantly higher in the antibiotic-treated patients. Although the number of patients included in this study are small, the results suggest that post-operative antibiotics do not improve the outcome of uncomplicated tonsillectomy. Our previous practice of routinely administering antibiotics to post-tonsillectomy children has been discontinued as the consequence of this audit.

Keywords

Physician's practice patternsTonsillectomyPost-operative complicationsAntibiotics
Type
Audit
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 4 , April 1996 , pp. 357 - 359
Copyright
Copyright © JLO (1984) Limited 1996

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References

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