A New Treatment Modality to Reduce Acute Tonsillitis Healing Time

Main Article Content

Huseyin Keskin
Oguz Guvenmez

Keywords

acute tonsillitis treatment, healing time, new method

Abstract

Background and Objective
Acute tonsillitis is one of the most common reasons for application to otorhinolaryngology clinics. In the treatment of acute tonsillitis, supportive therapies are mostly used. As antibiotic therapy, penicillin or erythromycin can be used. The aim of this study is to decrease the clinical recovery time of acute tonsillitis by providing parenteral treatment and daily cleaning of tonsillar lesions.


Material and Methods
Patients with an age range of 15–60 years were included in the study. The patients were divided into two groups. The first group used an i.v. combination of ampicillin + sulbactam and the tonsillar membranes of patients were cleaned daily. The second group used only the i.v. combination of ampicillin + sulbactam. Results
Patients who received antibiotherapy and debridement had a clinical improvement of 90% on the 2nd treatment day and 95% on the 5th treatment day. The patients receiving only antibiotics had a clinical improvement of 65% on the 5th treatment day and 75% on the 7th treatment day. The recovery time of both groups was significantly different (p < 0.05).


Conclusion
The solution and technique used in this clinical study showed that patients with acute tonsillitis could recover in a very short time without any complications.

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References

References
1. Gleeson MJ, Browning G, Burton MJ et al. (2008) Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery, 7th edn. Hodder Arnold, London
2. Ebell M.H., Smith M.A., Barry H.C. et al. (2000) The rational clinical examination. Does this patient have strep throat JAMA 284, 2912–2918.
3. Chiappini E, Regoli M, Bonsignori F, Sollai S, Parretti A, Galli L, De Martino M. Analysis of different recommendations from international guidelines for the management of acute pharyngitis in adults and children. Clin Ther 2011; 33: 48-58.
4. Scholz H, Berner R, Duppenthaler A, Forster J, To¨pfner N (2013) Deutsche Gesellschaft fu¨r Pa¨diatrische Infektiologie (DGPI), DGPI Handbuch: Infektionen bei Kindern und Jugendlichen, 6. u¨berarbeitete Auflage, Infektionen durch ß-ha¨molysierende Streptokokken der Gruppe A. Georg Thieme Verlag, Stuttgart, pp 509–516
5. Pichichero ME, Casey JR (2007) Bacterial eradication rates with shortened courses of 2nd- and 3rd-generation cephalosporins versus 10 days of penicillin for treatment of group A streptococcal tonsillopharyngitis in adults. Diagn Microbiol Infect Dis 59:127–130
6. www.degam.de/files/Inhalte/Leitlinien-Inhalte/Dokumente/DEGAMS3 Leitlinien/LL-14_Langfassung_ZD.pdf. Accessed 1 Oct 2014
7. Shulman ST, Bisno AL, Clegg HW et al (2012) 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 55:1279–1282
8. www.rki.de/DE/Content/Infekt/EpidBull/Merkblaetter/Ratgeber_ Streptococcus_pyogenes.html;jsessionid=3CBF0B59C7B85D5D 94C05816495FFC7E.2_cid298#doc2374548bodyText6. Accessed 01 July 2015
9. Stelter K. Tonsillitis and sore throat in children. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014;13: Doc07. Published 2014 Dec 1. doi:10.3205/cto000110
10. Catic T, Kapo B, Pintol Z, et al. An Instrument for Rating Quality of Life Related to Sore Throat in Patients Suffering from Acute Pharyngitis or Tonsillitis. Mater Sociomed. 2018;30(1):43-48.
11. Bartlett A, Bola S, Williams R. Acute tonsillitis and its complications: an overview. J R Nav Med Serv. 2015;101(1):69-73. PubMed PMID: 26292396.
12. Baldassari C, Shah RK. Pediatric peritonsillar abscess: an overview. Infect Disord Drug Targets 2012; 12:277–80.
13. Windfuhr JP, Toepfner N, Steffen G, Waldfahrer F, Berner R. Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management. Eur Arch Otorhinolaryngol. 2016 Apr;273(4):973-87. Epub 2016 Jan 11. PubMed PMID: 26755048.
14. Ergül, Ayşe Betül, et al. "Çocuk hastalarda uygunsuz antibiyotik kullanımının değerlendirilmesi: Nokta prevalans çalışması." Turkish Pediatrics Archive/Turk Pediatri Arsivi 53.1 (2018).
15. Stelter K. Tonsillitis and sore throat in children. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014;13:Doc07. Published 2014 Dec 1.
16. Gahleitner C, Hofauer B, Stark T, Knopf A. Predisposing factors and management of complications in acute tonsillitis. Acta Otolaryngol. 2016 Sep;136(9):964-8. Epub 2016 Apr 25. PubMed PMID: 27109151.
17. Klug TE, Fischer AS, Antonsen C, Rusan M, Eskildsen H, Ovesen T. Parapharyngeal abscess is frequently associated with concomitant peritonsillar abscess. Eur Arch Otorhinolaryngol 2014; 271:1701–7.
18. Lau AS, Upile NS, Wilkie MD, Leong SC, Swift AC. The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011. Ann R Coll Surg Engl 2014; 96:307–10.
19. Kovacic M, Kovacic I, Delalija B. [Necrotizing fasciitis of the neck]. Acta Med Croatica 2013; 67:53–9
20. Kieff DA, Bhattacharyya N, Siegel NS, Salman SD. Selection of antibiotics after incision and drainage of peritonsillar abscesses. Otolaryngol Head Neck Surg 1999; 120:57–61.