Main Article Content

Huseyin Keskin
Oguz Guvenmez


acute tonsillitis, treatment, healing time, recovery, otorhinolaryngology


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.

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).

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.

Abstract 2725 | pdf Downloads 1585 HTML Downloads 92 xml Downloads 2736


1. Gleeson MJ, Browning G, Burton MJ, et al. Scott-Brown’s otorhinolaryngology: head and neck surgery. 7th edn. London; Hodder Arnold; 2008.
2. Ebell MH, Smith MA, Barry HC, Ives K, Carey M. The rational clinical examination. Does this patient have strep throat. JAMA 2000;284:2912–2918. http://dx.doi.org/10.1001/jama.284.22.2912
3. Chiappini E, Regoli M, Bonsignori F, Sollai S, Parretti A, Galli L, et al. Analysis of different recommendations from international guidelines for the management of acute pharyngitis in adults and children. Clin Ther 2011;33:48–58. http://dx.doi.org/10.1016/j.clinthera.2011.02.001
4. Scholz H, Berner R, Duppenthaler A, Forster J, To ?pfner N. Deutsche Gesellschaft fu ?r Padiatrische Infektiologie (DGPI), DGPI Handbuch: Infektionen bei Kindern und Jugendlichen, 6. u ? berarbeitete Auflage, Infektionen durch ß-ha ? molysier-ende Streptokokken der Gruppe A. Stuttgart: Georg Thieme Verlag, 2013; pp 509–516.
5. Pichichero ME, Casey JR. 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 2007;59:127–130. http://dx.doi.org/10.1016/j.diagmicrobio.2007.04.010
6. Pelucchi C, Grigoryan L, Galeone C, et al. Guideline for the management of acute sore throat. Clin Microbiol Infect 2012;18:1–28. http://dx.doi.org/10.1111/j.1469-0691.2012.03766.x
7. Shulman ST, Bisno AL, Clegg HW, et al. 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. 2012;55:1279–1282. http://dx.doi.org/10.1093/cid/cis847
8. RKI Guide [cited 2019]. Available from: https://www.rki.de/DE/Content/Infekt/EpidBull/Merkblaetter/Ratgeber_Streptococcus_pyogenes.html Accessed July 01, 2015.
9. Stelter K. Tonsillitis and sore throat in children. GMS Curr Top Otorhinolaryngol Head Neck Surg 2014;13:Doc07. 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. http://dx.doi.org/10.5455/msm.2018.30.43-48
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. http://dx.doi.org/10.2174/187152612801319258
13. Windfuhr JP, Toepfner N, Steffen G, Waldfahrer F, Berner R. Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management. Eur Arch Otorhinolaryngol 2016;273(4):973–87. PubMed PMID: 26755048. http://dx.doi.org/10.1007/s00405-015-3872-6
14. Ergül, AB, Gokcek I, Celik T, et al. Çocuk hasta larda uygunsuz antibiyotik kullan?m?n?n deg ? erlendirilmesi: Nokta prevalans çal?s ?mas?. Turk Pediatri Arsivi 2018;53:17–23.
15. 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. PubMed PMID: 27109151. http://dx.doi.org/10.3109/00016489.2016.1170202
16. 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. http://dx.doi.org/10.1007/s00405-013-2667-x
17. 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. http://dx.doi.org/10.1308/003588414X13946184900363
18. Kovacic M, Kovacic I, Delalija B. [Necrotizing fasciitis of the neck]. Acta Med Croatica 2013;67:53–9.
19. 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. http://dx.doi.org/10.1016/S0194-5998(99)70370-0