Amer Sabih Hydri, Jehangir Ahmed Afridi, Zubair Ahmed.
Treating Acute Follicular Tonsillitis In Adults. Do Antibiotics Help ?.
Pak J Otolaryngol Jan ;28(3):80-3.

OBJECTIVES: To compare any difference in the time required for recovery in cases of acute follicular tonsillitis, when antibiotics are prescribed and otherwise. DESIGN: A comparative (analytical) study. PLACE & DURATION: Department of ENT/Head & neck surgery, Combined Military Hospital Peshawar, from 1st Jan 2008 to 30th Jun 2008. SUBJECTS AND METHODS: 60 diagnosed cases of acute follicular tonsillitis of either gender, aged 18 to 33 years were divided randomly into two groups (A and B). Group-A was treated with Injection Benzyl penicillin I/M , Paracetamol, oral fluids and Infusion 5% Dextrose water (Protocol –A). Injection Benzyl penicillin was withheld from Group-B patients, while rest of the treatment remained the same. (Protocol –B). Number of days required for complete recovery was recorded and the two groups compared. RESULTS: There was no significant difference in complete recovery in terms of days among the two groups. p=<0.0001. CONCLUSION: Rate of antibiotic prescription for acute follicular tonsillitis in our primary care clinics, is alarmingly high. To change this unscientific trend, implementation of evidence based practice and education of both the patients & health care personnel is imperative.

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