This study was conducted to assess the effectiveness of prophylactic antibiotic in reducing post-tonsillectomy morbidity in our local setup. A total of 100 consecutive patients who underwent tonsillectomy with or without adenoidectomy are included in this study. These patients were divided into three groups A, B and C. Thirty five patients were included in group A, where no antibiotic was given postoperatively. Thirty-five patients in group B were given amoxicillin/clavulanic acid (Augmentin) and thirty patients in group C were given cefaclor post-operatively for seven days. Post-operatively all patients were assessed for pain in the throat, referred earache, intermittent fever, foul odour from the mouth, post-operative bleeding and duration for which analgesics were used. This study shows a significant better outcome and reduction in post-operative morbidity inpatients where antibiotics were used. We recommend routine use of prophylactic antibiotic, which must be broad-spectrum and active against beta-lactamase producing organisms.
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