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Perioperative antibiotic in adenoidectomy with partial tonsillectomy: a randomized trial

Olaf Zagólski1, Jan Kulisiewicz

  • 1ENT Department, St. John Grande's Hospital, Kraków, Poland. olafzag@gmail.com

ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties
|March 2, 2012
PubMed

Insights

Perioperative antibiotic therapy in children undergoing adenotonsillotomy significantly improved pain, recovery, and satisfaction. However, strict indications for antibiotics in this procedure are uncommon.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Pharmacology

Background:

  • Adenotonsillotomy is a common procedure for pediatric obstructive sleep symptoms.
  • The role of perioperative antibiotics in improving outcomes is debated.

Purpose of the Study:

  • To evaluate the efficacy of perioperative antibiotic administration in pediatric adenotonsillotomy.
  • To assess the impact on pain, recovery, and patient satisfaction.

Main Methods:

  • A randomized controlled trial involving 120 children (aged 5-7 years) undergoing adenotonsillotomy.
  • Participants received either intravenous and oral clindamycin or a placebo for seven days post-surgery.

Main Results:

  • Significant improvements were observed in pain intensity and duration, return to normal activity, oral malodor, analgesic use, healing, and caregiver satisfaction in the antibiotic group.
  • Only two patients in the placebo group showed indications for antibiotic treatment.

Conclusions:

  • Perioperative antibiotics demonstrate significant benefits in the convalescence of children post-adenotonsillotomy.
  • However, clear indications for antibiotic use in such cases are infrequent.
Abstract

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