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Management of recurrent tonsillitis in children

Diaa El Din El Hennawi1, Ahmed Geneid2, Salah Zaher3

  • 1Department of Otorhinolaryngology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

American Journal of Otolaryngology
|April 8, 2017
PubMed

Insights

Azithromycin (AZT) and benzathine penicillin (BP) effectively treat recurrent tonsillitis in children, showing comparable results to surgery. AZT demonstrated better patient compliance in this comparative study.

Area of Science:

  • Pediatric infectious diseases
  • Pharmacology and therapeutics
  • Otolaryngology

Background:

  • Recurrent tonsillitis poses a significant health challenge in pediatric populations.
  • Conventional treatments include surgical intervention (tonsillectomy) and antibiotic therapy.
  • Comparing the efficacy and safety of different antibiotic regimens is crucial for optimal patient management.

Purpose of the Study:

  • To compare the effectiveness of azithromycin (AZT) and benzathine penicillin (BP) in managing recurrent tonsillitis in children.
  • To evaluate drug safety and patient compliance between the two treatment groups.
  • To assess the outcomes in relation to conventional surgical treatment.

Main Methods:

  • A randomized controlled study involving 350 children diagnosed with recurrent streptococcal tonsillitis.
  • 122 children were randomly assigned to receive either intramuscular benzathine penicillin or oral azithromycin for six months.
  • Treatment protocols involved specific dosages based on child weight, administered at defined intervals.

Main Results:

  • Both azithromycin and benzathine penicillin groups exhibited significant reductions in recurrent tonsillitis episodes.
  • Treatment outcomes were comparable to those achieved with tonsillectomy.
  • No statistical differences in infection recurrence or drug safety were observed between the azithromycin and benzathine penicillin groups after six months. Azithromycin showed superior compliance.

Conclusions:

  • Azithromycin serves as a viable alternative to benzathine penicillin for the management of recurrent tonsillitis in pediatric patients.
  • The therapeutic efficacy of azithromycin is comparable to benzathine penicillin and surgical tonsillectomy.
  • Improved compliance with oral azithromycin suggests potential benefits for long-term treatment adherence.
Abstract

Keywords:
AzithromycinBenzathine penicillinChronic tonsillitis

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