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[COMMON TREATMENT FOR ACUTE TONSILLITIS IN THE COMMUNITY]
Oded Mazor1,2, Martine Granek-Catarivas1,2, Shmuel Giveon1,2
1Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Harefuah
|May 23, 2017
Summary
Despite consensus on Phenoxymethyl Penicillin (Penicillin V) for strep tonsillitis, primary care physicians show significant variability in prescribing. This study highlights a need for standardized antibiotic treatment protocols in common diagnoses.
Area of Science:
- General Practice
- Infectious Diseases
- Pharmacology
Background:
- Streptococcal tonsillitis is a frequent diagnosis in adult primary care.
- Phenoxymethyl Penicillin (Penicillin V) is the widely accepted standard treatment.
Purpose of the Study:
- To describe antibiotic prescribing variability for acute tonsillitis among community-based family physicians.
- To assess adherence of prescribed treatments to established guidelines.
Main Methods:
- A study involving nine primary care physicians in urban clinics.
- Data collected from 320 adult patients (excluding penicillin-allergic individuals).
- Statistical tests used for comparing prescribed medications.
Main Results:
- 70% of patients received Penicillin V; however, only 54% were prescribed the recommended dosage.
- Significant variation observed in antibiotic choice and dosage among physicians.
- No documented reasons for deviations from standard treatment protocols in medical files.
Conclusions:
- Consensus exists on treating Streptococcus A tonsillitis, yet prescribing practices vary considerably.
- This variability among physicians treating a common condition necessitates further investigation into other common diagnoses.
- Standardizing treatment protocols can ensure optimal patient care, prevent complications, and manage healthcare costs.
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