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Tonsillitis in the paediatric outpatient.

W J Reader, R O Doëhring

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |February 4, 1984
    PubMed
    Summary

    Pediatric tonsillitis is multifactorial, linked to sinusitis and nasal allergy. Early antibiotic use is justified, and these conditions should be ruled out before considering tonsillectomy.

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    Area of Science:

    • Otolaryngology
    • Pediatric Infectious Diseases
    • Microbiology

    Background:

    • Tonsillitis is a common pediatric outpatient condition.
    • The multifactorial etiology of tonsillitis is often associated with sinusitis and nasal allergy.
    • Differentiating between bacterial and viral tonsillitis based on clinical presentation is challenging.

    Purpose of the Study:

    • To investigate the etiology of tonsillitis in pediatric outpatients.
    • To assess the association between tonsillitis, sinusitis, and nasal allergy.
    • To evaluate the role of bacterial and viral infections in pediatric tonsillitis.

    Main Methods:

    • Retrospective analysis of pediatric outpatient cases of tonsillitis.
    • Throat swab cultures for bacterial isolation.
    • Clinical history and examination findings were reviewed.

    Main Results:

    • Sinusitis and nasal allergy were frequently associated with pediatric tonsillitis.
    • Lancefield Group A beta-hemolytic streptococci were isolated from one-third of patients.
    • Bacteria were isolated from 50% of all cases.
    • No clinical features reliably distinguished between bacterial and viral infections.

    Conclusions:

    • The multifactorial nature of pediatric tonsillitis warrants consideration of associated sinusitis and nasal allergy.
    • Empirical antibiotic treatment before culture results may be clinically justified.
    • Excluding sinusitis and nasal allergy is recommended prior to tonsillectomy consideration.

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