Document Detail

Penicillin and clindamycin therapy in recurrent tonsillitis. Effect of microbial flora.
MedLine Citation:
PMID:  2500139     Owner:  NLM     Status:  MEDLINE    
Fifty patients, scheduled for an elective tonsillectomy because of recurrent group A beta-hemolytic streptococcal tonsillitis, participated in a prospective randomized study that compared the efficacy of presurgical treatment with either phenoxymethyl penicillin or clindamycin hydrochloride in eradicating group A beta-hemolytic streptococci and beta-lactamase-producing bacteria (BLPB) from the tonsillar core. They were randomized into three groups as follows: 11 received penicillin, 22 received clindamycin, and 17 received no therapy. Group A beta-hemolytic streptococci were isolated from 8 (40%) of 17 untreated patients, 4 (36%) of 11 patients treated with penicillin, and none of 22 patients treated with clindamycin. Twenty-one BLPB were isolated from 16 (94%) of 17 untreated patients, 11 BLPB from 9 (82%) of 11 patients treated with penicillin, and 7 BLPB from 7 (32%) of 22 patients treated with clindamycin compared with penicillin or no therapy. Of the 22 patients treated with clindamycin, 10 were younger than 12 years of age. The BLPB were eradicated in nine patients (90%). However, BLPB were eradicated only in 6 (50%) of the 12 patients who were aged 13 years and older. These data illustrate the efficacy of clindamycin therapy in eradicating group A beta-hemolytic streptococci, as well as BLPB, in recurrent inflamed tonsils, especially in persons aged 12 years old and younger.
P A Foote; I Brook
Related Documents :
25016389 - Ultrasound-guided hematoma block in distal radial fracture reduction: a randomised clin...
6642069 - Efficacy and tolerance of enteric-coated erythromycin base (ery-max) administered twice...
2500139 - Penicillin and clindamycin therapy in recurrent tonsillitis. effect of microbial flora.
8249199 - Comparative therapeutic results of penicillin plus chloramphenicol versus ampicillin pl...
8507759 - Open, randomized therapeutic trial of six antimicrobial regimens in the treatment of hu...
20202309 - Macrolides versus quinolones in legionella pneumonia: results from the community-acquir...
2764609 - Cardiac valve replacement in the elderly: clinical performance of biological prostheses.
19821289 - Pulse oximetry for perioperative monitoring.
15746739 - The effect of repair technique on postoperative right-sided obstruction in patients wit...
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  115     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-08-03     Completed Date:  1989-08-03     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  856-9     Citation Subset:  AIM; IM    
Division of Otorhinolaryngology, College of Medicine, University of Florida.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Bacteria, Aerobic / isolation & purification
Bacteria, Anaerobic / isolation & purification
Clindamycin / therapeutic use*
Palatine Tonsil / microbiology
Penicillin V / therapeutic use*
Prospective Studies
Random Allocation
Streptococcal Infections / drug therapy*
Streptococcus pyogenes / isolation & purification
Tonsillitis / drug therapy*,  etiology
beta-Lactamases / metabolism
Reg. No./Substance:
18323-44-9/Clindamycin; 87-08-1/Penicillin V; EC

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Prevention of alcohol withdrawal seizures with carbamazepine and valproic acid.
Next Document:  Effects of interferon-gamma and tumor necrosis factor-alpha on clonogenic growth of cell lines and p...