Document Detail


Penicillin and clindamycin therapy in recurrent tonsillitis. Effect of microbial flora.
MedLine Citation:
PMID:  2500139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P A Foote; I Brook
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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    
Affiliation:
Division of Otorhinolaryngology, College of Medicine, University of Florida.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Bacteria, Aerobic / isolation & purification
Bacteria, Anaerobic / isolation & purification
Clindamycin / therapeutic use*
Female
Humans
Male
Palatine Tonsil / microbiology
Penicillin V / therapeutic use*
Prospective Studies
Random Allocation
Recurrence
Streptococcal Infections / drug therapy*
Streptococcus pyogenes / isolation & purification
Tonsillitis / drug therapy*,  etiology
beta-Lactamases / metabolism
Chemical
Reg. No./Substance:
18323-44-9/Clindamycin; 87-08-1/Penicillin V; EC 3.5.2.6/beta-Lactamases

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


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