Bacteriological Study of Acute Follicular Tonsillitis in Pediatric Patients Attending the E.N.T Outpatient Clinic of Assiut University Hospital. | ||
| Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||
| Article 4, Volume 10, Issue 3, December 2024, Pages 36-47 PDF (396.66 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejnso.2024.315028.1104 | ||
| Authors | ||
| Alaa Kamel Abd Elhaleem1; Khaled Mohamed Hasanein2; Mena Wahby Dous* 1; Mohamed Roushdy1 | ||
| 1Otorhinolaryngology Department, Faculty of Medicine, Assiut University ,Egypt | ||
| 2Department of Medical Microbiology and Immunology, Faculty of Medicine , Assiut University , Egypt | ||
| Abstract | ||
| Background: Acute follicular tonsillitis (A.F.T) is a common clinical illness often encountered in E.N.T practice. The treatment of this illness is frequently empirical, with antibiotic selection made without reference to culture data. Objectives: To determine the failure rate in A.F.T treatment with amoxicillin clavulanate and to study the possible reason(s) for this failure in our locality. Methods: An institutional-based cross-sectional study, included all pediatric patients (aged ≥ 5 to 18 years) with A.F.T who attending the outpatient ENT clinic of AUH in the period from December, 2020 to May, 2022. The culture of the throat swab was performed for all studied cases to identify the possible causative organism followed by antibiotic sensitivity test. All studied participants were received amoxicillin/ clavulanic acid initially for 2 – 3 days. Results: The study included 66 patients, 57.6% were males. Positive culture was reported in 86.4% of throat swabs (Group A β- hemolytic streptococci was the most common isolated pathogen) and 13.6% had no growth after 72 hours on culture media. Gram positive bacteria were more susceptible to selected antibiotics than Gram negative bacteria. The majority of the isolated pathogens were susceptible to imipenem, ceftriaxone and levofloxacin with a good sensitivity. Amoxicillin/ clavulanic acid had a failure rate of 45.5% (30/66) in treating 66 pediatric patients with A.F.T. Conclusion: The administration of amoxicillin/ clavulanic acid does not represent the best choice for treatment of acute A.F.T in pediatric patients. | ||
| Keywords | ||
| Keywords: acute follicular tonsillitis; bacteriological study; amoxicillin/ clavulanic acid | ||
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