Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1986-6-24
pubmed:abstractText
Tonsillectomy continues to be a commonly performed operation in the pediatric age group. The postoperative period is often protracted and characterized by throat and ear pain, intermittent fever, foul odor from the oral cavity, and poor oral intake. Consequently, antibiotics are frequently prescribed in an effort to minimize these symptoms and/or avoid complications such as dehydration or secondary infection of the operative site. However, to our knowledge, no study to date has been performed to demonstrate the efficacy of antibiotic therapy in this setting. At the Children's Hospital of Philadelphia, a prospective, randomized, double-blind study was undertaken in which ampicillin (or placebo) was administered intravenously at the time of surgery and for 12 to 24 hours postoperatively. The children then continued to receive oral amoxicillin therapy (or placebo) for an additional seven days. The patients were then evaluated for the incidence and severity of postoperative symptoms and complications. Intraoperative cultures of the oropharynx and tonsillar tissue, as well as cultures of the tonsillar fossa, were obtained following completion of one week of therapy. Our results indicate that ampicillin sodium/amoxicillin trihydrate therapy is well tolerated and safe in the nonallergic child and is effective in minimizing fever and other troublesome postoperative symptoms, such as pain, lassitude, mouth odor, and poor oral intake after tonsillectomy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0886-4470
pubmed:author
pubmed:issnType
Print
pubmed:volume
112
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
610-5
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:3516177-Adenoidectomy, pubmed-meshheading:3516177-Amoxicillin, pubmed-meshheading:3516177-Ampicillin, pubmed-meshheading:3516177-Anorexia Nervosa, pubmed-meshheading:3516177-Child, pubmed-meshheading:3516177-Child, Preschool, pubmed-meshheading:3516177-Clinical Trials as Topic, pubmed-meshheading:3516177-Double-Blind Method, pubmed-meshheading:3516177-Fatigue, pubmed-meshheading:3516177-Female, pubmed-meshheading:3516177-Fever, pubmed-meshheading:3516177-Humans, pubmed-meshheading:3516177-Male, pubmed-meshheading:3516177-Pain, Postoperative, pubmed-meshheading:3516177-Postoperative Complications, pubmed-meshheading:3516177-Premedication, pubmed-meshheading:3516177-Prospective Studies, pubmed-meshheading:3516177-Random Allocation, pubmed-meshheading:3516177-Tonsillectomy
pubmed:year
1986
pubmed:articleTitle
The effect of antibiotic therapy on recovery after tonsillectomy in children. A controlled study.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial