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[1] [5] If strep throat is present the antibiotic penicillin by mouth is generally recommended. [ 1 ] [ 5 ] In those who are allergic to penicillin, cephalosporins or macrolides may be used. [ 1 ] [ 5 ] In children with frequent episodes of tonsillitis, tonsillectomy modestly decreases the risk of future episodes.
Treatment with antibiotics shortens the duration of the acute illness by about 16 hours. [13] The primary reason for treatment with antibiotics is to reduce the risk of complications such as rheumatic fever and retropharyngeal abscesses. [13] Antibiotics prevent acute rheumatic fever if given within 9 days of the onset of symptoms. [16]
Azithromycin, sold under the brand names Zithromax (in oral form) and Azasite (as an eye drop), is an antibiotic medication used for the treatment of several bacterial infections. [10] This includes middle ear infections , strep throat , pneumonia , traveler's diarrhea , and certain other intestinal infections . [ 10 ]
For sore throat caused by bacteria (GAS), treatment with antibiotics may help the person get better faster, reduce the risk that the bacterial infection spreads, prevent retropharyngeal abscesses and quinsy, and reduce the risk of other complications such as rheumatic fever and rheumatic heart disease. [2]
This impermeable structure renders the biofilm immune to antibiotic treatment. By use of confocal microscopy and microelectrodes, biofilms similar to dental biofilms were shown to be present in the tonsillolith, with oxygen respiration at the outer layer of tonsillolith, denitrification toward the middle layer, and acidification toward the core.
Treatment can also be given while a patient is under anesthesia, but this is usually reserved for children or anxious patients. Tonsillectomy can be indicated if a patient has recurring peritonsillar abscesses or a history of tonsillitis. For patients with their first peritonsillar abscess most ENT-surgeons prefer to "wait and observe" before ...