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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]
However, across the spectrum of dosage of amoxicillin-clavulanate combination, the dose of clavulanate is constant at 125 mg, whereas the dose of amoxicillin varies at 250 mg, 500 mg and 875 mg. Thus the use of low-dose amoxicillin-clavulanate in combination with meropenem may be used in part of a treatment regimen for drug-resistant TB and ...
A randomised controlled trial of tonsillectomy versus medical treatment (antibiotics and pain killers) in adults with frequent tonsillitis found that tonsillectomy was more effective and cost effective. It resulted in fewer days with sore throat. [42] [43] Children have had only a modest benefit from tonsillectomy for repeated cases of ...
Strep throat is typically treated with antibiotics, such as either penicillin or amoxicillin. [2] It is unclear whether steroids are useful in acute pharyngitis, other than possibly in severe cases, but a recent (2020) review found that when used in combination with antibiotics they moderately reduced pain and the likelihood of resolution. [9] [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]
A dose of dexamethasone may help children return to a normal diet more quickly and have less post-operative pain. [48] Many people are prescribed antibiotics following a tonsillectomy, however, the benefits and potential harms have not been well studied. [49] Antibiotics are not suggested to be used routinely following tonsillectomy. [49]
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It was a retrospective study (2008–2010) and looked at 441 children who attended a Belgian hospital emergency department and had a throat swab taken. It concluded that the Centor criteria are ineffective in predicting the presence of Group A beta-haemolytic streptococcus (i.e. antibiotic treatment-worthy) on throat swab cultures in children. [4]