Antibiotic use in tonsillitis

Background. A group B hemolytic streptococcus is no longer a rarity in pediatric clinics. Often, due to somewhat laborious culture techniques, in the absence of clinical suspicion of etiology, a group A hemolytic streptococcus can pass undiagnosed or mistakenly labeled as a hemolytic staphylococcus aureus; especially in cases of coexistence of double etiology.

Sometimes the diagnosis is retrospective, as in the case of post-scarlet desquamation or absolutely random, when we detect a murmur in endocarditic rheumatic fever.

Objective. As a personal observation, in the cases studied, unlike the classical Pediatrics, both the age of diagnosis (often under 1 year) and the antibiotic response in the antibiotic were displaced, meaning that most of the strains are resistant to penicillin, erythromycin, even clarithromycin.

Methods.1-year retrospective study in a total of 162 patients with haemolytic streptococcal disease, the majority of them (131) being of group A. The primary age of screening is that of the school and pre-school child, about 20% of whom are infants.

Results. No significant differences in sex distribution were observed. Most cases were diagnosed in the cold months, over 80% between may and september, with an average of 4-5 cases / month.

Over 75% of antibiotics showed "paradoxical" sensitivity to unobserved "classical" antibiotics for the pathogen (Augmentin, Cefuroxim, Gentamicin) and penicillin-resistant: 2 non-group A streptococci were streptococcus pneumoniae.

Conclusion. Repositioning attitudes towards antibiogram therapy in all children with a streptococcal infection due to "surprises" with regard to antibiotic susceptibility.

Reassessing the ASLO titre for retrospective diagnosis and targeted treatment.

Promotion of effective hygiene rules in the community.

Elimination of taboos relating to age of diagnosis and response to therapy.

Applicability of fast diagnostic kits.