The Effects of Administering No Antibiotics on Tonsillectomy Complications

Document Type : Original Article(s)

Authors

1 Associate Professor, ENT Subspecialty, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, ENT Subspecialty, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 General Physician, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Tonsillectomy is a common surgical procedure, especially in children, which has complications. This study aimed to evaluate the effects of antibiotic administration after tonsillectomy.
Methods: In this clinical trial, 100 tonsillectomy candidate patients were included. After surgery, 50 patients in the intervention group were given amoxicillin at a dose of 40 mg/kg in the form of oral capsules. The fifty patients in the control group received a similar capsule that did not contain antibiotics. In addition to the demographic characteristics of the patients, data related to the pain severity (through the visual analog scale), bleeding, fever, the duration of returning to a normal diet, and the duration of using analgesic were collected two weeks after the operation and was recorded in the checklist.
Findings: There were 50 patients in each group. The intervention and the control groups were matched in terms of weight, age, and sex. The findings indicated that there was no statistically significant difference between the intervention and control groups in terms of the occurrence of bleeding, fever, pain intensity, and time to return to the normal diet post-surgically. However, the intervention and control groups showed a significant statistical difference in the duration of analgesic intake.
Conclusion: Post- tonsillectomy antibiotic administration has no significant beneficial effects on complications of the procedure, including bleeding, pain, fever, and the time to return to the normal diet. So, administration of antibiotics after tonsillectomy is not generally recommended.

Highlights

Mehrdad Roghaa: Google Scholar, PubMed

Hossein Ghazavi: Google Scholar, PubMed

Elham Sadat Azimi: Google Scholar, PubMed

Keywords

Main Subjects

References

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Journal of Isfahan Medical School
Volume 41, Issue 744
4th Week, January
January and February 2024
Pages 1039-1044

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