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Audit of the treatment of tonsillar and peritonsillar sepsis in an ear, nose and throat unit

Published online by Cambridge University Press:  29 June 2007

G. MacDougall  and
S. W. Denholm
G. MacDougall*
Affiliation:
Departments of Otolaryngology, City Hospital, Edinburgh
S. W. Denholm
Affiliation:
Departments of Otolaryngology, City Hospital, Edinburgh
*
Address for correspondence: Dr G. MacDougall, Department of Otolaryngology, The Lauriston Building, Royal Infirmary, Edinburgh EH3 9EN.
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Abstract

We became aware that a range of antibiotics were being used in our unit to treat patients suffering from tonsillitis or peritonsillar abscess (quinsy). There appeared to be no rationale to determine which antibiotics were used, and we felt that we were possibly using expensive antibiotics when cheaper equally effective ones were available. An audit project was therefore devised to establish the current practice in the ENT Unit at the City Hospital at Edinburgh. Following a six-month prospective pilot study, a protocol for the treatment of tonsillar and peritonsillar sepsis was drawn up and subsequent practice and outcome was then audited, thus completing the audit cycle. As a result substantial savings in the cost of prescribed antibiotics have been made without compromising patient care.

Keywords

TonsillitisQuinsyAntibiotics
Type
Audit Article
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 531 - 533
Copyright
Copyright © JLO (1984) Limited 1995

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References

British National Formulary (1994) March.Google Scholar
Brook, I., Yocum, P. (1984) Bacteriology of chronic tonsillitis in young adults. Archives of Otolaryngology 110: 803–805.CrossRefGoogle ScholarPubMed
Flodstrum, A., Hallander, H. O. (1976) Microbiological aspects on peritonsillar abscesses. Scandinavian Journal of Infectious Diseases 8: 157–160.CrossRefGoogle Scholar
Herbild, O., Bonding, P. (1981) Peritonsillar abscess: recurrence rate and treatment. Archives of Otolaryngology 107: 540–542.CrossRefGoogle Scholar
Hibbert, J. (1987) Acute infection of the pharynx and tonsils. In Scott-Brown's Otolaryngology. 5th Edition. (Kerr, A. G., Stell, P. M., eds.), Butterworth & Co., London, p 78.Google Scholar
Jokinden, K., Sipila, P., Jokipii, A. M. M., Jodpii, L., Sorri, M. (1985) Peritonsillar abscess: bacteriological evaluation. Clinical Otolaryngology 10: 27–30.CrossRefGoogle Scholar
Reilly, S., Timmis, P., Beeden, A. G., Willis, A. T. (1981) Possible role of the anaerobe in tonsillitis. Journal of Clinical Pathology 34: 542–547.CrossRefGoogle ScholarPubMed
Snow, D. G., Campbell, J. B., Morgan, D. W. (1991) The microbiology of peritonsillar sepsis. Journal of Laryngology and Otology 105: 553–555.CrossRefGoogle ScholarPubMed
Tucker, A. G. (1982) Peritonsillar abscess. Journal of Laryngology and Otology 96: 639–643.CrossRefGoogle ScholarPubMed