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European Archives of Oto-Rhino-Laryngology

22-09-2023 | Antibiotic | Laryngology

The efficacy of perioperative antibiotic therapy in adenotonsillectomy children

Authors: Ying Wang, Limin Zhao, Jing Wang, Xiaoyan Li

Published in: European Archives of Oto-Rhino-Laryngology

Abstract

Purpose

To evaluate the role of perioperative antibiotics use in children after adenotonsillectomy.

Methods

SPSS 27.0 was used for statistical analysis. Two independent samples mean T test was used to evaluate the throat pain scores consecutive 3 days after the surgery, the time to resume to normal diet, and the wound healing time. Logistic regression analysis was used to evaluate the independent risk factors of the two groups. The generalized estimation model was used to evaluate the correlation between age and postoperative pain scores, and the relationship between different tonsillar bed gradings and postoperative pain scores.

Results

The pain scores were 5.83 ± 1.879, 5.20 ± 1.933, and 4.02 ± 1.936 in the observation group; and 6.83 ± 1.892, 6.17 ± 2.001, and 5.29 ± 2.068 in the control group on days 1–3 after surgery, respectively. The time of pain disappearance was 6.24 ± 2.121 days in the observation group and 7.73 ± 2.210 days in the control group. The wound repair time was 18.66 ± 2.200 days in the observation group and 18.70 ± 2.468 days in the control group. Logistic regression analysis showed that fever was an independent risk factor for the two groups and was negatively correlated (B = − 1.237, P < 0.001, OR = 0.290). Generalized estimation model showed that there was a positive correlation between age and pain scores (P < 0.001), and with the increasing grading of tonsillar bed, the higher the pain scores was (P < 0.001).

Conclusions

Perioperative use of antibiotics in children with adenotonsillectomy can effectively reduce postoperative fever, throat pain symptoms, and shorten the pain time. With the increasing of tonsillar bed grading, perioperative antibiotic therapy was more necessary.

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Title: The efficacy of perioperative antibiotic therapy in adenotonsillectomy children
Authors: Ying Wang
Limin Zhao
Jing Wang
Xiaoyan Li
Publication date: 22-09-2023
Publisher: Springer Berlin Heidelberg
Keywords: Antibiotic
Tonsillectomy
Published in: European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08244-x

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The efficacy of perioperative antibiotic therapy in adenotonsillectomy children

Abstract

Purpose

Methods

Results

Conclusions

Keynote Webinar | Spotlight on Diet and Diabetes

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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