Daschner F
HNO. 1979 Jun;27(6):181-4.
The antibiotic management of tonsillitis, acute otitis media, sinusitis and bronchitis is critically reviewed. Tonsillitis due to Group A streptococci must be treated with penicillin for 10 days in order to prevent complications. Antibiotics should not be used locally in pharyngitis or tonsillitis. Tonsillectomy does neither reduce the incidence of streptococcal tonsillitis nor of rheumatic complications. Antibiotic cover for tonsillectomy is not indicated except in patients with rheumatic heart disease or in those with prosthetic heart valves. The indications for the prophylactic use of antibiotics in ear, nose and throat surgery are discussed.
对扁桃体炎、急性中耳炎、鼻窦炎和支气管炎的抗生素治疗进行了批判性综述。A组链球菌引起的扁桃体炎必须用青霉素治疗10天，以预防并发症。抗生素不应局部用于咽炎或扁桃体炎。扁桃体切除术既不能降低链球菌性扁桃体炎的发病率，也不能降低风湿性并发症的发病率。除风湿性心脏病患者或有人工心脏瓣膜的患者外，扁桃体切除术无需使用抗生素预防感染。讨论了耳鼻喉科手术中预防性使用抗生素的指征。
