Fischer M, Arweiler D
Universitäts-HNO-Klinik Essen.
HNO. 1996 Feb;44(2):68-72.
The study presented updates the spectrum of causative organisms in peritonsillar abscesses. Antibiotic treatment and surgery play important roles in this potentially life-threatening disease. A regular screening of the bacterial spectrum present and resistance remains important for optimizing a therapeutic regimen. Swabs of 122 peritonsillar abscesses were taken and investigated for the presence of causative organisms (bacteria and fungi) and potential antibiotic resistances. It was found that group A beta-hemolytic streptococci and Bacteroides spp. were the predominant isolates. It was also found that amoxicillin plus clavulinic acid or, alternatively, a third-generation cephalosporin (e.g., cefotaxime) represented the treatment of first choice to prevent antibiotic resistance.
本研究更新了扁桃体周围脓肿致病微生物谱。抗生素治疗和手术在这种可能危及生命的疾病中起着重要作用。定期筛查现有细菌谱和耐药性对于优化治疗方案仍然很重要。采集了122例扁桃体周围脓肿的拭子，对致病微生物（细菌和真菌）的存在情况以及潜在的抗生素耐药性进行了调查。结果发现，A组β溶血性链球菌和拟杆菌属是主要分离株。还发现，阿莫西林加克拉维酸或第三代头孢菌素（如头孢噻肟）是预防抗生素耐药性的首选治疗药物。
