7/23/2019 Journal Reading Afif Tht http://slidepdf.com/reader/full/journal-reading-afif-tht 1/27 Presented by: Ahmad Izzudin Af– 01.209.5824 FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM SULTAN AGUNG SEMARANG 2015 Peritonsillar Infections: Prospective Study of 100 Consecutive Cases María Costales-Marcos, Fernando López-Álvarez, Faustino Nú˜nez-Batalla, Carla Moreno-Galindo, ∗ César Álvarez Marcos, osé Luis Llorente-!end"s Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Principado de Asturias, Spain
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Peritonsillar Infections: ProspectiveStudy of 100 Consecutive Cases
María Costales-Marcos, Fernando López-Álvarez, Faustino Nú˜nez-Batalla, Carla Moreno-Galindo,∗
César Álvarez Marcos, osé Luis Llorente-!end"sServicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Principado de Asturias,
• = !! 'in the $r t ! used in urde$artment r the mana ement $erit nsi!!ar in e ti ns& a!! $atients attendinthe "mer en y 6er#i e 'ith sym$t ms ande3$! rati n nsistent 'ith the dia n sis
$erit nsi!!ar in e ti n 'ere admitted rintra#en us antibi ti thera$y& ana! esia and$ ssib!e intra#en us rti ster ids.
• a dia n sis $h!e m n r $erit nsi!!ar
abs ess 'as based $rimari!y n thebtenti n $us 'ith need!e as$irati n
$er rmed n $atients u$ n admissi n& inthe re i n ma3imum $erit nsi!!ar bu! in
• As menti ned $re#i us!y& u$ n admissi n a!!$atients under'ent $un ture>as$irati n in the m st
n#e3 $art the anteri r t nsi!!ar $i!!ar.•
) $uru!ent materia! 'as btained in ?2 ases7?2 & !ea a e $us 'as bser#ed in 2 ases7 2 & in 5 $atients 75 'e n ted a s$ ntane usdraina e $uru!ent materia! and in 1 ase 71$un ture 'as n t $er rmed at the time dia n sis due t trismus.
• @ased n this resu!t 'e !assifed $atients int th se'ith a dia n sis $h!e m n& 'hen there 'as ndis har e $us 7?2 & r abs ess& 'hen $un ture!ed t the !ea a e $uru!ent materia! 7 8 .
• /!ini a! si ns si nif ant!y ass iated 'ith the$resen e $erit nsi!!ar abs ess 'ere the $resen e
trismus 7P .001 & ntra!atera! de#iati n theu#u!a 7P .001 and bu! in the anteri r $i!!ar
• A!! $atients 'ere h s$ita!ised and treated'ith intra#en us antibi ti s.
•
In a!! ases& antibi ti treatment 'as arriedut em$iri a!!y and durati n intra#en usthera$y #aried bet'een 1 day 7 n!y 1 ase'as treated r 24 h and C days. D st
$atients 782 re ei#ed intra#en usantibi ti treatment r at !east days.• A!! $atients re ei#ed ra! antibi ti thera$y
• 6e#enty>se#en $er ent $atients had nhist ry re urrent t nsi!!itis and 55'ere re ei#in antibi ti treatment. 6i3ty>t' ases 'ere $erit nsi!!ar abs ess andthe rest 'ere e!!u!itis.
• Trismus & u#u!ar de#iati n and anteri r
$i!!ar bu! in 'ere statisti a!!y ass iated'ith $erit nsi!!ar abs ess 7 P .005 . A!!$atients 'ere admitted t h s$ita! andtreated 'ith $un turedraina e&intra#en us antibi ti s7am 3i i!!in( !a#u!anate in 8 asesand a sin !e d se ster ids. A!! $atients'ere dis har ed n ra! antibi ti thera$y.
• 'e an n !ude that m st resistan esremain d se>de$endent.
•
;e be!ie#e that a mbinati n !indamy in and entami in may be an
ade<uate a!ternati#e in ases beta>!a tam a!!er y r un a# urab!e e# !uti n'ith the frst $ti n.
• ,ther auth rs ad# ate the use e ta3ime r $eni i!!in a! ne r mbined
'ith metr nidaz !e& 'ith simi!ar resu!ts.• ;e be!ie#e that administrati n a sin !ed se rti ster ids an be #ery use u!&ha#in bser#ed& !i e ther auth rs&
e• it 'as n t a m$anied by tab!es $resented ina rdan e 'ith the rmat Internati na! J urna!;rittin 7'ith ut inner #erti a! and h riz nta! !inesand seria! number& tab!e tit!e and des ri$ti n the