Antibiotic Use in Sore Throat: Are We Judicious?

Agarwal, Mohit; Raghuwanshi, Shiv Kumar; Asati, Dinesh P

doi:10.1007/s12070-015-0864-1

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…Majority of these cases are caused by viruses and only small amount are caused by Group A Streptococcus. 13 In this survey, neck masses were seen in seven patients. Head and neck cancers in India are emerging as major health problem as they account for 30% and 16% of all cancers in males and females respectively.…”

Section: Discussionmentioning

confidence: 83%

Effect of living environment on ear, nose and throat diseases: a cross sectional survey in rural areas of Rohtas district in Bihar

Kumar¹,

Aslami²,

Rai³

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Ear, nose and throat (ENT) diseases are very common in general population. Internal living environment can act an important risk factor for these diseases. In rural areas, patients do not consult ENT experts. So, free health camps can bring treatment facilities at their doorsteps. The objective of this study was to determine the pattern and prevalence of ENT diseases in rural areas of Sasaram, Rohats district, Bihar and to find out the effect of living environment on these diseases.Methods: The study was conducted using camp approach in rural areas of Sasaram, Rohtas, Bihar. ENT and Community Medicine experts, interns along with audiologists, medico social workers, nurses and paramedical staff were voluntarily involved. The patients were screened and referred to ENT experts. A logistic regression analysis was conducted to determine the internal environment factors associated with ENT diseases. Results: Out of 832 patients, 61.9% were suffering from ENT disorders. Most common age group affected was of 31-40 years. 54.8% of patients were suffering from ear diseases while nasal and throat problem was seen in 14.9% and 30.3% respectively. Multiple logistic regression analysis of living environment conditions propounds that non-availability of cross ventilation in houses and overcrowding are most important factor influencing ENT diseases.Conclusions: Free health camps conducted by medical experts act as an opportunity to screen people with various diseases of ENT in a community. Bad internal environment can act as a vital determinant for these diseases.

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Section: Discussionmentioning

confidence: 83%

Effect of living environment on ear, nose and throat diseases: a cross sectional survey in rural areas of Rohtas district in Bihar

Kumar¹,

Aslami²,

Rai³

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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“…bacterial infections of pharynx (caused by Corynybacterium diphtheriae and Neisseria ghonorrhoeae), antibiotic therapy is unnecessary for acute pharyngo-tonsillitis caused by other organisms than GABHS even more so because most cases are caused by viruses (in particular adenovirus, influenza and parainfluenza viruses). It is extremely important to make the diagnosis accurately to avoid unnecessary and potentially harmful antibiotic prescriptions [2,3].…”

mentioning

confidence: 99%

Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci

Derhem¹,

Özsarı²,

Erturhan³

2019

The European Research Journal

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Objectives: Acute pharyngo-tonsillitis is one of the diseases that pediatricians and general practitioners most frequently experienced and only a small percentage of patients (20%-30% of pediatric patients, even less in adults) are actually suffering from pharyngo-tonsillitis by group A beta-hemolytic Streptococcus (GABHS). Also three quarters of pharyngitis patients have been treated with inappropriate antibiotics even these patients have viral infections. The aim of this study was to assess the effectiveness of the rapid antigen detection test (RADT) on the percentage of antibiotic prescriptions amongst patients with sore throat at a primary health care center in rural area. Methods: Retrospective Cohort Study was designed to compare antibiotic prescription in patients with sore throats in two groups, one with the use of RADT and other with the clinical desicions of physicians. The x 2 test was used between two nominal variables to assess the impact of RADT on antibiotic prescription. For comparison of more than two independent variables, the ANOVA test was used and to identify the differences between groups, the Post-Hoc test was processed. Results: Of the 580 patients, the avarage age of the study population was 25.8 years old while the median age was 21 years (min.=3, max.=65). There was a significant difference between two groups who had tested with RADT or not in terms of antibiotic prescription (p < 0.001). There was a significant difference between 3-14 years of age and 15-44 years of age (p = 0.001) as well as 3-14 years of age and 45-65 years of age (p = 0.009), however there was no significant difference between 15-44 and 45-65 years of age (p = 1.00). Conclusions: Using the RADT is truly effective in reducing the percentage of antibiotic prescriptions in our setting. We believe that, the tools like RADTs which are quickly results and easy to use are really useful in practising (particularly in rural area).

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“…Although most upper respiratory tract infections are caused by viruses, a significant proportion of patients are treated with antibiotics. This is due, in part, to doctors' concern about secondary bacterial infection and, in part, to the difficulty of distinguishing viral from bacterial infections based on symptoms (9).…”

Section: Discussion On Survey Of Diagnosis Of Epstein-barr and Cytome...mentioning

confidence: 99%

“…Despite the prevalence of viral infections in clinical practice, antibiotics are routinely recommended in 76% of cases. This is counter to international standards and dramatically contributes to the emergence of antibiotic-resistant strains (9). This antibiotic abuse also characterises infectious mononucleosis (IM), which CMV or EBV causes.…”

Section: The Growing Threat Of Antibiotic Resistancementioning

confidence: 99%

Epidemiology and clinical features of SARS-CoV-2 and Herpesvirus infection during childhood

Takács

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Antibiotic Use in Sore Throat: Are We Judicious?

Cited by 9 publications

References 17 publications

Effect of living environment on ear, nose and throat diseases: a cross sectional survey in rural areas of Rohtas district in Bihar

Effect of living environment on ear, nose and throat diseases: a cross sectional survey in rural areas of Rohtas district in Bihar

Antibiotic prescription before and after rapid antigen detection test (RADT) for beta-hemolytic streptococci

Epidemiology and clinical features of SARS-CoV-2 and Herpesvirus infection during childhood

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