[Plea for an evaluation of beta hemolytic streptococcal tonsillitis: from diagnosis to treatment].
There is no justification to maintain a systematic antibiotic treatment of all tonsillitis as currently practiced in France. Indeed, it is today possible to exclude the streptococcal origin of tonsillitis with a fair probability using a rapid diagnosis test. It is therefore mandatory that these tests are made available to the French practitioner. Additionally, alternatives to the classical 10-day penicillin V treatment of streptococcal tonsillitis must be seriously considered: shorter duration treatment with oral cephalosporins, macrolides or amoxicillin have proved to be as efficient and of lower cost; they are also probably safer due to a better compliance related to the shorter duration.
Laboratoire de microbiologie, Centre Hospitalier intercommunal, Créteil, France.
R
R
Cohen
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Reinert
D002648:Child; D006801:Humans; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D014069:Tonsillitis / Q000188:drug therapy / Q000382:microbiology
Pour une évaluation de l'angine streptococcique: du diagnostic au traitement.