[Acute tonsillitis: towards a new therapeutic strategy].
There is a need for revising the current practice for treatment of acute tonsillitis in France, i.e., systematic antibiotic treatment. There are three main reasons for this revision: 1) group A betahemolytic streptococcus is involved in only 20% of acute tonsillitis (80% being viral); 2) rheumatic fever has become very rare; 3) efficient rapid diagnostic tests are now available, allowing a selection of patients with streptococcal tonsillitis who must be treated.
Service de Pédiatrie Générale, Centre Hospitalier Intercommunal, Créteil, France.
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Ovetchkine
D000208:Acute Disease; D002648:Child; D006801:Humans; D013290:Streptococcal Infections / Q000175:diagnosis*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D014069:Tonsillitis / Q000188:drug therapy* / Q000382:microbiology*
Angines aiguës: vers une nouvelle stratégie thérapeutique.