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Presidential keynote address and new research highlights from the American Society of Pediatric Otolaryngology meeting
Date:4/10/2012

e antibiotics for tonsillectomy with or without adenoidectomy.

During two distinct three-month periods, 1,031 the children underwent primary adenotonsillectomy [524 with antibiotics (AB), 507 without antibiotics (NAB)] that met the study criteria. The mean ages were 6.6 years AB [1.0-17.8, standard deviation (SD) 3.8] and 6.3 years NAB (1.0-17.8, SD 3.6) p>0.05. The male: female ratios were 1.18 AB and 1.15 NAB p>0.05. Ambulatory cases accounted for 69% AB and 67% NAB p>0.05.

Outcome measures included length of inpatient stay and postoperative complications including readmission for bleeding, pain and emesis. Study results show of the patients admitted postoperatively, the mean lengths of inpatient stay were 1.24 days AB and 1.37 days NAB p>0.05. There were no significant differences in the rates of readmission for bleeding observation (3.4% vs. 3.7%), bleed requiring cauterization (1.7% vs. 2.8%), pain (3.4% vs. 3.9%), emesis (1.1% vs. 1.8%) and all other complications (1.5% vs. 2.2%) between the AB and NAB groups, respectively p>0.05 for all metrics.

There were no statistically significant differences between the complication rates with and without the use of perioperative antibiotics. Our findings represent the largest single institution sample that primarily analyzes this question and further support the AAO-HNS recommendation.


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Contact: Mary Stewart
mstewart@entnet.org
703-535-3762
American Academy of Otolaryngology - Head and Neck Surgery
Source:Eurekalert

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