Title:
Antibiotic use and doctor visits are reduced after adenotonsillectomy
Authors:
N. Lemkens*, P. Lemkens*, T.W. Egondi*, W. Schrooten*, M. Jorissen**, R. Mertens***, G. de Raeve***, R. Preal*** and F. Debruyne**
Institutions:
*Department of Ear, Nose and Throat, Ziekenhuis Oost Limburg, Genk, Belgium; **Department of Ear, Nose and Throat, University Hospital Leuven, Leuven, Belgium; ***Department of Epidemiology, Christelijke Mutualiteit, Belgium
Keywords:
Adenotonsillectomy; tonsillectomy; indications; children
Pages:
239 - 243
Abstract:
Antibiotic use and doctor visits are reduced after adenotonsillectomy. Objective: A tonsillectomy, with or without an adenotomy ((A)TE), is a common surgical procedure in children. The most important indications are recur- rent tonsillitis and upper airway obstruction secondary to adenotonsillar hypertrophy. The aim of this study was to inves- tigate whether the current (A)TE practice in Belgium reduced the need for medical care. Study design and methods: The database of the Christelijke Mutualiteit, one of the most important health insurance organizations in Belgium, provided data on approximately 11,000 (A)TE’s in children aged 0 to 15 years, performed by different ENT-specialists from Jan 1st 2002 to Sept 30th 2003. We compared the use of antibiotics during the 12 months before and the 12 months after (A)TE. We also compared the number of visits to pediatricians and general practitioners during the 12 months before and the 12 months after surgery. Results: The median antibiotic use dropped from 4 boxes in the year before the operation to 1 box in the year after the operation. The median number of doctor visits also dropped from 7 visits in the year before to 4 visits in the year after (A)TE. Conclusion: Although there are no generally accepted guidelines on the indications for (A)TE in Belgium, the current practice effectively reduced the need for medical care.
Issue:
Vol. 6, 2010, 4th trimester


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Antibiotic use and doctor visits are reduced after adenotonsillectomy