Peritonsillar abscessA retrospective study of medical treatment

An Evidence‐Based Review of the Treatment of Peritonsillar Abscess

“…Tucker, 1982 37 Retrospective case-series of multiple treatment techniques. No comparisons performed.…”

Indications for tonsillectomy stratified by the level of evidence

“…Because of the moderate quality of the identified studies, only answers with recommendation grade C could be given for questions 2 and 3. Among those 42 publications, there were only 5 level I trials [263], [304], [345], [363], [364], the remainder were classified as level IV including 13 case series with only one treatment modality [301], [302], [303], [305], [314], [343], [358], [374], [375], [376], [377], [378], [379], 12 case series comparing different therapies [261], [264], [307], [308], [366], [380], [381], [382], [383], [384], [385], [386], and one economic analysis [301]. Concerning recurrence rates and indication, the authors found 2 level II studies [309], [313] and 13 level IV trials [301], [303], [310], [311], [312], [314], [343], [350], [361], [372], [387], [388], [389].…”

A comparison of procaine penicillin with sulbactam-ampicillin in the treatment of peritonsillar abscesses

“…Frequently, Bacteroides sp., Fusobacterium sp., Streptococcus sp., Streptococcus pyogenes and Staphylococcus sp. are causative bacteria [1,4,9,12,16]. As previously noted, the treatment of peritonsillar abscess consists primarily of drainage plus an antibiotic.…”

“…A peritonsillar abscess can develop in spite of the oral administration of broad-spectrum antibiotics [16]. Although a patient may have been taking oral penicillin for some time, antibiotic levels are frequently low in infected tonsils with abscess formation because of the impaired blood supply to the tonsils due to fibrosis in the affected tonsillar or adjacent tissues.…”