Peritonsilar Abscess: what’s the best treatment?

5 Jul

Epidemiology:

30 per 100,000;

occurs in age 5-59;

accounts for 30% of deep tissue neck infections;

most common bacteria Strep species and Staph aureus

Exam findings:

 *   Trismus
 *   Drooling
 *   Deviated uvula
 *   Cervical adenopathy

Treatment:

*   Drainage and anti-microbial therapy
*   Augmentin or Clindamycin PO as an outpatient
*   Unasyn or Clindamycin IV as inpatient

*   An evidence-based review of the treatment shows that both I&D and needle aspiration have high levels of success and there is not data to show that one is superior to the other
*   There is no evidence to support the use of steroids

Submitted by W. Brooks.
Reference(s): Otolaryngology Head Neck Surg, 2003 Mar;128(3):332-43, An evidence-based review of the treatment of peritonsillar abscess, Johnson, et al.; picture

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