8. Management Principles Viral (Don’t Use Antibiotics) Why? -Promotes antibiotic resistance -Adverse reactions such as allergy and anaphylaxis -Costly -Patients do not need antibiotics to feel satisfied Bacterial (Use antibiotics) Why? - To prevent rheumatic fever - To prevent suppurative complications (e.g., peritonsillar abscess) - To speed up recovery - To reduce spread to others
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20. How many points does our patient have? 1 1 0 1 0 0 Fever over 38 C Absence of cough Tender ant. cervical adenopathy Tonsillar swelling or exudate Age< 15 y Age> 45 Total = 3
29. TREATMENT GUIDELINES (cont.) Antibiotics Children < 6 months Children 6 months - 2 years + abnormal clinical course For children >2 years, + recurrent within 12 months or Down's syndrome, cleft palate, compromised immune system