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December 1986

Antibiotic Therapy in Children After Tonsillectomy

Author Affiliations

Oxford and Reading, England

Arch Otolaryngol Head Neck Surg. 1986;112(12):1303. doi:10.1001/archotol.1986.03780120067021

To the Editor.—I was surprised to read the article by Telian et al1 in the ORIGINAL ARTICLES section of the June 1986 issue of the Archives concerning the effect of antibiotic therapy on recovery after tonsillectomy in children.

It was claimed that many surgeons used antibiotics in the recovery period following a tonsillectomy in an attempt to prevent or minimize morbidity, but others do not regard this treatment as necessary, and that no major textbook recommends such a measure. Certainly, in the United Kingdom, it is generally felt that there is no place for such prophylactic antibiotic treatment, particularly in the light of the ever-present risk of emerging resistant bacterial strains.

Little mention of operative technique was made, although it was stated that the dissection and snare method was used. Other factors such as primary or reactionary hemorrhage, the average duration of the procedure, and the number of