#MedicalCase

Treatment of Tonsillitis (Internal Medicine)

Dr. Vijay Kumar Kumawat., MBBS

 

Medical Case Details:

Please suggest the best antibiotic for tonsillitis in adults and children with doses.

 


    Discussions


    Dr. C Elanchezhian

    Hi
    Tonsillitis -Due to viral or bacteria. First 2 to 3 days treat fever and pain
    Then for adult best antibiotics is Amoxicillin/clavulanic acid Or cephalosporins
    Tab.Augmentin 625 mg bid for 7 days
    Or
    Tab.Cephalosporins 500 mg bid for 7 days

    For Children
    Below 3nmonths 30mg/kg/day divide 12 hours
    More tha 3 months and older weight below 40 kg --25 to 45 kg / day divided 12 hours
    More than 40 kg adult dose

    Cephalosporins-20 mg/kg/dose PO twice daily for 7 days

    ▲ 1
    20.Jun, 05:52pm

    Dr. Vijay Kumar Kumawat

    Thanks Dr C. Elanchezhian

    20.Jun, 05:55pm

    Dr. Prabhakar Laxman Jathar
    Diabetologist

    Tonsillitis can be acute lasting for 3 to 5 days or a bit longer. Then there is recurrent tonsillitis and also chronic tonsillitis. Acute tonsillitis is most often caused by Streptococcus bacteria. Other bacteria like Staphylococci and Pneumococci etc may also can get involved. Many a times viruses which cause repiratory infections and common cold can also cause tonsillitis.
    Therefore, it is not necessary to prescribe antibiotics for every case of tonsillitis. For bacterial tonsillitis betalctam group and Cephalosporins like Cefixime or Cefpodexime axitel are good choices. There is nothing like "best antibiotic" for tonsillitis. In majority of my patients my choice for bacterial tonsillitis is Cefixime and in some cased Azithromycin a macrolide. Viral cases do not need any antibiotics, just pain killers and salt water gargling is usually good enough. Thanks.

    ▲ 1
    25.Jun, 08:08pm

    Dr. Vijay Kumar Kumawat

    Thanks Dr Prabhakar

    25.Jun, 10:36pm



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