Are antibiotics effective for adults and children with acute sore throats?

Research output: Contribution to journalComment/debateResearchpeer-review

Abstract

DATA SOURCES
Studies were identified by searching MEDLINE with the terms“pharyngitis,” “sore throat,” and “tonsillitis”; the Cochrane Library; the Cochrane Acute Respiratory Infections Group trials register; and bibliographies of included studies. Inclusion dates of the studies were 1945 through 1999.
STUDY SELECTION
Controlled trials were selected if they compared the use of antibiotics with that of placebo, if the patients had symptoms of acute sore throat and were in primary care settings, and if outcomes included the incidence of acute rheumatic fever within 2 months or of acute glomerulonephritis within 1 month; acute otitis media; acute sinusitis;quinsy (peritonsillar abscess); or symptoms of throat soreness, headache, or fever.
DATA EXTRACTION
Data were extracted or sought from the authors of trials on study quality; publication date; patient characteristics; and antibiotic therapy, including duration, outcomes, symptom resolution, and adverse effects.
MAIN RESULTS AND CONCLUSION
Twenty-two studies (10,484 cases of sore throat) met the inclusion criteria. Most were done in the 1950s, although 4 were published recently (1996 through 1999). Analyses of all antibiotic use together and only trials of penicillin showed reductions in the incidence of acute rheumatic fever; antibiotics also reduced the incidence of acute otitis media, quinsy, and symptoms of fever, throat soreness, and headache at day 3 (table). Antibiotic use did not prevent acute glomerulonephritis within 2 months or sinusitis within 14 days. Subgroup analyses showed that these results were not changed when blinding, use of antipyretics, confirmed streptococcal infections, or age of the patients were analyzed. Data were insufficient to report on adverse effects. In patients with acute sore throat, antibiotics are effective for reducing symptoms of throat soreness, fever, and headache at day 3 and the incidence of rheumatic fever, otitis media, and quinsy
Original languageEnglish
Pages (from-to)112-112
Number of pages1
JournalWestern Journal of Emergency Medicine
Volume174
Issue number2
Publication statusPublished - Feb 2001
Externally publishedYes

Cite this

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title = "Are antibiotics effective for adults and children with acute sore throats?",
abstract = "DATA SOURCESStudies were identified by searching MEDLINE with the terms“pharyngitis,” “sore throat,” and “tonsillitis”; the Cochrane Library; the Cochrane Acute Respiratory Infections Group trials register; and bibliographies of included studies. Inclusion dates of the studies were 1945 through 1999.STUDY SELECTIONControlled trials were selected if they compared the use of antibiotics with that of placebo, if the patients had symptoms of acute sore throat and were in primary care settings, and if outcomes included the incidence of acute rheumatic fever within 2 months or of acute glomerulonephritis within 1 month; acute otitis media; acute sinusitis;quinsy (peritonsillar abscess); or symptoms of throat soreness, headache, or fever.DATA EXTRACTIONData were extracted or sought from the authors of trials on study quality; publication date; patient characteristics; and antibiotic therapy, including duration, outcomes, symptom resolution, and adverse effects.MAIN RESULTS AND CONCLUSIONTwenty-two studies (10,484 cases of sore throat) met the inclusion criteria. Most were done in the 1950s, although 4 were published recently (1996 through 1999). Analyses of all antibiotic use together and only trials of penicillin showed reductions in the incidence of acute rheumatic fever; antibiotics also reduced the incidence of acute otitis media, quinsy, and symptoms of fever, throat soreness, and headache at day 3 (table). Antibiotic use did not prevent acute glomerulonephritis within 2 months or sinusitis within 14 days. Subgroup analyses showed that these results were not changed when blinding, use of antipyretics, confirmed streptococcal infections, or age of the patients were analyzed. Data were insufficient to report on adverse effects. In patients with acute sore throat, antibiotics are effective for reducing symptoms of throat soreness, fever, and headache at day 3 and the incidence of rheumatic fever, otitis media, and quinsy",
author = "{Del Mar}, CB and PP Glasziou and AB Spinks",
year = "2001",
month = "2",
language = "English",
volume = "174",
pages = "112--112",
journal = "Western Journal of Emergency Medicine",
issn = "1936-900X",
publisher = "B M J PUBLISHING INC",
number = "2",

}

Are antibiotics effective for adults and children with acute sore throats? / Del Mar, CB; Glasziou, PP; Spinks, AB.

In: Western Journal of Emergency Medicine, Vol. 174, No. 2, 02.2001, p. 112-112.

Research output: Contribution to journalComment/debateResearchpeer-review

TY - JOUR

T1 - Are antibiotics effective for adults and children with acute sore throats?

AU - Del Mar, CB

AU - Glasziou, PP

AU - Spinks, AB

PY - 2001/2

Y1 - 2001/2

N2 - DATA SOURCESStudies were identified by searching MEDLINE with the terms“pharyngitis,” “sore throat,” and “tonsillitis”; the Cochrane Library; the Cochrane Acute Respiratory Infections Group trials register; and bibliographies of included studies. Inclusion dates of the studies were 1945 through 1999.STUDY SELECTIONControlled trials were selected if they compared the use of antibiotics with that of placebo, if the patients had symptoms of acute sore throat and were in primary care settings, and if outcomes included the incidence of acute rheumatic fever within 2 months or of acute glomerulonephritis within 1 month; acute otitis media; acute sinusitis;quinsy (peritonsillar abscess); or symptoms of throat soreness, headache, or fever.DATA EXTRACTIONData were extracted or sought from the authors of trials on study quality; publication date; patient characteristics; and antibiotic therapy, including duration, outcomes, symptom resolution, and adverse effects.MAIN RESULTS AND CONCLUSIONTwenty-two studies (10,484 cases of sore throat) met the inclusion criteria. Most were done in the 1950s, although 4 were published recently (1996 through 1999). Analyses of all antibiotic use together and only trials of penicillin showed reductions in the incidence of acute rheumatic fever; antibiotics also reduced the incidence of acute otitis media, quinsy, and symptoms of fever, throat soreness, and headache at day 3 (table). Antibiotic use did not prevent acute glomerulonephritis within 2 months or sinusitis within 14 days. Subgroup analyses showed that these results were not changed when blinding, use of antipyretics, confirmed streptococcal infections, or age of the patients were analyzed. Data were insufficient to report on adverse effects. In patients with acute sore throat, antibiotics are effective for reducing symptoms of throat soreness, fever, and headache at day 3 and the incidence of rheumatic fever, otitis media, and quinsy

AB - DATA SOURCESStudies were identified by searching MEDLINE with the terms“pharyngitis,” “sore throat,” and “tonsillitis”; the Cochrane Library; the Cochrane Acute Respiratory Infections Group trials register; and bibliographies of included studies. Inclusion dates of the studies were 1945 through 1999.STUDY SELECTIONControlled trials were selected if they compared the use of antibiotics with that of placebo, if the patients had symptoms of acute sore throat and were in primary care settings, and if outcomes included the incidence of acute rheumatic fever within 2 months or of acute glomerulonephritis within 1 month; acute otitis media; acute sinusitis;quinsy (peritonsillar abscess); or symptoms of throat soreness, headache, or fever.DATA EXTRACTIONData were extracted or sought from the authors of trials on study quality; publication date; patient characteristics; and antibiotic therapy, including duration, outcomes, symptom resolution, and adverse effects.MAIN RESULTS AND CONCLUSIONTwenty-two studies (10,484 cases of sore throat) met the inclusion criteria. Most were done in the 1950s, although 4 were published recently (1996 through 1999). Analyses of all antibiotic use together and only trials of penicillin showed reductions in the incidence of acute rheumatic fever; antibiotics also reduced the incidence of acute otitis media, quinsy, and symptoms of fever, throat soreness, and headache at day 3 (table). Antibiotic use did not prevent acute glomerulonephritis within 2 months or sinusitis within 14 days. Subgroup analyses showed that these results were not changed when blinding, use of antipyretics, confirmed streptococcal infections, or age of the patients were analyzed. Data were insufficient to report on adverse effects. In patients with acute sore throat, antibiotics are effective for reducing symptoms of throat soreness, fever, and headache at day 3 and the incidence of rheumatic fever, otitis media, and quinsy

M3 - Comment/debate

VL - 174

SP - 112

EP - 112

JO - Western Journal of Emergency Medicine

JF - Western Journal of Emergency Medicine

SN - 1936-900X

IS - 2

ER -