Penicillin for acute sore throat in children: randomised, double blind trial

'Near quinsy' in untreated strep sore throat

12 December 2003

Further to the error in calculation of % of streptococcal sequelae, already highlighted by another correspondent, allowing for the group lost to follow-up, in fact not 14% but as many as 18% of placebo treated children appear to have suffered a complication such as 'near quinsy'. Tonsillectomy remains one of the commonest childhood operations, and often it is the 'near quinsy' type of experience which precipitates surgical referral. The dose of penicillin is interesting: in the UK it is given 4 times daily - and many under 10's will tolerate only elixir, and not comply with taking capsules.

Competing interests: None declared

Competing interests: None declared

Janet A Wilson, Prof Otolaryngology Head and Neck Surgery, University of Newcastle

Freeman Hospital Newcastle upon Tyne, NE7 7DN

Click to like: