Regimen used was ineffective in the first place
To the Editors:
I disagree with Zwart et al. in their recommending against the
routine use of antibiotics for streptococcal pharyngitis.
It appears that conclusions were drawn before study was conducted. When I
saw that in their study, even 7 day course of Penicillin was not
successful in eradicating Streptococcus in 38% patients, I was dismayed.
More Straightforward conclusion would be that a more effective antibiotics
regimen is warranted than a 7 day course of Penicillin (as was done after
breaking the code for those with sequelae).
Comparing an ineffective Antibiotics regimen with placebo is beyond my
Competing interests: No competing interests