علاج التهاب اللوزتين الحاد مع حساسية البنسلين لدى الأطفال من عمر 3–14 (درجة McIsaac ≥3، المكورات العقدية الحالة لبيتا)

References

DOI: 10.1007/s00405-015-3872-6

• Antibiotic therapy is indicated only in case of a highly suspected or proven b-hemolytic streptococci infection (of group A, C, or G).
• In case of allergy/incompatibility: Age 3–14 years:
• Erythromycin-estolate (40 mg/kg/day in three doses for 5 days), or 1st generation cephalosporin (e.g. cefadroxil 50 mg/kg/day in two doses for 5 days)
• Another alternative is clindamycin (20 mg/kg body weight/day in three single doses).
• In cases of allergies (acute type) against beta-lactam antibiotics, cephalosporins should not be applied because of frequent cross reactions.
• With adequate therapy, most of the patients, especially adolescents and adults, are free of symptoms within 48 h.