علاج التهاب اللوزتين المزمن مع عدوى المكورات العقدية الحالة للدم بيتا لدى المرضى المصابين بحساسية البنسلين (مقياس ماكآيزك ≥ 3، العمر 15 سنة فأكثر)

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 15 years and older:
• Erythromycin-estolate (3 × 500 mg/day for 5 days), or 1st generation cephalosporin (e.g. cefadroxil 2 × 1000 mg/day 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.