Role of antimicrobial therapy in post tonsillectomy management

Aim: role of antibiotics in post tonsillectomy patients. study design: a descriptive retrospective study: place and duration: department of ear nose throat and head & neck surgery,multan medical & dental college,ibne- sina hospital multan,between january 2016 to march 2017. methods: this study was carried out in ent unit multan medical and dental college,ibne- sina hospital multan in admitted patients. thirty cases were selected and divided into two groups,15 patients in each group randomly. patients were kept in the ward for seven days after tonsillectomy and their clinical features (pain,dysphagia,sloughing,hyperemia,and secondary hemorrhage) were recorded on rating proforma according to severity of clinical features. results: pain subjective feeling were recorded on rating scale performa of both the groups compared statistically did not show any significance of p value being 0.457. this subjective feeling statistically did not show any significance,p value being 0.234. hyperemia significantly prove to be non significant. p value 0.702. sloughing did not prove any significance statistically,p-value being 0.341. secondary bleeding did not show any significance statistically p- value being 0.510. conclusion: before prescribing the antimicmicrobials,the doctor must consider two factors,the patient and causative organisms. factors related to the patients are,history of allergy,hepatic and renal dysfunction. whether the patient is immunocompromised? severity of illness,ability to tolerate drugs,age,whether taking other medications and if female,whether having pregnancy,breast feeding or taking oral contraceptive pills.