Does antibiotic and/or steroid therapy reduce pain and secondary haemorrhaging after tonsillectomy?

Clavisi O
Record ID 32003000667
Authors' objectives:

This aim of this report was to assess whether antibiotic and/or steroid therapy reduces pain and secondary haemorrhaging after tonsillectomy.

Authors' recomendations: - Eleven studies were retrieved that met inclusion and exclusion criteria - Studies differed with regards to the type of antibiotic and steroid therapy used. Timing, dosage and mode of administration were also different between studies. - The effect of antibiotic/steroid therapy for post-operative pain was generally inconclusive: only half the studies demonstrated an effect. - Antibiotic/steroid therapy had no effect on either primary or secondary hemorrhage. - The majority of studies were of poor methodological quality. Distinctive methodological problems included: - Use of subjective pain measures that have not bee previously validated - Dependence of results to sample size, (which may have been too small to detect a difference between groups). - Only one study was of high methodological quality, with low potential for bias.
Authors' methods: Review
Project Status: Completed
Year Published: 2000
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Australia
MeSH Terms
  • Anti-Bacterial Agents
  • Steroids
  • Tonsillectomy
  • Hemorrhage
  • Pain
Organisation Name: Centre for Clinical Effectiveness
Contact Address: Monash Institute of Health Services Research, Block E, Monash Medical Centre, Locked Bag 29, Clayton, Victoria 3168, Australia. Tel: +61 3 9594 7505; Fax: +61 3 9594 7552.
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Copyright: Centre for Clinical Effectiveness (CCE)
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