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Postgrad Med J 2002;78:545-547 doi:10.1136/pmj.78.923.545
  • AUDIT

National audit of the management of peritonsillar abscess

  1. H M Mehanna,
  2. L Al-Bahnasawi,
  3. A White
  1. Department of Otolaryngology and Head and Neck Surgery, Royal Alexandra Hospital, Paisley
  1. Correspondence to:
 Mr Hesham Mehanna, Department of Otolaryngology and Head and Neck Surgery, Royal Alexandra Hospital, Paisley PA2 9PN, UK;
 HeshamMehanna{at}aol.com
  • Received 23 November 2001
  • Accepted 27 February 2002

Abstract

An anonymous postal survey of 200 consultants was used to audit the current prevalent practices in the management of quinsy in the UK; 101 responded. The findings reveal that on average an otolaryngology department treats 29 cases per year, the vast majority (94%) on an inpatient basis. The main initial treatment was needle aspiration combined with intravenous antibiotics. Interestingly, those departments treating more than 20 cases a year are more likely to use needle aspiration, while departments in England and Wales use significantly more incision and drainage than those in Scotland. Incision and drainage (52%) was the most common form of treatment of non-resolving patients. The median hospital stay was two days.

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