ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ ÁP XE QUANH AMIĐAN TRONG 72 GIỜ ĐẦU TẠI BỆNH VIỆN TAI MŨI HỌNG TRUNG ƯƠNG

Abstract

This study was conducted on 136 patients with peritonsillar abscess treated at the National Otorhinolaryngology Hospital from July 1, 2024, to June 30, 2025, with the objective of evaluating treatment outcomes within the first 72 hours. The mean age of participants was 45.16 ± 14.80 years, the male/female ratio is 2.68/1. The mean duration of symptoms before admission was 5.2 ± 3.2 days; 86% of patients had received antibiotics prior to hospitalization. Potential triggering and contributing factors included recurrent tonsillitis (27.9%) and diabetes mellitus (11%). The most common antibiotic regimen involved a combination of a broad-spectrum antibiotic with an agent active against anaerobes (76.4%), most frequently quinolone plus metronidazole (60.3%); triple-antibiotic combinations were used in 22.1%, and monotherapy in only 1.5% of cases. Treatment outcomes within 72 hours were generally favorable, with good response in 53.7%, moderate response in 34.6%, and poor response in only 11.8%. No statistically significant difference in outcomes was observed between different antibiotic regimens.