{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T19:29:08Z","timestamp":1770578948971,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>There are no consensus guidelines for managing peritonsillar abscess (PTA) despite its prevalence. In order to devise best practice guidelines, current practice patterns must first be established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross\u2010sectional study, surveying Otolaryngology\u2014Head &amp; Neck Surgery trainees (residents and fellows) and consultant (academic and community). The primary outcome was the type and duration of outpatient antibiotic prescription. Secondary outcomes included differences in workup, management, prescription, and follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 57 respondents to the survey; 24 (42%) trainees (residents\/fellows) and 33 (58%) consultants. On average, each respondent managed an average of 15.2 (SD 11.2) PTAs within the last year. All respondents prescribed oral antibiotics, with amoxicillin\u2014clavulanic acid being the most common (61%). Trainees prescribed amoxicillin\u2014clavulanic acid more often than consultants (n = 21, 88% vs n = 14, 42%, <jats:italic>P<\/jats:italic> = .0084), respectively. Duration of antibiotic therapy ranged from 5 to 14\u2009days. Most commonly, a 10\u2010day course of antibiotics was prescribed (n = 31, 54%). Regarding the management of PTAs, a majority of respondents requested blood work (n = 39, 68%), performed needle aspiration (n = 42, 72%) and performed incision and drainage (n = 52, 91%). Culture and sensitivity of the aspirate\/drainage fluid was frequently performed (n = 41, 72%). Patients were often provided non\u2010opioid analgesics (n = 46, 81%), but more than half still received prescription opioids (n = 36, 63%). The majority of clinicians arranged for follow\u2010up (n = 42, 74%), most often with Otolaryngology \u2013 Head &amp; Neck Surgery (n = 27, 64%), with an average follow\u2010up of 12.5 (SD 8.2) days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found heterogeneity in the management of PTAs, with variability in the outpatient antibiotic prescription. This study highlighted the wide range of management strategies employed along with differences in workup, investigation, post\u2010discharge analgesic prescription, and follow\u2010up arrangements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>5.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.538","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T10:29:46Z","timestamp":1615458586000},"page":"183-187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Current trend of antibiotic prescription and management for peritonsillar abscess: A <scp>cross\u2010sectional<\/scp> study"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3227-6442","authenticated-orcid":false,"given":"Vincent","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko","family":"Manojlovic Kolarski","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher E.","family":"Kandel","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, Sinai Healthcare Systems University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989570270-9"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00447-X"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199508002-00001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365540802195226"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.pec.0000280525.44515.72"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1916-0216-42-5"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107001144"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.05.289"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489415589364"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.78.923.545"},{"issue":"1","key":"e_1_2_7_12_1","first-page":"1","article-title":"Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess","volume":"12","author":"Chang BA","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_13_1","first-page":"2012","article-title":"Gram staining for the treatment of peritonsillar abscess","volume":"20","author":"Takenaka Y","year":"2012","journal-title":"Int J Otolaryngol"},{"issue":"2","key":"e_1_2_7_14_1","first-page":"205","article-title":"Peritonsillar abscess: comparison of outcome of incision and drainage versus needle aspiration","volume":"10","author":"Khan MI","year":"2012","journal-title":"Gomal J Med Sci"},{"issue":"3","key":"e_1_2_7_15_1","first-page":"37","article-title":"Satisfaction of patients with peritonsillar abscess with permucosal needle aspiration versus incision & drainage","volume":"26","author":"Younas M","year":"2015","journal-title":"Med Forum Monthly"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24283"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-019-0352-9"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1086\/644616"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.538","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lio2.538","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.538","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T14:06:04Z","timestamp":1693577164000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,11]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1002\/lio2.538"],"URL":"https:\/\/doi.org\/10.1002\/lio2.538","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"value":"2378-8038","type":"print"},{"value":"2378-8038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,11]]},"assertion":[{"value":"2020-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}