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Effect of Duration of Antibiotic Therapy on Recovery Following Tonsillectomy
This study has been completed.
Sponsored by: Weill Medical College of Cornell University
Information provided by: Weill Medical College of Cornell University
ClinicalTrials.gov Identifier: NCT00662987
  Purpose

To determine whether a 3-day course of postoperative antibiotics is effective as a 7-day course in reducing pain and reducing time to resumption of normal diet and activity following pediatric tonsillectomy


Condition Intervention
Tonsillectomy
Drug: 7 days of amoxicillin
Drug: 3 days of amoxcillin followed by 4 days of placebo

MedlinePlus related topics: Antibiotics Tonsils and Adenoids
Drug Information available for: Amoxicillin Amoxicillin sodium Amoxicillin trihydrate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Subject), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Effect of Duration of Antibiotic Therapy on Recovery Following Tonsillectomy

Further study details as provided by Weill Medical College of Cornell University:

Primary Outcome Measures:
  • analgesic use [ Time Frame: 1 week ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • time of resumption of normal diet [ Time Frame: 1 week ] [ Designated as safety issue: No ]
  • time of resumption of normal activity [ Time Frame: 1 week ] [ Designated as safety issue: No ]

Enrollment: 50
Study Start Date: September 2005
Study Completion Date: May 2007
Primary Completion Date: May 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Group B: Placebo Comparator
Received 3 days of amoxicillin followed by 4 days of placebo
Drug: 3 days of amoxcillin followed by 4 days of placebo
3 days of amoxicillin (40 mg/kg divided bid up to maximum daily dose of 800 mg) followed by placebo
Group A: Active Comparator
Received 7 days of amoxicillin
Drug: 7 days of amoxicillin
Received 7 days of amoxicillin (dosed 40mg/kg divided bid up to maximum daily dose of 800 mg)

Detailed Description:

STUDY DESIGN : A prospective, randomized, placebo-controlled trial METHODS : All pediatric patients (under the age of 18) scheduled to undergo a tonsillectomy with or without adenoidectomy from an outpatient otolaryngology practice will be recruited for the study. Exclusion criteria include prior use of antibiotics 7 days before surgery, penicillin allergy or medical comorbidity necessitating antibiotic use. Preoperative demographic information will be obtained. Tonsillectomy with or without adenoidectomy will be performed by a single surgeon (JJ) using electrocautery. Patients will be randomized to receive either a 3- or 7-day course of amoxicillin. Parents will be asked to record the following information: analgesic use for the first 7 postoperative days, postoperative days the child initiated her usual diet and level of activity and medical treatment for oral hemorrhage or dehydration. Statistical analysis will be performed to determine a real difference between the two groups with regard to analgesic use, resumption to normal diet and activity, and incidence of oral hemorrhage or dehydration.

  Eligibility

Ages Eligible for Study:   up to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • tonsillectomy with or without adenoidectomy
  • under the age of 18

Exclusion Criteria:

  • penicillin allergy
  • took antibiotics within 7 days of surgery
  • medical comorbidity requiring treatment with antibiotics
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00662987

Locations
United States, New York
Weill Cornell Medical College
New York, New York, United States, 10021
Sponsors and Collaborators
Weill Medical College of Cornell University
Investigators
Principal Investigator: Jacqueline Jones, MD Weill Cornell Medical College
  More Information

Responsible Party: Department of Otorhinolaryngology, Weill Cornell Medical College ( Jacqueline Jones, MD )
Study ID Numbers: WCMC0506007924
Study First Received: April 17, 2008
Last Updated: April 17, 2008
ClinicalTrials.gov Identifier: NCT00662987  
Health Authority: United States: Institutional Review Board

Keywords provided by Weill Medical College of Cornell University:
tonsillectomy
antibiotics

Study placed in the following topic categories:
Amoxicillin

Additional relevant MeSH terms:
Anti-Infective Agents
Anti-Bacterial Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009