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Objective: While acute otitis media is the most important reason of antibiotic use in infancy and early childhood, acute tonsillopharyngitis is the main reason of antibiotic use in school-age children and adolescents. When it is considered that the unwanted effects of antimicrobial agent use rise to prominence especially today, antibiotics are recommended to be used in absolute necessity and in the most constricted efficiency range. This study aimed at examining the distributions of antimicrobial agents prescribed with the diagnosis of acute tonsillopharyngitis between January 1, 2012 and December 31, 2012 and their conformity to the guidelines. Material and Methods: Electronic prescription data of family physicians collected through Family Practice Information System were analyzed using Prescription Information System. Results: Prescriptions with single-diagnosis of acute tonsillopharyngitis and their content were evaluated. It was seen that a total of 13.323.611 prescriptions were given in that period, the agent most commonly found in these prescriptions were amoxicillin-clavulanate and cefuroxime and cefdinir followed that combination. Conclusion: These results demonstrated beyond our personal observations that there is a frequent wide-spectrum and improper antimicrobial agent use under acute tonsillopharyngitis diagnosis in family practice in our country.

Antimicrobial Agent Preference for the Diagnosis of Acute Tonsillopharyngitis in Family Practice: Guidelines or Personal Choices?