Is the abuse of antibiotics change the sensitivity of follicular tonsillitis bacteria in wasit province?

Abstract EN

Group A Streptococcus is the most important causative agent of tonsillo-pharangitis.Penciline (Ampiciline) is drug of choice in patients with tonsillo-pharangitis.The aim of this study was to detection of the type of Bacteria in a patients with acute / recurrent acute pharyngo- tonsillitis ,Decided whether the abuse of the Antibiotics by the population, modulating the type of bacteria & it's susceptibility to Antibiotics .This prospective study conduct in Al-karama teaching hospital in wasit province.

Throat culture and Antimicrobial susceptibility test was done to all patients.

In this study its found that 160 out of the 200 patients, used antibiotics for few days (2-3 days) until the patient felling better, while only 40 patients used antibiotics for 5 days & more according to the doctors prescription, According to the type of antibiotic used: 120 patients used (Ampcillin or penicillin or cloxcicllin), 40 patient used (Amoxicillin), 40 patients used other antibiotics.

From a 200 patients enrolled in this study ,Group A Beta-Hemolytic Streptococcus Bacteria (GABHS) was isolated from throat swabs in (120 male & 58 female patients ) while Group A Beta-Hemolytic Streptococcus Bacteria was not isolated in( 14 male & 8 female patients )and According to the sensitivity test, it's found that 168(94%) patients were resistance to penicillin while 10 (6%) were sensitive to penicillin ; 152 (85%)patients were sensitive to Amoxicillin while only 26 (15%) were resistance ; 150 ( 84%) patients were sensitive to ciprofloxacin while 28 (16%) patients were resistance ; 170 (95% ) patients were sensitive to cefotraxion while 8 ( 5%) were resistance.