A 20‐year observational cohort of a 5 million patient population—Tonsillectomy rates in the context of two national policy changes

• DOI: 10.1111/coa.13233
• Publication Date: 2018-09-27T14:40:15Z
• Authors: Catriona M. Douglas; Ursula Altmyer; Laura Cottom; David Young; Penelope Redding; Louise J. Clark
• Keywords: Peritonsillar Abscess; Acute Tonsillitis; Sore throat

(a) To report national trends for tonsillectomy, tonsillitis, peritonsillar abscess and deep neck space infection in secondary care. (b) sore throat consultations primary (c) antibiotic prescribing both care between 2011 2015.Retrospective nationwide cohort study. Data requested from Information Statistics Department (ISD) Scotland tonsillitis admissions, admissions (DNSI) Scotland, 1993/94 2015/16. prescriptions general practice hospital 2015.Scottish ENT departments GP practices.Scottish patients who underwent tonsillectomy or were admitted to with infection. Scottish that attended their tonsillitis.Tonsillectomy rates 2015/16 decreased by 48% (P < 0.001). Over the same time period, there has been a corresponding 136% increase admission 0.001) 167% Between 1996/97 2015/16, was 500% abscesses 0.001).There significant decrease over past two decades. These changes have happened context of separate policies being introduced-Scottish Intercollegiate Guideline Network (SIGN) guidelines management Reduction Antibiotic Prescribing.