[Appropriateness of treatment of XXXX according to the scientific evidence].

@entity1 @entity2261 @entity697 @entity115 @entity2348 @entity4580 @entity798 @entity6727
OBJECTIVE: To evaluate the appropriateness of antibiotic prescriptions in @entity1 with @entity697 . METHODS: A descriptive study was performed in a series of pediatric @entity1 diagnosed with @entity697 in the emergency rooms of 11 Spanish hospitals. The appropriateness of antibiotic prescriptions was assessed by comparing our clinical practice in the use of antibiotics for pharyngotonsillitis with consensus guidelines developed for this study. RESULTS: We collected data from 1716 @entity1 with @entity697 . Antibiotics were prescribed in 80.9 %, mainly according to empirical criteria. The most commonly used antibiotics were @entity115 (36 %), @entity115 - @entity798 (22.5 %), @entity6727 (6.6 %), @entity4580 (5.8 %) and @entity2261 (5.2 %). A total of 39.5 % of the @entity1 were aged less than 3 years, of which 75.9 % were treated empirically. Of the prescribed treatments, 22.8 % were considered as the treatment of choice; 22.4 % as alternatives and 54.8 % as inappropriate. CONCLUSIONS: Antibiotic treatment was prescribed in most of the cases of pharyngotonsillitis and nearly always according to empirical criteria. The number of antibiotic prescriptions was far higher than the expected cases of @entity2348 and, in many cases, the antibiotic prescriptions were inappropriate.
